New Policy on Reimbursement for Out of State Medicaid Waiver Services

Effective November 8, providers of Home and Community Based Services for individuals with intellectual and developmental disabilities may receive reimbursement for services provided outside of Indiana in limited circumstances under Indiana’s Medicaid Waiver program.

Reimbursement is allowable for the following activities and services when provided outside of Indiana, if they are documented in an individual’s person-centered individualized support plan:

  • Day trip activities that cross Indiana’s borders
  • Overnight trips within the United States
  • Direct support staff accompanying individuals residing in border areas to appointments to receive Medicaid State Plan services outside of Indiana, if the medical service is covered by Medicaid in accordance with 405 IAC 5.
  • Services to individuals who attend undergraduate and graduate programs in states contiguous to Indiana while remaining Indiana residents

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