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FSSA Implements Extraordinary Care Allowance for Attendant Care and Participant Assistance and Care (BT202603)
Indianasub_regulatoryIndiana Health Coverage Programs (IHCP) / FSSA· effective 2025-12-31
What this rule requires your agency to do
- 1All paid staff must adhere to the service definition and allowable activities when providing the service.(FSSA Implements Extraordinary Care Allowance for Attendant Care and Participant Assistance and Care (BT202603))
- 2To qualify for the extraordinary care allowance, the care must meet the definition of extraordinary care, be documented in the Person-Centered Plan, and be approved by the Individualized Support Team (IST) and FSSA.(FSSA Implements Extraordinary Care Allowance for Attendant Care and Participant Assistance and Care (BT202603))
- 3Requests for state review must be submitted to FSSA by the waiver case manager or managed care service coordinator, accompanied by physician documentation confirming the skilled needs using the Physician Certification for Long-Term Care Services (Form 450B).(FSSA Implements Extraordinary Care Allowance for Attendant Care and Participant Assistance and Care (BT202603))
- 4The individual must have qualifying needs: tracheostomy care, continuous ventilator management, TPN, or other comparable nursing services combining at least two of the listed complex needs.(FSSA Implements Extraordinary Care Allowance for Attendant Care and Participant Assistance and Care (BT202603))
- 5The care must be provided under the supervision of an interdisciplinary team and must exceed the range of activities an LRI would ordinarily perform for a same-age person without a disability.(FSSA Implements Extraordinary Care Allowance for Attendant Care and Participant Assistance and Care (BT202603))
Applies to: personal care
Implements the extraordinary care allowance permitting legally responsible individuals to be paid for intensive nursing-level care under Attendant Care/PAC when defined clinical criteria are met, documented in the Person-Centered Plan, and approved by the IST and FSSA.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.