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Indiana FSSA Medicaid · October 24, 2026 · Primary source

BT2026124: IHCP receives approval for an HCBS provider certification and enrollment moratorium

Score 76PRIMARYregulatoryState MedicaidIN

Summary

Indiana's IHCP, with CMS approval under 42 CFR 455.470, has imposed a statewide provider certification and enrollment moratorium on 1915(c) HCBS waiver providers effective August 1, 2026, for an initial six-month period with possible six-month extensions. The moratorium covers 24 named waiver services across the PathWays for Aging, Health and Wellness, Traumatic Brain Injury, Community Integration and Habilitation, and Family Supports waivers. It blocks new certifications, enrollment, changes of ownership, and the addition of counties or services for existing HCBS agencies in the covered service categories. A separate exception process is available for providers demonstrating access concerns.

What this may mean

New HCBS waiver providers seeking certification or enrollment in the covered service categories after August 1, 2026, are barred from entering the Indiana Medicaid program for the moratorium period, and pending applications that have not cleared screening by that date are denied. Existing agencies may not add counties, services, or undergo changes of ownership for covered services during the moratorium. The moratorium is grounded in a fraud, waste, and abuse risk determination under 42 CFR 455.470, signaling heightened scrutiny of the Indiana HCBS waiver provider market.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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