1.Program Definition and Services
Case management services in Indiana help individuals gain access to needed medical, social, educational, and other services. These services include:
- Assessment of eligible members to determine service needs
- Development of individualized integrated care plans
- Referral and related activities to help members obtain needed services
- Monitoring, follow-up, and evaluation
- Advocacy on behalf of eligible individuals
- Coordination and facilitation of service delivery
2. Regulations
The program is governed by:
- Indiana Administrative Code 405 IAC 5-21.5-14
- Indiana Code IC 12-10-10-1
3. Licensing or Certification
Providers must meet applicable state licensing standards for their respective disciplines. Case managers must be employees of a provider agency approved by the Department of Mental Health under IC 16-16-1-1.
4. Responsible State Agency
The Indiana Family and Social Services Administration (FSSA), specifically the Division of Disability and Rehabilitative Services (DDRS) and the Bureau of Developmental Disabilities Services (BDDS), oversees case management services.
5. Application Process
Providers must:
- Obtain approval from DDRS/BDDS
- Enroll with Indiana Health Coverage Programs (IHCP)
6. Required Documentation
Providers need to submit:
- Certificate of incorporation/authority from the Secretary of State of Indiana
- Verification of a tax identification number
- Proof of liability insurance
- Staff qualifications and training records
- Policies and procedures manual
7. Timeline for Approval
The exact timeline for approval is not specified in the provided information.
8. Pre-Application Process
Before applying, providers should:
- Ensure staff meet qualifications for qualified mental health professionals
- Develop policies and procedures for service delivery
- Establish relationships with community resources
9. Pre-Application Training
No specific pre-application training is mentioned. However, case managers must demonstrate competency in cultural and ethnic issues and in the specific services they are providing.
10. Additional Notes
- Case management services are not time-limited
- Providers must offer both supportive and intensive case management services
- As of March 2025, providers should be aware of any updates to regulations or certification requirements
- Individuals have the right to choose their case management provider from a list of approved providers
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