DDRS Waiver Manual

Section 10.1: Service Definition Overview
This section of the manual lists service definitions for the services currently approved for the Home and
Community Based Services (HCBS) waiver programs administered by the Division of Disability and
Rehabilitative Services (DDRS). Each service definition includes the following information:
A definition of the service.
A list of reimbursable (allowable) activities for the service.
Service standards
Documentation standards
Limitations
A list of activities not allowed
And in some cases, additional information or clarifications that are unique to the service
Note that some services are not available under both waivers. Please refer to Sections 4.5 and 4.6 for the
lists of available waiver services unique to each waiver.
A chart (Table 10.2) containing procedure (billing) codes and modifiers as well as unit rates is found in Section
10.2.
Additional Information
Facility settings are defined as non-residential, non-integrated settings that take place within the
same building(s) for the duration of the service rather than being out in the community.
Community settings are defined as non-residential, integrated settings that are primarily out in
the community where services are not rendered within the same building(s) alongside other nonintegrated
participants.
By March 17, 2019, all services will be compliant with the HCBS Final Rule settings requirements as outlined
in Indiana’s Statewide Transition Plan.
Section 10.2: Medicaid Waiver Services, Codes, and Rates
Table 10.2 – Medicaid Waiver Services, Codes, and Rates for Community
Integration and Habilitation Waiver (CIH Waiver) and Family Supports Waiver
(FSW)
Effective July 2016
See the Rate Charts at www.in.gov/fssa/ for the most recent information.
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