Public Notice Regarding Renewal of the Community Integration and Habilitation Waiver and Family Supp

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In accordance with public notice requirements established at 42 CFR 441.301 the Indiana Family and Social Service Administration Division of Disabilities and Rehabilitative Services intends to submit a renewal of the Community Integration and Habilitation waiver and a renewal of the Family Supports waiver to the Centers for Medicare and Medicaid Services for consideration. These waiver renewals will allow DDRS to continue providing home and community-based services to individuals who, but for provisions of such services, would require institutional care. The anticipated effective date is April 17, 2020.

The FSW and CIH waivers provide Medicaid HCBS services to participants in a range of community settings as an alternative to care in an intermediate care facility individuals with developmental disabilities or related conditions. These waivers serve persons who have a developmental disability, intellectual disability or autism and who have substantial functional limitations, as defined under the paragraph for “Persons with related conditions” in 42 CFR 435.1010. Participants may choose to live in their own home, family home, or community setting appropriate to their needs. Participants develop a Person-Centered/Individualized Support Plan using a person centered planning process guided by an Individualized Support Team. The IST is comprised of the participant, their case manager and anyone else of the participant’s choosing but typically family and/or friends. The DDRS Bureau of Developmental Disabilities Services has proposed the following changes to be effective with April 17, 2020 renewals:
  • Add Environmental Modification as a service option under the FSW, using the same definition and rate methodology as provided under CIH waiver.
  • Add Electronic Monitoring as a service option under FSW, using the same definition and rate methodology as provided under CIH waiver.
  • Increase the rate for Community Transition on the CIH waiver from $1,000 to $2,500.
Fiscal Impact (in millions) of Proposed Changes:
Federal Budget Impact:                 FFY 2020 $ 1.42                  FFY 2021 $ 2.83
State Budget Impact:                     FFY 2020 $ 0.74                  FFY 2021 $ 1.47(4/1/2020-9/30/2020)
Federal Budget Impact:                 SFY 2020 $ 0.71            SFY 2021 $ 2.84
State Budget Impact:                     SFY 2020 $ 0.37            SFY 2021 $ 1.47
(4/1/2020 – 6/30/2020)

The 30-day public comment period will run November 13, 2019, through December 13, 2019. Comments may be emailed to or mailed to the address below:

FSSA–Division of Disabilities and Rehabilitative Services
RE:CIH and FSW Renewal Public Comment
402 West Washington Street, Room W453 P.O. Box 7083 
Indianapolis, IN 46027

The FSW and the CIH waiver renewal drafts are available for review and public comment on the DDRS public comment webpage. Hard copies of the proposed renewal are available upon request by emailing Copies of the renewal are also available at local Division of Family Resources offices as well as local Area Agencies on Aging. In-person consultations or phone calls are available upon request.
The DDRS is a program of the Indiana Family & Social Services Administration. If you have questions about DDRS programs and services, visit us online at