DDRS Waiver Manual

When the individual “Re-Enters” waiver services, the Case Manager must enter a Confirmation
of Waiver Start form in the INsite database and electronically transmits it to the FSSA/DDRS
case management database. The information will be automatically transmitted to the
FSSA/Office of Medicaid Policy and Planning (OMPP) to enter in the IndianaAIM database.
When the Confirmation of Waiver Start form is received electronically by the DDRS, it is
reviewed. When it’s accepted, a Notice of Action (NOA) form will be automatically transmitted
to the Case Manager and to all of the individual’s waiver service providers.
Within three calendar days of receiving the Re-Entry POC/CCB approval letter, the Case Manager
must print a Notice of Action (HCBS Form 5). The Case Manager must provide copies of the
NOA form and Addendum (containing information from the POC/CCB) to the
individual/guardian.
When an individual “re-enters” waiver services:
If within 30 calendar days of terminating waiver services, the annual level of care and
POC/CCB dates remain the same dates as they were prior to the termination of waiver
services,
If more than 30 calendar days since terminating waiver services, the new level of care and
POC/CCB dates are used for determining when future annual level of care determinations and
POC/CCBs are due.
If an individual participant interrupts or terminates waiver services within 30 calendar days of the end
of the waiver year with the intention of returning to waiver services early in the next waiver year, the
anticipated return to the waiver must occur within 60 calendar days of the next waiver year or the
individual may lose his or her waiver slot and be required to reapply for services.
Section 7.9: Parents, Guardians & Relatives Providing Waiver Services
Parents, step-parents and legal guardians of waiver participants who are minors (under the age of 18)
may not receive payment for the delivery of any waiver-funded service to the minor waiver
participant(s). Per Section 4442.3.B.1 of the State Medicaid Manual, the Version 3.5 Instructions,
Technical Guide and Review Criteria and the Code of Federal Regulations [42 CFR §440.167], all of which
are published by the Center for Medicare and Medicaid (CMS), this prohibition is based on the
presumption that legally responsible individuals may not be paid for supports that they are ordinarily
obligated to provide.
Other relatives* (excluding spouses) may provide waiver service(s) to waiver participants when that
relative is employed by or a contractor of a Division of Disability and Rehabilitative Services (DDRS)-
approved provider.
* For all purposes pertaining to waiver-funded programs administered by FSSA’s DDRS,
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