DDRS Waiver Manual

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Section 2: Provider Information Section 2.1: Resources and references Providers and prospective providers should register here to receive DDRS updates and announcements, and refer to the following resources for further information: Bureau of Developmental Disabilities (BDDS) Provider Relations webpage Current DDRS Policies Indiana Health Coverage Programs, Provider Reference Module titled Division of Disability and Rehabilitation Services Home and Community-Based Services Waivers Return to Table of Contents 18
Section 3: Additional Medicaid Program Information Sections 3.1 - 3.3 Section 3.1: Other Program Information Section 3.2: Hospice Services Section 3.3: Medicaid Prior Authorization and Funding Streams Return to Table of Contents 19
Page 1 and 2: 2016 DDRS Waiver Manual Our Mission
Page 3 and 4: Section 1: Roles and Responsibiliti
Page 5 and 6: Section 7.5: State Authorization of
Page 7 and 8: Section 10.23: Psychological Therap
Page 9 and 10: Section 1.1: The Centers for Medica
Page 11 and 12: ules or standards that may affect t
Page 13 and 14: Information Sharing The Individual
Page 15 and 16: Here are some tips on what to discu
Page 17: 6. Does each person have his or her
Page 21 and 22: HCBS waiver services. HCBS waiver p
Page 23 and 24: Section 4.1: Medicaid Waiver Overvi
Page 25 and 26: Section 4.4: Coordination with Medi
Page 27 and 28: personal beliefs and customs, ensur
Page 29 and 30: Section 5.1: Request for Applicatio
Page 31 and 32: Internet access, call toll free 1-8
Page 33 and 34: understanding and use of language,
Page 35 and 36: If an individual declines the offer
Page 37 and 38: waiver slot when it appears that th
Page 39 and 40: Five calendar days to interview and
Page 41 and 42: The individual or guardian has sign
Page 43 and 44: Section 6: Objective Based Allocati
Page 45 and 46: adjustments to the allocation amoun
Page 47 and 48: BMAN Reserve $0 $0 $2,620.80 $5,241
Page 49 and 50: An individual’s behavioral condit
Page 51 and 52: An individual or the individual’s
Page 53 and 54: Your Appeal Right as an Applicant f
Page 55 and 56: Section 7.1: Level of Care Re-Evalu
Page 57 and 58: RN/LPN, who must be actively involv
Page 59 and 60: o Children receiving adoption assis
Page 61 and 62: including the DDRS Case Management
Page 63 and 64: When the individual “Re-Enters”
Page 65 and 66: (RHS) under the Community Integrati
Page 67 and 68: Section 8.1: Appeal Request The fol
Page 69 and 70:
Objective-based allocation (OBA): T
Page 71 and 72:
administrative hearing must still b
Page 73 and 74:
The person testifying should be the
Page 75 and 76:
In all cases, the decision of the A
Page 77 and 78:
Section 9.1: Overview The Family an
Page 79 and 80:
Structural or environmental issues
Page 81 and 82:
implemented in order to ensure that
Page 83 and 84:
conducted by the ombudsman must als
Page 85 and 86:
Section 10.24: Recreational Therapy
Page 87 and 88:
Medicaid Waiver Services, Codes, an
Page 89 and 90:
FSW CIH MFP- CIH INsite Code Servic
Page 91 and 92:
The Case Manager should give the co
Page 93 and 94:
Aversive techniques - any technique
Page 95 and 96:
Services delivered to persons who d
Page 97 and 98:
where services are not rendered wit
Page 99 and 100:
Section 10.7: Community Based Habil
Page 101 and 102:
Activities that do not foster the a
Page 103 and 104:
The system to be installed must be
Page 105 and 106:
The monitoring base staff must have
Page 107 and 108:
Electronic Monitoring may not be us
Page 109 and 110:
Adaptations to service provider-own
Page 111 and 112:
independence and are consistent wit
Page 113 and 114:
Group supports delivered to individ
Page 115 and 116:
o Small (4:1 or smaller) o Medium (
Page 117 and 118:
The data may reside in multiple loc
Page 119 and 120:
Providers must be able to indicate,
Page 121 and 122:
programmed, constructive interactio
Page 123 and 124:
The IBI Director will provide a nar
Page 125 and 126:
As applicable, monthly/quarterly re
Page 127 and 128:
participate in their communities, a
Page 129 and 130:
Homeschooling, special education, a
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or before the fifteenth day of the
Page 133 and 134:
o Medium (5:1 to 10:1) o Larger (la
Page 135 and 136:
Services must address needs identif
Page 137 and 138:
The following activities are not al
Page 139 and 140:
maintaining natural supports, physi
Page 141 and 142:
tool for individual assessment. The
Page 143 and 144:
o o o o o Individuals receiving RHS
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(C) requires minimal residential ha
Page 147 and 148:
as well the development, oversight,
Page 149 and 150:
Available only under the Community
Page 151 and 152:
Services furnished to a minor by a
Page 153 and 154:
Section 10.30: Speech/Language Ther
Page 155 and 156:
to be utilized in service plan deve
Page 157 and 158:
Transportation services through the
Page 159 and 160:
Bus passes or alternate methods of
Page 161 and 162:
The participant requires assistance
Page 163 and 164:
Service Standards The following ser
Page 165 and 166:
Section 11: Request for Approval (R
Page 167 and 168:
Choice of Provider The individual c
Page 169 and 170:
Reimbursement Reimbursement is avai
Page 171 and 172:
Modifications/Items - Non-Covered E
Page 173 and 174:
Authority: 42 CFR §441.302 Section
Page 175 and 176:
Total Cost $$$$$ 175
Page 177 and 178:
Items - Covered Justification and d
Page 179 and 180:
These requests should be extremely
Page 181 and 182:
Choice of Provider The individual c
Page 183 and 184:
Completed by an approved Medicaid W
Page 185 and 186:
The case management entity, working
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DDRS Waiver Manual

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