Indiana § 12-10-11.5-4.5 Functional eligibility assessments and determinations; report

Indiana Statutes

§ 12-10-11.5-4.5 — Functional eligibility assessments and determinations; report

Indiana § 12-10-11.5-4.5

Art. 10AGING SERVICES

Ch. 11.5Long Term Care Services

This text of Indiana § 12-10-11.5-4.5 (Functional eligibility assessments and determinations; report) is published on Counsel Stack Legal Research, covering Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ind. Code § 12-10-11.5-4.5 (2026).

Text

5.

(a)As used in this section, "functional eligibility assessment" means a review of an individual's functional impairment level to determine whether an individual meets the eligibility requirements for the state's Medicaid aged and disabled waiver.

(b)As used in this section, "functional eligibility determination" means making a final decision concerning whether an individual meets the proper level of care requirements to receive services under the state's Medicaid aged and disabled waiver.

(c)Not later than June 30, 2025, the office shall provide at least one

(1)statewide option other than the area agencies on aging for functional eligibility determinations for the state's Medicaid aged and disabled waiver.

(d)Not later than October 1, 2023, and every subsequent two (2) years, the o

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5. (a) As used in this section, "functional
eligibility assessment" means a review of an individual's functional
impairment level to determine whether an individual meets the
eligibility requirements for the state's Medicaid aged and disabled
waiver.
(b) As used in this section, "functional eligibility determination"
means making a final decision concerning whether an individual meets
the proper level of care requirements to receive services under the
state's Medicaid aged and disabled waiver.
(c) Not later than June 30, 2025, the office shall provide at least one
(1) statewide option other than the area agencies on aging for
functional eligibility determinations for the state's Medicaid aged and
disabled waiver.
(d) Not later than October 1, 2023, and every subsequent two (2)
years, the office of the secretary, in consultation with home and
community based health care providers that provide Medicaid services
and the area agencies on aging, shall report the following information
and analysis to the budget committee and the legislative council in an
electronic format under IC 5-14-6:
(1) The average length of time taken by each area agency on
aging to conduct functional eligibility assessments and make
functional eligibility determinations for individuals seeking home
and community based Medicaid services.
(2) The average length of time taken by each entity approved by
the office of the secretary to conduct functional eligibility
assessments and make functional eligibility determinations for
individuals seeking home and community based Medicaid
services under the state's Medicaid aged and disabled waiver.
(3) A plan for determining functional eligibility of individuals
seeking home and community based Medicaid services not later
than seventy-two (72) hours from the completion of an eligibility
assessment, including a time frame for implementation of the plan
and specific metrics and compliance measures that will be used
to improve the time frame for functional eligibility assessments
and functional eligibility determinations.
(e) The office of the secretary shall:
(1) publish the report described in subsection (d) on the office of
the secretary's website; and
(2) share the report with all home and community based providers
that provide services for the Medicaid aged and disabled waiver.
(f) This section expires December 1, 2029.