MedicaidCoverageHigh impact
BT202612: CMS approves waiver amendment for Medicaid HCBS Family Supports waiver
Indiana Medicaid (IHCP)·IN·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
CMS approved major changes to Indiana's Medicaid HCBS Family Supports waiver, effective January 1, 2026. Key billing impacts include new self-directed service options, a new Benefits Counseling service, updated Behavioral Support Services with quarterly authorization, combined Home Modifications service, hourly documentation requirements for PAC services, and new extraordinary care allowance for legally responsible individuals.
Action Required
Immediately: Billing teams must update Medicaid billing systems to reflect new service structures - add Benefits Counseling as billable service, change Behavioral Support Services to quarterly authorization cycles, combine Home Modifications and Assessment into single service code, implement hourly documentation requirements for PAC services, and add extraordinary care allowance billing for legally responsible individuals up to 40 hours/week. Update encounter forms and train staff on new self-directed service options for PAC, Respite, and Workplace Assistance. Ensure compliance with new interRAI assessment tools and state-provisioned templates for behavioral support documentation.