MedicaidAdministrativeMedium impact
BT202606: BDS establishes transition process from Supervised Group Living settings to CIH Waiver
Indiana Medicaid (IHCP)·IN · Psychiatry·Specialty Services
Effective date
Jan 13, 2026
We identified it
Jun 18, 2026
Summary
Indiana Bureau of Disabilities Services establishes new requirements for individuals transitioning from Supervised Group Living (SGL) settings to Community Integration and Habilitation (CIH) Waiver programs. Individuals must now reside in SGL for minimum 365 consecutive days before being eligible to apply for CIH Waiver, with specific rules for therapeutic leave and discharge exceptions.
Action Required
Immediately: Billing teams serving Indiana disability services clients must implement tracking for SGL residency duration to ensure 365-day minimum requirement is met before CIH Waiver applications. Update patient records systems to document therapeutic leave days (max 60 per year) and coordinate with SGL providers to obtain accounting records for residency periods. Ensure proper documentation of qualifying discharge exceptions (arrests, hospital stays >15 days, nursing facility admissions) that pause the 365-day count.