in-20260121-IR-405260015ONA: In accordance with the public notice requirements set forth in 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to Medicaid disproportionate share payments (DSH) for state mental health institutions under IC 12-24-1-3 that qualify as a disproportionate share provider. The public notice period is from January 21, 2026, to February 20, 2026.

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Notice of Change in Disproportionate Share Hospital Payments In accordance with the public notice requirements set forth in 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) publishes this notice of proposed changes to Medicaid disproportionate share payments (DSH) for state mental health institutions under IC 12-24-1-3 that qualify as a disproportionate share provider. The public notice period is from January 21, 2026, to February 20, 2026. OMPP proposes to implement DSH payments to state mental health institutions within Step 5 of the DSH payment plan in the State Plan. In addition, a new section is implemented for any state fiscal year, beginning with SFY 2026 DSH payments, for which the state directed payment program under IC 16-21-10-8.5 is in effect. Payments are limited to the following payment pools, subject to federal DSH payment limits under 42 U.S.C. 1496r-4: These changes will be effective January 22, 2026. There is no fiscal impact of this change, because only the allocation of the federally determined Indiana Medicaid DSH allotment to eligible providers are changed; total annual DSH payments will remain unchanged. 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 may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Katherine Wissel, 402 West Washington Street, Room W382, P.O. Box 7083, Indianapolis, IN 46207-7083 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: DISPROPORTIONATE SHARE PAYMENTS. Written comments will be made available for public inspection at the address herein of the OMPP.