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FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674)

Indianasub_regulatoryFSSA (Bureau of Disabilities Services) / IHCP

What this rule requires your agency to do

  • 1Providers must communicate timely with the case manager so the service plan is updated and claims are billed and paid based on the updated plan.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 2Case managers and providers must ensure accurate and timely updates to the person-centered individualized support plan (PCISP) and document accurate utilization in the quarterly report.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 3The totality of the BSS direct service components (consultation, FBA, comprehensive) may not exceed 144 hours during the individual's plan year.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 4Comprehensive service is limited to an average of 12 hours a month, with any excess based on documented need and subject to the 144-hour annual cap.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 5Only one direct service component may be authorized and delivered within a given month.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 6Consultation may not exceed three hours a month.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 7FBA may not exceed 20 hours over two concurrent months.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))
  • 8Clinical supervision (indirect component) is limited to one hour a month with an annual prior authorization.(FSSA clarifies Behavioral Support Services for FS and CIH waivers (BT202674))

Applies to: cross-cutting

FSSA clarifies utilization limits, supervision, and documentation requirements for Behavioral Support Services on the FS and CIH waivers, including component hour caps and PCISP update duties.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.