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Indiana Medicaid Waiver Process

We understand that Indiana Medicaid and the waivers that involve recreational therapy and behavior management can be confusing. Here is a brief breakdown of how the process works, from initially obtaining Medicaid to beginning services. For more in-depth information, please contact the Bureau of Developmental Disabilities Services.


Initial Application

Complete an application for the Community Integration and Habilitation (CIH) or Family Supports Waiver (FSW) through the local Division of Disability and Rehabilitative Services (DDRS) Bureau of Developmental Disabilities Services (BDDS) office. A BDDS staff member will then be in contact to discuss the process for determining eligibility for the waiver. If you do not already obtain Medicaid, you will be referred to the local Division of Family Resources (DFR) to apply for Medicaid.


Intake Meeting

Once you are waiver approved, you will be assigned a case manager who will contact you to complete an intake meeting. There, you will learn more about the waiver and services available to you. If recreational therapy and/or behavior management is of interest, your case manager will pass along your information to New Leaf and other companies that provide the services you're interested in. A New Leaf rec therapist/behavior consultant will then contact you to schedule an interview.


Interview with a Therapist

A recreational therapy/behavior management at New Leaf will contact you to schedule an interview at a location of your choice. Your goal of the interview is to learn more about the service, what sessions look like, how these services will contribute to the goals of the individual, and to overall meet the rec therapist/behavioral consultant and see if they would be a good fit. If you would like to move forward with New Leaf, you will then need to sign a pick list, which is provided by your case manager.


Sign a Pick List

A pick list is a list of providers that you pick from to receive waiver services. In this case, New Leaf will be the chosen provider to receive recreational therapy and/or behavior management services. After a pick list is submitted to the state, a Notice of Action (NOA) is generated.


Services Officially Begin!

Once New Leaf receives the NOA from the state (which can take up to 10 business days), the recreational therapist/behavior consultant that you interviewed will contact you to schedule your first session. Congratulations, you are officially receiving services from New Leaf!


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