Indiana Families Navigate Ongoing I/DD Waiver System Changes Since Late 2023
Indiana's Medicaid waiver system for individuals with intellectual and developmental disabilities has undergone continuous changes since late 2023, including new service rules, case management restructuring, and modified eligibility requirements. Families and providers are managing multiple policy shifts simultaneously while maintaining care continuity. The accumulated changes affect how services are authorized, delivered, and documented across Indiana's I/DD waiver programs. These reforms create operational uncertainty for MCE plans administering waiver services and providers contracted to deliver them.
Cumulative waiver policy changes in a major state create compliance and operational strain for managed care entities and I/DD providers navigating simultaneous rule implementations.
LTSS · Managed Care
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