MedicaidCoverageMedium impact
BT202613: CMS approves waiver amendment for Medicaid HCBS CIH waiver
Indiana Medicaid (IHCP)·IN·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
CMS approved amendments to Indiana's Medicaid HCBS CIH waiver, introducing new self-directed services, Benefits Counseling, updated Behavioral Support Services, and mandatory registration for home and community support professionals. Multiple service definitions, limits, and authorization processes have changed effective January 1, 2026.
Action Required
Effective January 1, 2026: Billing teams serving Indiana Medicaid HCBS CIH waiver participants must update authorization tracking for new self-directed services (Residential Habilitation, Respite, Workplace Assistance), implement quarterly authorization cycles for Behavioral Support Services replacing monthly Behavior Management Basic, combine Home Modifications and Assessment billing into single service, apply 6-hour monthly limits for Recreational and Music Therapy, verify all direct support staff are registered in Indiana's HCSP Training Registry, and use state-provided templates for behavioral support documentation. Claims may be denied for unregistered staff or incorrect service models.