It Is Music Time LLC

05/31/2026

📢 ATTN: Indiana Medicaid HCBS Waiver Providers & Families
Important updates are coming to waiver billing transparency. In compliance with House Enrolled Act (HEA) 1277, effective July 1, 2026, new document delivery requirements will go into effect for 1915(c) Medicaid HCBS waiver providers (Provider Type 32).

💡 Know Your Rights (For Families & Self-Advocates):
Individuals receiving services and their legal guardians have a right to know exactly how their waiver budget is being utilized. By law, any waiver provider is required to deliver these records upon your request.
Under these new transparency requirements, individuals or legal guardians can request:
Service Delivery Accounting Records: To track budget usage and service delivery (available up to once per calendar quarter).
Itemized Statements of Services Billed: Must be provided in plain, easy-to-understand language (available up to twice per calendar year).

⏰ Strict Timeline for Providers: Once a family or individual makes a request, the waiver provider is legally required to deliver the statements and accounting records within 30 calendar days. Let's work together to ensure clear access, complete transparency, and strong compliance across Indiana's waiver system!

❓ Questions? Download the full bulletin (BT202687) at in.gov/medicaid/providers.

05/26/2026

What's next for youth waiver services in Indiana? Here is what we just learned!

The Indiana Family and Social Services Administration (FSSA) shared crucial milestones for the upcoming youth framework during the DDRS Advisory Council meeting on May 20, 2026 (now available on FSSA YouTube channel).

This major transition represents a massive step forward in building a predictable, sustainable system for families. By using data-driven tools to look closely at milestone development, the state is shifting toward a model that makes sure funding truly matches a young person's daily care needs.While the exact list of available service options is still being finalized by state planners, the structural foundation is being poured right now.

Change can feel daunting, but having a clear timeline and understanding the state's goals allows us to prepare, adapt, and make our voices heard during the planning phases.

MTACF is confident that BDDS recognizes the value and impact of music therapy, and while service arrays haven't been announced yet, our conversations with everyone involved has us confident that music therapy will be represented on this waiver!

🔗 Save this post to keep these dates and details handy, and make sure you're subscribed to our newsletter for all the up to date info!

05/25/2026

05/19/2026

05/14/2026

BIG Changes to Waiver Case Management Payment Structures 📢

Indiana’s Medicaid Waivers are shifting gears. As part of the August 2026 Waiver Amendments, Case Management is moving from a traditional "Fee-for-Service" model to a Value-Based Payment (VBP) model.

But what does that actually mean for your family or your business as a waiver provider? 🧐

The Breakdown:

🔹 Fee-for-Service (The Old Way): Providers are paid for the quantity of tasks.

🔹 Value-Based Services (The New Way): Payments are tied to quality and outcomes. 

Why this could be a WIN for families:

✅ Higher Quality of Care: Case Managers are rewarded for being proactive, not just reactive.

✅ Focus on Results: The goal shifts from "filling out the form" to "is this person thriving?"

✅ Better Coordination: Incentives often focus on preventing crises before they happen.

What this means for Business Waiver Providers (if VBP spreads to all services):

⚠️ Increased Requirements: Moving to VBP often requires more data tracking and rigorous documentation to prove outcomes.

⚠️ Operational Shifts: Agencies will need to adapt their internal systems to meet new state quality metrics.

MTAC is on the job! 🛡️

We know that "Value-Based" sounds great on paper, but the implementation is everything. MTAC is closely tracking how the state defines "quality" and "outcomes" and are advocating for metrics actually support real world access and don't create unnecessary barriers for the providers who care for you.

Learn more about Value Based Payment structures on our blog! www.mtacf.org/blog

05/05/2026