Mitchell E. Daniels, Jr.

, Governor State of Indiana

People helping people help themselves

Division of Disability and Rehabilitative Services

402 W. WASHINGTON STREET, P.O. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763

To: State Line and OBRA service providers From: Jeanette Siener, Facility Based Services Director, Bureau of Developmental Disabilities Services Re: OBRA and State Line Services update Date: June 1, 2012 The Bureau of Developmental Disabilities Services (BDDS) has updated its Service Definitions Manual for State Line services and is available on the Division of Disabilities and Rehabilitative Services (DDRS) website under DDRS Manuals. These changes and revised rates of reimbursement will be effective July 1, 2012. The revised rates of reimbursement reflect Medicaid waiver services rates. Effective 7/1/12, the following services will be available through State Line Funding: OBRA Services - Specialized services are available to those individuals that reside in a nursing facility with a long term care designation. There is an annual cap of $10,500 for any combination of OBRA services. This cap will become effective at the time of the next budget renewal beginning 7/1/12. Budgets created for timeframes starting prior to 7/1/12 will not be subjected to the annual cap, but will see a modified list of services available for billing as listed below. OBRA Community Habilitation Group (Small and Medium Group) OBRA Community Habilitation Individual OBRA Facility Habilitation Group (Small, Medium and Large Group) OBRA Facility Habilitation Individual OBRA Pre-Vocational Services (Small, Medium and Large Group) OBRA Sheltered Employment Community Based OBRA Sheltered Employment Facility Based OBRA Supported Employment Tier 1 and Tier 2

www.IN.gov/fssa Equal Opportunity/Affirmative Action Employer

Mitchell E. Daniels, Jr., Governor State of Indiana

People helping people help themselves

Division of Disability and Rehabilitative Services

402 W. WASHINGTON STREET, P.O. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763

Nursing Facility Budget Submission and Billing Procedure: Budgets will not be automatically renewed. If the need for services continues beyond the current budget, the provider will be responsible for completing and submitting an Authorization of Funding (AOF) form along with the ISP electronically to the BDDS district office a minimum of 30 days prior to the start date of services. The Electronic Authorization of Funding Form (AOF) may be obtained from your local BDDS District Office Services that are currently available under the Nursing Facility Budgets will still be available to bill for service months of June 2012 and prior. Effective 7/1/12, the above listed services will be available for billing under Nursing Facility Budgets. No action will be required of the providers other than submitting an AOF and ISP 30 days prior to the start of services. There will be no interruption in services for budgets submitted in a timely manner

Sheltered Employment Services Services are available to those individuals receiving services through the Developmental Disabilities Home and Community Based Waivers (DD, Autism and SSW) Sheltered Employment Community Based Sheltered Employment Facility Based

Sheltered Employment Budget Submission and Billing Procedure: Budgets will not be automatically renewed. If the need for services continues beyond the current budget, the provider will be responsible for completing and submitting an Authorization of Funding (AOF) form along with the ISP and

www.IN.gov/fssa Equal Opportunity/Affirmative Action Employer

Mitchell E. Daniels, Jr., Governor State of Indiana

People helping people help themselves

Division of Disability and Rehabilitative Services

402 W. WASHINGTON STREET, P.O. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763

Prevoc Calculator electronically to the BDDS district office a minimum of 30 days prior to the start date of services. The Electronic Authorization of Funding Form (AOF) may be obtained from your local BDDS District Office Community Support Sheltered Budgets are being renamed Sheltered Employment Budgets. No other changes are being made to this budget type or services provided under this budget. No action will be required of the providers other than submitting an AOF and ISP 30 days prior to the start of services. There will be no interruption in services for budgets submitted in a timely manner

Supported Employment Follow-Along Services are available to individuals who have made the transition from Vocational Rehabilitation Services to supported employment services and have been found to be BDDS eligible. Supported Employment Tier 1 Defined as Supported Employment FollowAlong 1 to 5 hours monthly Supported Employment Tier 2 Defined as Supported Employment FollowAlong 6 to 10 hours monthly

Supported Employment Follow Along Budget Submission and Billing Procedure: Budgets will not be automatically renewed. If the need for services continues beyond the current budget, the provider will be responsible for completing and submitting an Authorization of Funding (AOF) form along with the ISP electronically to the BDDS district office a minimum of 30 days prior to the start date of services. The Electronic Authorization of Funding Form (AOF) may be obtained from your local BDDS District Office

www.IN.gov/fssa Equal Opportunity/Affirmative Action Employer

Mitchell E. Daniels, Jr., Governor State of Indiana

People helping people help themselves

Division of Disability and Rehabilitative Services

402 W. WASHINGTON STREET, P.O. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763

Effective 7/1/12, all SEFA budgets will be automatically converted to the appropriate Tier based upon current approved funding levels. For dates of service prior to 7/1/12, the current SEFA services (hourly units) will be available for billing. For dates of services 7/1/12 and beyond, the appropriate Tier will be available for billing. No action will be required of the providers other than submitting an AOF and ISP 30 days prior to the start of services. There will be no interruption in services for budgets submitted in a timely manner.

Effective 7/1/12, the following services will not be available through State Line funding: Adult Day Services Adult Foster Care Services Behavioral Support Services Childrens Foster Care Services Community Transition Supports Crisis Assistance Services Environmental Modification Supports Family and Caregiver Training Services Group Habilitation Training Health Care Coordination Indirect Service Coordination Individual Habilitation Community Direct Individual Habilitation Facility Direct Personal Emergency Response System Supports Physical Therapy Services Occupational Therapy Services Pre-Vocational Services Recreational Therapy Services Rent and Food for Unrelated Live-in Caregiver Residential Habilitation and Support Services Respite Care Services Specialized Medical Equipment and Supplies Speech-Language Therapy Services Music Therapy Services Therapy Services Transportation

www.IN.gov/fssa Equal Opportunity/Affirmative Action Employer