Updates to Indiana Medicaid Reimbursements – The End to “BILL40”
Indiana Medicaid currently reimburses providers for 40% of their usual and customary fee schedules for ABA. A change to this practice, referred to as “BILL40”, is likely coming to an end.
The presentation below focuses on reviewing the reimbursement of Applied Behavioral Analysis (ABA) Therapy Services by the Indiana Family and Social Services Administration (FSSA). It covers objectives, ABA provider survey data, strategic alignment, disparities in reimbursement, HCBS rate comparisons, expenditure growth concerns, wage inflation methodology, program cost breakdown, service model costs, methodology details, draft rates for practitioner levels, rate component breakdown, alignment with other state programs, and the timeline for the rate-setting process.
ABA Reimbursement-Provider Meeting August 8,2023
While the presentation aims to overcome challenges and establish consistent, sustainable, and aligned ABA reimbursement rates in accordance with FSSA’s goals, it also means an unexpected reduction in rates for providers.
