in-20261028-IR-405260411ONA: OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Public Notice of Change in Tribal All Inclusive Rate In accordance with the public notice requirements outlined in 42 CFR 447.205, The Family and Social Service Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) is proposing to submit a State Plan Amendment (SPA) to implement an all-inclusive rate (AIR) for services delivered by tribal clinics. The public notice period will be open from October 28, 2026, to November 27, 2026. This SPA adds language stating pharmacy and clinic services will be reimbursed at the AIR published by IHS in the federal register and in effect for the date of service. Indiana Medicaid will reimburse no more than one medical/physical health encounter, one dental encounter, and one out-patient behavioral health encounter per member per day, except that an additional encounter of the same type furnished on the same day if the member requires additional diagnosis or treatment for a separate illness or injury after the initial encounter. Indiana Medicaid will reimburse no more than three pharmacy encounters per member per day. Services reimbursed under the Tribal All-Inclusive Rate (AIR) receive a 100% Federal Medical Assistance Percentage (FMAP) through Indian Health Services (IHS), Indiana incurs no state expenditures for these services. As a result, implementing the AIR is expected to produce modest state savings, since the state will no longer be responsible for any portion of the reimbursement for tribal clinic services. While the state's costs decrease, total reimbursement to tribal clinics will increase, supporting improved access and health outcomes. These changes will be effective January 1, 2027. A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments will be accepted until 5:00 p.m. on November 27, 2026, and may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Sarah Tomes, 402 West Washington Street, Room W374, Indianapolis, IN 46204 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: TRIBAL ALL INCLUSIVE RATE. Written comments will be made available for public inspection at the address herein of the OMPP.