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Indiana Medicaid Waiver Process

We understand that Indiana Medicaid and the waivers that involve recreational therapy and behavior management can be confusing. Here is a brief breakdown of how the process works, from initially obtaining Medicaid to beginning services. For more in-depth information, please contact the Bureau of Developmental Disabilities Services.

1. Initial Application

Complete an application for the Community Integration and Habilitation (CIH) or Family Supports Waiver (FSW) through the local Division of Disability and Rehabilitative Services (DDRS) Bureau of Developmental Disabilities Services (BDDS) office. A BDDS staff member will then be in contact to discuss the process for determining eligibility for the waiver. If you do not already obtain Medicaid, you will be referred to the local Division of Family Resources (DFR) to apply for Medicaid.

2. Intake Meeting

Once you are Medicaid and waiver approved, you will be assigned a case manager. The case manager will contact you to complete an intake meeting. There, you will learn more about the waiver and services available to you. If recreational therapy and/or behavior management is of interest, your case manager will pass along your information to New Leaf and other companies that provide the services you're interested in. A New Leaf rec therapist/behavior consultant will then contact you to schedule an interview.

3. Interview with a Therapist

A New Leaf rec therapist/behavior consultant will contact you to schedule an interview at a location of your choice, whether it be at your home, our office in Fort Wayne, or in the community. The goal of the interview is to learn more about the service, what sessions look like, how these services will contribute to the goals of the individual, and to overall meet the rec therapist/behavioral consultant and see if they would be a good fit. If you would like to move forward with New Leaf, you will then need to sign a pick list, which is provided by your case manager..

4. Sign a Pick List

A pick list is a list of providers that you pick from to receive waiver services. In this case, you will pick New Leaf to receive recreational therapy and/or behavior management services. After a pick list is submitted to the state, a Notice of Action (NOA) and a Person-Centered Individualized Support Plan (PCISP) is generated. The NOA is an explanation of budget(s) for each service you've chosen, and the PCISP provides details about what is most important to an individual, which includes activities and potential goals.

5. Services Officially Begin!

Once the NOA and PCISP are generated (which can take up to 10 business days) New Leaf will receive a copy of these state documents. The rec therapist/behavior consultant that you interviewed will then be notified that services are ready to begin, and that rec therapist/behavior consultant will contact you to schedule your very first session. Congratulations, you are officially receiving recreational therapy and/or behavior management services from New Leaf!

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