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Family and Social Services Administration

DMHA > Indiana System of Care > CMHW Program > Program Description Program Description

Child Mental Health Wraparound (CMHW) Services

The Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) and the Division of Mental Health and Addiction (DMHA) have applied to the Center for Medicaid Services (CMS) for a State Plan Amendment in order to secure federal funding to provide 1915(i) Child Mental Health Wraparound (CMHW) services under Section 1915(i) of the Social Security Act. CMS acceptance of the 1915(i) application gives the States the option to provide intensive home- and community-based wraparound services to eligible individuals, as allowed by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act of 2010 (PL 111-148 as amended by the Health Care and Education Reconciliation Act of 2010 PL 111-152).

In order to provide the services, Indiana must also propose to the State add a new rule at 405 IAC 5-21.7 to reimburse for Child Mental Health Wraparound (CMHW) Services. The OMPP will reimburse DMHA-approved providers or delivering CMHW services to children, ages six (6) through the age of seventeen (17),who meet specific criteria for eligibility and level of need under the CMS-approved 1915(i) application. The following services will be offered: Wraparound Facilitation; Habilitation; Respite Care; and Family Support and Training for the Unpaid Caregiver. DMHA believes the services will allow the State to better accommodate the needs of children and youth with serious emotional disturbances (SED), resulting in improved patient outcomes and satisfaction, as well as a decrease in out-of-home placements.

CMS approved the State Plan Amendment to provide CMHW services on September 25, 2013. However, CMHW services are not available until the State completes the rule promulgation process. DMHA anticipates the program will begin in state fiscal year 2014.

Click here to view the State Bulletin notifying the public of the intent to pursue 1915(i) CMHW services for the State.