Medicaid Waiver – Part 2: What Happens After You Receive the FS Waiver
In the first part of this two-part article (Medicaid Waiver – Part 1: What It Is and How You Acquire It), we discussed the 8 steps you need to take to apply for the Family Services Waiver (FS Waiver). Now let’s take a look at Steps 9 through 13, which cover what happens after you’ve received the Waiver.
Step 9: Choose a Case Manager
The job of your case manager is to guide you through the remaining steps of the process and to manage your FS Waiver funds.
To find an individual case manager with whom you feel comfortable, call the case management companies on the list you received at the 2nd intake interview, to schedule interviews. Choosing the case manager is left up to your discretion. You can contact and schedule interviews with as many of the companies on the list as you want. When you’ve completed those interviews, you’ll select your case manager.
Step 10: Conversation with Your Case Manager
You will then have a conversation with your case manager about the things your child struggles with. Based on that conversation, your case manager will recommend and help you choose the different types of appropriate services available through the Waiver to deal with your child’s needs. Your case manager will also help you manage allocation of the $16,545 budget available per year for these services.
Step 11: Choose Your Child’s Service Providers
The next step is for you to schedule interviews with the available service providers recommended by your case manager, to determine which of those agencies will best serve your child’s needs. If you are not satisfied with the services provided by an agency you initially selected, you can switch to a different agency at any time. You can also change at any time the types of therapies your child receives, because the services provided are meant to grow with the individual. Naturally, a 20-year-old will need different types of assistance than when they were five, 10, or 15 years old.
When you’ve decided on the types of service agencies you want to use and your budget allocation, your case manager will send that information to the state to get everything approved.
Step 12: Upon Case Manager’s Instruction, Apply for Medicaid Disability Insurance
During this process, your case manager will also instruct you when to apply for Medicaid, if your family is not already enrolled in the Medicaid program. Your child needs to be enrolled in the Medicaid program to receive Medicaid disability insurance.
Medicaid disability insurance will also provide additional financial support for your family, but that is a completely different topic about which you can find information here.
Remember to remain patient during this step. The Waiver system and the Medicaid insurance system are separate, which can sometimes cause a system-to-system communication or processing delay of a few months. Keep in contact with your case manager to ensure the process is still moving forward. You can also contact your ASI Ally if you are struggling with the process.
Always keep in mind the application process is a monumental marathon, not a sprint. Don’t give up! When the entire process is completed, your child will be eligible for a lifetime of benefits, so your patience will be rewarded year after year.
Step 13: Quarterly Meetings with Your Case Manager and Therapists
After you have been accepted into the Medicaid program and your Waiver services have started, you will have a meeting during every quarter of the year with your case manager and all of the therapists you’ve selected. During this group meeting, you’ll discuss how things are going, whether or not you’re happy with the results, as well as any problems that may exist and adjustments that can be made to correct them. This quarterly meeting is designed to ensure that parents remain in control of the treatment therapies for their children.
All of the behavior service within the Waiver program are scheduled to serve your family’s needs and fit within your lifestyle. Therapists will come to your home when it’s convenient for you, which is one of the major benefits of the program. Another major benefit is that appropriate services will continue as long as your child needs them throughout their entire life. Medicaid disability insurance will also continue throughout your child’s life.
We will have publish Medicaid Waiver – Part 3 article, which will discuss the different type of services available via a Family Services Waiver, along with how those services will be useful to your child. You can read this previously published ASI article about Waiver programs: Indiana’s Medicaid Waiver Programs: Home and Community-Based Services for Adults and Children. You can also contact your ASI Ally about any questions you have regarding Waiver services.
Thanks to Kelly Pence, Autism Society of Indiana Autism Ally, for her contribution to this article. If you have any questions, please contact her at firstname.lastname@example.org or by calling 800-609-8449 x303.