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IN
Indiana Medicaid policy
Submitted, approved, and effective dates stay in separate fields. A proposed effective date is not an effective date. A blank field was not printed on the instrument. Source receipt: not checked.
CMS approval · approved
CMS temporary extension of Healthy Indiana Plan 2.0 SUD and SMI authorities
A CMS letter dated September 24, 2026 says CMS has approved a temporary extension of the substance use disorder and serious mental illness authorities in Healthy Indiana Plan 2.0, project 11-W-00296/5. The letter says those authorities will now expire on June 30, 2027. It does not print an effective date. The approval date is not stored as an effective date. The letter says the extension allows continued negotiations on the demonstration application submitted on December 20, 2024. That submission is not an approval of the application. The letter does not name a plan.
Publisher: Centers for Medicare & Medicaid Services. Program: Healthy Indiana Plan 2.0. Instrument number: 11-W-00296/5.
Supersession: The letter does not name an earlier temporary-extension document. It states that the SUD and SMI authorities will now expire on June 30, 2027.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | 2026-09-24 |
| Effective | not printed |
| Posted or listed | 2026-09-24 |
| Expires | 2027-06-30 |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: CMS temporary extension approval, Healthy Indiana Plan 2.0, September 24, 2026 (Letter dated September 24, 2026, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
will now expire on June 30, 2027
CMS approval · approved
CMS temporary extension of Healthy Indiana Plan SUD and SMI authorities listed November 26, 2025
A CMS letter says CMS has approved a temporary extension of the SUD and SMI authorities in the Healthy Indiana Plan section 1115 demonstration, project 11-W-00296/5. The letter says those authorities will now expire on December 31, 2026, rather than on December 31, 2025. The letter does not print November 26, 2025 and does not print an effective date. The CMS demonstration page lists the document on 11/26/2025. That list date is the posted date. It is not stored as the approval date and it is not stored as the effective date. The letter says other HIP authorities would otherwise not expire until December 31, 2030. That date is not this extension's expiration. The letter does not name a plan.
Publisher: Centers for Medicare & Medicaid Services. Program: Healthy Indiana Plan. Instrument number: 11-W-00296/5.
Supersession: The letter does not say that it supersedes another approval. It says the authorities will now expire on December 31, 2026, rather than on December 31, 2025.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | 2025-11-26 |
| Expires | 2026-12-31 |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: CMS temporary extension approval, Healthy Indiana Plan, document listed November 26, 2025 (Letter body, confirmed 2026-11-06. The body does not print November 26, 2025.; evidence retrieved 2026-11-06). Source receipt: not checked.
will now expire on December 31, 2026, rather than on December 31, 2025
Section 1115 demonstration · pending
Pending SUD/SMI extension request for Healthy Indiana Plan 2.0
The CMS demonstration page labels this document a pending application and lists it on 12/20/2024. The demonstration status on that page is Pending. The governor's letter dated December 20, 2024 submits a five-year extension request. Pending is not approved. The letter says the SUD and SMI portions were then currently approved through December 31, 2025. That clause is not stored as this request's approval date, effective date, or expiration. The letter does not name a plan.
Publisher: Office of the Governor of Indiana. Program: Healthy Indiana Plan 2.0. Instrument number: none printed.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | 2024-12-20 |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | 2024-12-20 |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: CMS Healthy Indiana Plan 2.0 demonstration page (Pending application row dated 12/20/2024, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Pending Application
1915(b) waiver · approved
PathWays for Aging 1915(b) waiver amendment IN.0006.R00.03
This is a section 1915(b) waiver amendment for Indiana PathWays for Aging, program type MCO. The facesheet prints Proposed Effective Date 08/01/26 and Approved Effective Date 08/01/26. It does not print a separate CMS approval-letter date, so the approval date is empty. The approved effective date is not an approval-letter date. The base waiver's approved effective date is 07/01/24 and is not this amendment's effective date. The waiver names the MCO entities Anthem, Humana, and UnitedHealthcare. It does not name any other plan. This is a waiver amendment, not a contract amendment.
Publisher: Indiana Family and Social Services Administration. Program: Indiana PathWays for Aging. Instrument number: IN.0006.R00.03.
