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Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107)

Indianasub_regulatoryIndiana Health Coverage Programs (IHCP) / OMPP & Division of Aging· effective 2023-01-01

What this rule requires your agency to do

  • 1Providers must document all billable activities including assessments, service planning, caregiver engagement, collaboration with case managers, and reviews.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))
  • 2Caregiver coaches are subject to the background check requirements stated in 455 IAC 2-15-2.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))
  • 3When applying to provide CCBM, the provider must include a policy describing how telephonic/HIPAA-secure electronic communication will be conducted.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))
  • 4CCBM is billed with procedure code H0004 U7 U4 at an initial rate of $10 per unit (one unit = 15 minutes), capped at 32 quarter hours (8 hours)/month and $320/month per member.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))
  • 5Providers of CCBM must conduct incident reporting.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))
  • 6Provider agencies must employ caregiver coaches with experience and qualifications appropriate to the needs of each family, with job descriptions included in the service application.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))
  • 7The caregiver coach must conduct a structured caregiver assessment, assess health and safety risks, devise interventions, and develop emergency/crisis plans in collaboration with the care manager and participant.(Caregiver Coaching and Behavior Management Service Added for A&D Waiver (BT2022107))

Applies to: personal care

Adds the Caregiver Coaching and Behavior Management (CCBM) service to the A&D waiver effective Jan. 1, 2023, with billing code, rate/limits, and provider requirements for coaches.

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