March 25, 2020

CMS Approves Indiana’s 1135 Waiver. This is another important step intended to help SNF’s mount a quick and effective LTC response to COVID-19.

Stay Tuned: Work remains on how this will be operationalized before individual SNF move forward on this waiver.  Read the complete details here

1. Temporarily suspend Medicaid fee-for-service prior authorization requirements. Section 1135(b)(1)(C) allows for a waiver or modification of pre-approval requirements, including prior authorization processes required under the State Plan for particular benefits.

2. Extend pre-existing authorizations for which a beneficiary has previously received prior authorization through the end of the public health emergency.

3. Suspend Pre-Admission Screening and Annual Resident Review (PASRR) Level I and Level II Assessments for 30 days

4. State Fair Hearing Requests and Appeal Timelines

5. Provider Enrollment

6. Provision of Services in Alternative Settings

7. Duration defined