Supersession: The facesheet does not say this waiver amendment supersedes a contract amendment.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | 2026-08-01 |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | 2026-08-01 |
| approved effective date of the base waiver being amended | 2024-07-01 |
Named in the instrument:
Source: Indiana PathWays for Aging 1915(b) waiver IN.0006.R00.03 (Facesheet and MCO entity line, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Approved Effective Date: 08/01/26
1915(b) waiver · proposed
Draft PathWays for Aging 1915(b) amendment IN.017.00.04
Draft ID IN.017.00.04 is an amendment request for the Indiana PathWays for Aging 1915(b) waiver. The facesheet prints Proposed Effective Date 07/01/26 and does not print an Approved Effective Date for this draft. A proposed amendment is not approved. The base waiver date 07/01/24 is not an approval of this draft. The draft names MCO entities Anthem, Humana, and UnitedHealthcare. This is not a contract amendment.
Publisher: Indiana Family and Social Services Administration. Program: Indiana PathWays for Aging. Instrument number: IN.017.00.04.
Supersession: The draft does not say it replaces waiver amendment IN.0006.R00.03.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | 2026-07-01 |
| approved effective date of the base waiver being amended | 2024-07-01 |
Named in the instrument:
Source: Draft Indiana PathWays for Aging 1915(b) waiver IN.017.00.04 (Facesheet, print selector Draft IN.017.00.04, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Draft ID:IN.017.00.04
1915(c) waiver · approved
PathWays for Aging 1915(c) waiver amendment IN.2407.R00.04
Section 1915(c) waiver amendment IN.2407.R00.04 for Indiana PathWays for Aging prints Proposed Effective Date 08/01/26 and Approved Effective Date 08/01/26. It does not print a separate CMS approval-letter date. The waiver being amended has approved effective date 07/01/24. The application says enrollees receive long term services and supports, including hospice, nursing facility, and home and community based services, as well as physical and behavioral health services through managed care entities selected through a competitive procurement. It does not name those entities. No plan is joined. This is not a contract amendment.
Publisher: Indiana Family and Social Services Administration. Program: Indiana PathWays for Aging. Instrument number: IN.2407.R00.04.
Supersession: The application does not say this 1915(c) amendment is a contract amendment.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | 2026-08-01 |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | 2026-08-01 |
| approved effective date of the waiver being amended | 2024-07-01 |
Named plans: the instrument does not name a plan. No join was applied.
Source: Indiana PathWays for Aging 1915(c) waiver amendment IN.2407.R00.04 (Request facesheet and managed-care sentence, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Approved Effective Date: 08/01/26
1915(b) waiver · proposed
Draft Hoosier Care Connect 1915(b) renewal IN.008.05.00
Draft ID IN.008.05.00 is a renewal request for Hoosier Care Connect, program type MCO. The facesheet prints Proposed Effective Date 01/01/26 and does not print an Approved Effective Date or a CMS waiver number. A draft renewal is not an approval. The draft names MCO entities Anthem, MHS, and UnitedHealthcare. This is not a contract amendment.
Publisher: Indiana Family and Social Services Administration. Program: Hoosier Care Connect. Instrument number: IN.008.05.00.
Supersession: The draft does not say it amends an executed managed-care contract.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | 2026-01-01 |
| Underlying instrument date | not printed |
Named in the instrument:
Source: Draft Hoosier Care Connect 1915(b) renewal IN.008.05.00 (Facesheet and MCO entity line, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Draft ID:IN.008.05.00
State plan amendment · submitted
Disproportionate Share Hospital Payments SPA
OMPP lists Disproportionate Share Hospital Payments SPA under Submitted State Plan Amendments. The page says those amendments are submitted to CMS but have not yet been approved. Submitted is not approved. The page does not print an approval date, an effective date, a SPA number, or a plan name.
Publisher: Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning. Program: Indiana Medicaid State Plan. Instrument number: none printed.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | 2026-03-13 |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: Indiana State Plan Amendment Updates (Submitted State Plan Amendments list, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Disproportionate Share Hospital Payments SPA (Submitted 3/13/2026)
State plan amendment · submitted
Justice Involved Juvenile SPA
OMPP lists Justice Involved Juvenile SPA under Submitted State Plan Amendments. The page says those amendments are submitted to CMS but have not yet been approved. Submitted is not approved. The page does not print an approval date, an effective date, a SPA number, or a plan name.
Publisher: Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning. Program: Indiana Medicaid State Plan. Instrument number: none printed.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | 2026-03-31 |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: Indiana State Plan Amendment Updates (Submitted State Plan Amendments list, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Justice Involved Juvenile SPA (Submitted 3/31/2026)
State plan amendment · submitted
Applied Behavioral Analysis SPA
OMPP lists Applied Behavioral Analysis SPA under Submitted State Plan Amendments. The page says those amendments are submitted to CMS but have not yet been approved. Submitted is not approved. The page does not print an approval date, an effective date, a SPA number, or a plan name.
