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Mitchell E. Daniels, Jr., GovernorState of Indiana
Division of Disability and Rehabilitative Services402 W.
WASHINGTON STREET, P.O. BOX 7083
INDIANAPOLIS, IN 46207-70831-800-545-7763
Peoplehelping peoplehelpthemselves
www.IN.gov/fssaEqual Opportunity/Affirmative Action Employer
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 underDDRS Manuals. These changes and revised
rates of reimbursement will beeffective 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 listedbelow.
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
http://www.in.gov/fssa/ddrs/4312.htmhttp://www.in.gov/fssa/ddrs/4312.htmhttp://www.in.gov/fssa/ddrs/4312.htmhttp://www.in.gov/fssa/ddrs/4312.htm
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7/31/2019 OBRA and State Line Services
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Mitchell E. Daniels, Jr., GovernorState of Indiana
Division of Disability and Rehabilitative Services402 W.
WASHINGTON STREET, P.O. BOX 7083
INDIANAPOLIS, IN 46207-70831-800-545-7763
Peoplehelping peoplehelpthemselves
www.IN.gov/fssaEqual Opportunity/Affirmative Action Employer
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 yourlocal 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 continuesbeyond the current budget, the provider will be
responsible for completing and
submitting an Authorization of Funding (AOF) form along with the
ISP and
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7/31/2019 OBRA and State Line Services
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Mitchell E. Daniels, Jr., GovernorState of Indiana
Division of Disability and Rehabilitative Services402 W.
WASHINGTON STREET, P.O. BOX 7083
INDIANAPOLIS, IN 46207-70831-800-545-7763
Peoplehelping peoplehelpthemselves
www.IN.gov/fssaEqual Opportunity/Affirmative Action Employer
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 andISP 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
Follow-
Along 1 to 5 hours monthly
Supported Employment Tier 2 Defined as Supported Employment
Follow-
Along 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
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Mitchell E. Daniels, Jr., GovernorState of Indiana
Division of Disability and Rehabilitative Services402 W.
WASHINGTON STREET, P.O. BOX 7083
INDIANAPOLIS, IN 46207-70831-800-545-7763
Peoplehelping peoplehelpthemselves
www.IN.gov/fssaEqual Opportunity/Affirmative Action Employer
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 Personal Emergency Response System
Supports
Adult Foster Care Services Physical Therapy Services
Behavioral Support Services Occupational Therapy Services
Childrens Foster Care Services Pre-Vocational Services
Community Transition Supports Recreational Therapy Services
Crisis Assistance Services Rent and Food for Unrelated Live-in
Caregiver
Environmental Modification Supports Residential Habilitation and
Support Services
Family and Caregiver Training Services Respite Care Services
Group Habilitation Training Specialized Medical Equipment and
Supplies
Health Care Coordination Speech-Language Therapy Services
Indirect Service Coordination Music Therapy Services
Individual Habilitation Community Direct Therapy Services
Individual Habilitation Facility Direct Transportation
