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MedicaidBilling CodesMedium impact

BT202020: FSSA will change rates and services for the FSW and CIH Waiver, pending CMS approval

Indiana Medicaid (IHCP)·IN·Specialty Services
Effective date
Apr 17, 2020
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana FSSA is implementing changes to Family Supports Waiver (FSW) and Community Integration and Habilitation (CIH) Waiver services effective April 17, 2020, pending CMS approval. Changes include new services added to FSW, rate increases for case management, service cap increases, renaming of habilitation services, and end-dating of multiple facility and community habilitation codes.

Action Required

Action needed
By April 17, 2020: Billing team must update system with new procedure codes and modifiers for Day Habilitation services (T2020 with new modifier combinations), add new FSW services including Environmental Modification (S5165), Remote Supports (A9279), and Transportation levels (T2002). Stop using end-dated facility and community habilitation codes after April 30, 2020. Update case management rates from $131.25 to $143.75 for T2022. Contact FSSA.IHCPReimbursement@fssa.in.gov with questions.

Affected Billing Codes

T2022
S5165
T1028
A9279
T2002
T2038
S5111
S5116
T2020
T2024