Scribd
Upload
48 views1 page

Bulletin: Correction Made To Lifetime Cap in A&D and TBI Waiver Services

The Indiana Family and Social Services Administration received approval from CMS for a rate increase and methodology change for services provided under the Aged and Disabled and Traumatic Brain Injury waivers. Bulletin BT202006 provided details on the rate changes, which are effective for dates of service on or after February 1, 2020. However, due to a typographical error, the rates for home modifications did not correctly reflect the new $20,000 lifetime cap for the procedure code and modifier S5165 U7 NU. The cap on any single home modification project is $15,000.

Uploaded by

Indiana Family to Family
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
48 views1 page

Bulletin: Correction Made To Lifetime Cap in A&D and TBI Waiver Services

The Indiana Family and Social Services Administration received approval from CMS for a rate increase and methodology change for services provided under the Aged and Disabled and Traumatic Brain Injury waivers. Bulletin BT202006 provided details on the rate changes, which are effective for dates of service on or after February 1, 2020. However, due to a typographical error, the rates for home modifications did not correctly reflect the new $20,000 lifetime cap for the procedure code and modifier S5165 U7 NU. The cap on any single home modification project is $15,000.

Uploaded by

Indiana Family to Family
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

IHCP bulletin

INDIANA HEALTH COVERAGE PROGRAMS BT202069 JUNE 4, 2020

Correction made to lifetime cap in A&D and TBI


waiver services
The Indiana Family and Social Services Administration (FSSA) received approval
from the Centers for Medicare & Medicaid Services (CMS) for a rate increase and
methodology change for services provided under the Division of Aging (DA) Aged
and Disabled (A&D) and Traumatic Brain Injury (TBI) waivers.

Changes to rates were provided in detail in Indiana Health Coverage Programs


(IHCP) Bulletin BT202006. The changes are effective for dates of service on or
after February 1, 2020.

Due to a typographical error in BT202006, the rates for home modifications


(formerly environmental modifications) did not reflect the new rates for lifetime limit.
A lifetime cap of $20,000 is available for home modifications – installation
(procedure code and modifier S5165 U7 NU). However, the cap on any single
project is $15,000.

QUESTIONS? TO PRINT

If you have questions about this publication, please A printer-friendly version of this publication, in black and white
contact Customer Assistance at 1-800-457-4584. and without photos, is available for your convenience.

COPIES OF THIS PUBLICATION SIGN UP FOR IHCP EMAIL NOTIFICATIONS


If you need additional copies of this publication, To receive email notices of IHCP publications, subscribe
please download them from the Bulletins by clicking the blue subscription envelope
page of the IHCP provider website at or sign up from the IHCP provider website
in.gov/medicaid/providers. at in.gov/medicaid/providers.

Page 1 of 1

You might also like