IHCP updates: HIP bridge delayed, Section 1135 waivers being rescinded
HIP bridge delayed
The Healthy Indiana Plan Bridge program’s go-live date has been delayed as the Family and Social Services Administration (FSSA) focuses on transitioning Medicaid members to normal operations.

The new program was planned to go into effect following the end of continuous enrollment provisions and return to normal eligibility review processes on April 1.  

The FSSA will engage with stakeholders after a new date for the program launch is set. 

For more on the HIP Bridge program, see IHCP bulletin 202319

IHCP to rescind Section 1135 waivers due to the ending public health emergency
When the COVID-19 federal public health emergency expires on May 11, the Indiana Health Coverage Programs will rescind the Section 1135 waivers granted to Indiana by the Centers for Medicare & Medicaid Services (CMS). 

Rescinded services include provisions that waived Level I and Level II Preadmission Screening and Resident Review (PASRR) assessment requirements outlined in the Social Security Act, Section 1919(e)(7), and the timeliness requirements for fair hearing requests outlined in Code of Federal Regulations 42 C.F.R. §431.221(d) and 42 C.F.R. §438.408(f)(2). 

Effective May 12, PASRR screening requirements will return to pre-pandemic timelines. 

Also starting May 12, FFS fair hearing requests must be received by 33 calendar days following the effective date of the action being appealed or the date of the notice of agency outlined in Indiana Administrative Code 405 IAC 1.1-1-3. Managed care members will have to exhaust the managed care entity’s grievance and appeals process before requesting a fair hearing and will have 120 calendar days to request a fair hearing.

Read more in IHCP Bulletin 2023330.