MedicaidCoverageMedium impact
BT202614: CMS approves waiver amendment for Medicaid HCBS H&W and TBI waivers
Indiana Medicaid (IHCP)·IN · Physical Therapy, Occupational Therapy, PM&R (Physical Medicine & Rehab)·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
CMS approved waiver amendments for Indiana Medicaid HCBS Health & Wellness and TBI waivers, introducing new self-directed service options, Benefits Counseling services, and Extended Employment Services. The changes also implement extraordinary care allowances and update documentation requirements for Attendant Care services.
Action Required
By January 1, 2026: Billing teams serving Indiana Medicaid patients must update systems to reflect new service codes for self-directed Attendant Care, Respite Care Services, and Home and Community Assistance (replacing Consumer-Directed services that ended Dec 31, 2025). Add new service categories for Benefits Counseling and Extended Employment Services. Update documentation requirements for Attendant Care to hourly intervals and implement extraordinary care allowance billing procedures with 40-hour weekly limits for legally responsible individuals.