Public Notice Regarding Renewal of the Aged & Disabled Waiver

Sample Medicare Card as of year 2018

Sample Medicare Card as of year 2018

This just in from

January 31, 2018

In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Service Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) and the Division of Aging (DA) intend to submit a proposed renewal to the Aged and Disabled Waiver (A&D) waiver and an updated version of the A&D waiver-specific Statewide.

The A&D waiver provides Medicaid home and community-based services to participants in a range of community settings as an alternative to care in a nursing facility for adults and persons of all ages with a disability.

The upcoming renewal includes information regarding a 50% provider reimbursement rate increase for monthly case management services effective July 1, 2018. The case management service will be renamed “care management” and the service definition will be updated to read: “Care Management is a process of assessment, discovery, planning, facilitation, advocacy, collaboration, and monitoring of the holistic needs of each individual, regardless of funding sources.”

Fiscal Impact (in millions):

Federal Budget Impact: FFY 2018 $1.12 FFY 2019 $6.89
State Budget Impact: FFY 2018 $0.59 FFY 2019 $3.55

The 30 day public comment period for the A&D renewal will run January 31, 2018, through March 2, 2018. Comments may be emailed to or mailed to the address below:

FSSA–Division of Aging
RE: A&D Renewal Public Comment
402 West Washington Street, Room W454 P.O. Box 7083
Indianapolis, IN 46207

Pecuniam nummulariis non carborundum

Our two running Financial Peace classes are moving right along! Everyone is getting a better handle on their own life and some financial freedom! The Monday evening class is on lesson #4 tonight and the SCSEP Senior Aide class is on lesson #5.

According to British Lexicographer Eric Partridge, the phrase “Illegitimi non carborundum” originated from British Intelligence early in World War 2 “Don’t let the bastards grind you down”. It’s supposedly pigeon Latin but it spoke to that generation.

To speak to our generation, one inundated by debt to bankster buddies, we need a new motto. Let’s use “Pecuniam nummulariis non carborundum”. I’ll let you look that one up. Our next class starts  March 5.