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JD, Usha Vance visit Greenland as Trump administration eyes territory; Maine nurses, medical workers call for improved staffing ratios; Court orders WA to rewrite CAFO dairy operation permit regulations; MS aims to expand Fresh Start Act to cut recidivism.

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The Dept. of Health and Human Services prepares to cut 10,000 more jobs. Election officials are unsure if a Trump executive order will be enacted, and Republicans in Congress say they aim to cut NPR and PBS funding.

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Rural folks face significant clean air and water risks due to EPA cutbacks, a group of policymakers is working to expand rural health care via mobile clinics, and a new study maps Montana's news landscape.

IN Medicaid launches PathWays Program for Aging

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Thursday, June 6, 2024   

The federal agency overseeing state entitlement programs, including Medicaid, has approved Indiana's proposed waivers and amendments for managed care and home- and community-based services.

On July 1, Indiana will launch PathWays for Aging for Medicaid-enrolled Hoosiers over 60, replacing the Aged and Disabled waiver. People under 60 will move to the Health and Wellness waiver, both managed by the Family and Social Services Administration.

Dan Rusyniak, secretary of family and social services, explained the change.

"The most important thing these waiver approvals give us is the authority to launch our Indiana PathWays for the Aging Program," Rusyniak noted. "120,000 or so Hoosiers who are over the age of 60 and on Medicaid will be part of a program that makes it much easier to navigate health care."

The Traumatic Brain Injury waiver will shift from the administration's Division of Aging to the Division of Disability and Rehabilitative Services. Concerns have been raised about undefined caregiving tiers and reduced care hours. The administration assured Hoosiers the changes will clarify skilled respite care and caregiving tiers.

Rusyniak pointed out changes also revise payments for parental care of seriously disabled children. Parents will now receive a per diem under Structured Family Care, following a $1 billion budget correction.

"To navigate Medicaid, both state plan and waiver and potentially Medicare, by coordinating these three programs through a single health plan it makes individuals with complex medical needs better able to get the services they need," Rusyniak stressed.

The Centers for Medicare and Medicaid Services approved the PathWays waiver for five years.


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