Publisher: Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning. Program: Indiana Medicaid State Plan. Instrument number: none printed.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | 2026-03-31 |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: Indiana State Plan Amendment Updates (Submitted State Plan Amendments list, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Applied Behavioral Analysis SPA (Submitted 3/31/2026)
State plan amendment · submitted
Alternative Benefits Plan Applied Behavior Analysis SPA
OMPP lists Alternative Benefits Plan Applied Behavior Analysis SPA under Submitted State Plan Amendments. The page says those amendments are submitted to CMS but have not yet been approved. Submitted is not approved. The page does not print an approval date, an effective date, a SPA number, or a plan name.
Publisher: Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning. Program: Indiana Medicaid State Plan. Instrument number: none printed.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | 2026-03-31 |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: Indiana State Plan Amendment Updates (Submitted State Plan Amendments list, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
Alternative Benefits Plan Applied Behavior Analysis SPA (submitted 3/31/2026)
State rule · pending
OMPP AMHH Rule
The FSSA rulemaking page lists OMPP AMHH Rule under Current Pending Rules. Pending is not approved. The page does not print an effective date, an approval date, a fee amount, a rate figure, or a plan name.
Publisher: Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning. Program: Indiana Medicaid. Instrument number: LSA 26-257.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: FSSA Rulemaking Notices & Updates (Current Pending Rules, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
LSA 26-257 OMPP AMHH Rule
State rule · pending
OMPP Professional Dispensing Fee Rule
The FSSA rulemaking page lists OMPP Professional Dispensing Fee Rule under Current Pending Rules. Pending is not approved. The page does not print an effective date, an approval date, a fee amount, a rate figure, or a plan name.
Publisher: Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning. Program: Indiana Medicaid. Instrument number: LSA 25-436.
Supersession: The instrument does not say what it supersedes.
| Date field | Day |
|---|
| Submitted | not printed |
| Approved | not printed |
| Effective | not printed |
| Posted or listed | not printed |
| Expires | not printed |
| Proposed effective | not printed |
| Underlying instrument date | not printed |
Named plans: the instrument does not name a plan. No join was applied.
Source: FSSA Rulemaking Notices & Updates (Current Pending Rules, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
LSA 25-436 OMPP Professional Dispensing Fee Rule
Coverage
- index_only Healthy Indiana Plan 2.0: The CMS demonstration page prints Status Pending, Approval 01/27/2015, Effective 02/01/2015, and Expiration 06/30/2027. The approval cell and the effective cell are different days. This catalog does not store 01/27/2015 as an effective date and does not store 02/01/2015 as an approval date. It does not treat the pending application as approved because of those cells. The June 30, 2027 expiration on the September 24, 2026 letter comes from that letter, not from copying this table into the letter's effective date.
Source: CMS Healthy Indiana Plan 2.0 demonstration page (Waiver dates table, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
- index_only Indiana Medicaid State Plan: The same OMPP page lists Out of State Children's Hospital SPA (submitted 9/29/25), Direct Care Percentile and Transportation Limitation SPA (submitted 8/5/25), Minimum Data Set Alignment SPA (submitted 9/29/25), PACE (Submitted 6/29/26), and a CHIP termination change (submitted 6/30/26). A two-digit year is not expanded into a calendar day. The percentile title does not print a numeric rate, and no rate is stored. None of these rows is stored as approved, and none names a plan.
Source: Indiana State Plan Amendment Updates (Submitted list rows with a two-digit year, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
- read_not_managed_care 1915(c) home and community-based services: The FSSA notice lists Health and Wellness, Traumatic Brain Injury, Community Integration and Habilitation, and Family Supports as 1915(c) waivers. It does not describe those four as managed care, and this catalog does not store them as managed-care instruments or join a plan. PathWays is collected from the waiver applications. The notice does not print a numeric rate or a dollar amount.
Source: FSSA notice of CMS approval of waiver amendments (Notice, confirmed 2026-11-06; evidence retrieved 2026-11-06). Source receipt: not checked.
- not_published Indiana PathWays for Aging: On 2026-11-06 PrecaptureBot received the Indiana Register application shell for 20261014-IR-405260388ONA. The response does not contain the notice text. No proposed amendment, status, date, plan, or dollar figure was taken from that response.
Source: Indiana Register (Response body, confirmed 2026-11-06. The notice text is not in the response.; evidence retrieved 2026-11-06). Source receipt: not checked.
