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Expected changes in the CMHW 2023 - open for public comment

From the Division of Mental Health and Addiction -

The CMHW proposes making the following changes to the current CMHW State Plan Benefit:

  1. Wraparound Facilitators will have an exclusive role, and wraparound facilitation agencies will be prohibited from providing any service other than wraparound facilitation except for facility-based respite care.

  2. Adjustments to State employees making eligibility determinations qualifications from being Child and Adolescent Needs and Strengths (CANS) certified to experience with the CANS assessment tool.

  3. Updates to the CMHW State Transition Plan to reflect implementation and current requirements

  4. Removal of individual provider type of habilitation services and training and support for the unpaid caregiver services

  5. Removal of the requirement for accredited agencies to have qualifications reviewed at the time of accreditation in addition to every three years

  6. Requirement of individuals providing clinical supervision to be authorized by DMHA, employed by or contracted with the agency providing habilitation and training and support for the unpaid caregiver services, complete DMHA approved training and enrolled as a rendering provider under whose National Provider Identifier (NPI) services are claimed

  7. Crisis respite care has been renamed unexpected respite

  8. Daily respite care limits have been increased from 28 days to 40 days per care plan year

  9. Hourly respite care limits updated from up to 39 fifteen-minute units per day to up to 31 fifteen-minute units in a calendar day

  10. Removal of childcare home licensure from allowed licensure for facility-based respite care

  11. Updated “special needs” and “therapeutic” foster care descriptors to align with revised State language, modifying the foster care licensure type to include licensed child placement agencies (LCPA)

  12. Updated service description in training and support for the unpaid caregiver

    • To allow more than one caregiver of a member to receive training at a time

    • To allow for up to two hours per month of support to be provided telephonically

This CMHW proposed application will be available for review and public comment from November 9, 2022 through December 9, 2022 by accessing DMHA-Y’s Policy and Procedure webpage and by clicking here > The effective date for these changes and renewal will be July 1, 2023.

There will be no public hearing. Written comments may be directed to, FSSA, Office of Medicaid Policy and Planning, Attention: Madison May-Gruthusen, 402 West Washington Street, Room W374, Indianapolis, IN 46204 or by email to Correspondence should be identified in the following manner: (Subject line) COMMENT RE: CMHW Renewal.

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