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Indiana End Stage Renal Disease (ESRD) (formerly known as Healthy Indiana Plan 1.0)

State: Indiana
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 12/14/2007
Effective: 01/01/2008
Expiration: 12/31/2023

Supporting Documents

Pending Application(s) and Related Documents

Date Title
Date   06/26/2020 Title   Pending Application - Indiana ESRD Waiver Renewal (PDF, 3.33 MB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
Date   11/28/2022 Title   CMS Temporary Extension Approval (PDF, 314.72 KB)
Date   12/17/2021 Title   Demonstration Approval (PDF, 414.74 KB)
Date   07/28/2016 Title   Fact Sheet (PDF, 21.34 KB)

Administrative Record

Date Title
Date   11/28/2022 Title   Quarterly Report July-September 2022 (PDF, 275.89 KB)
Date   06/06/2022 Title   Quarterly Report January-March 2022 (PDF, 172.71 KB)
Date   03/30/2022 Title   Annual Report 2021 (PDF, 172.99 KB)
Date   01/07/2022 Title   State Acceptance Letter (PDF, 158.08 KB)
Date   11/29/2021 Title   Budget Neutrality Workbook July-September 2021 (XLSM, 433.44 KB)
Date   11/29/2021 Title   Quarterly Report July-September 2021 (PDF, 192.59 KB)
Date   08/29/2021 Title   Quarterly Report April-June 2021 (PDF, 270.19 KB)
Date   08/27/2021 Title   Budget Neutrality Workbook April-June 2021 (XLSM, 433.46 KB)
Date   07/21/2021 Title   Budget Neutrality Workbook January-March 2021 (XLSM, 433.41 KB)
Date   06/30/2021 Title   Quarterly Report January-March 2021 (PDF, 329.92 KB)
Date   03/31/2021 Title   Budget Neutrality Workbook October-December 2020 (XLSM, 429.36 KB)
Date   02/12/2021 Title   CMS Letter to State (PDF, 39.46 KB)
Date   12/21/2020 Title   CMS Temporary Extension Approval (PDF, 105.89 KB)
Date   11/30/2020 Title   Budget Neutrality Workbook July-September 2020 (XLSM, 426.5 KB)
Date   11/30/2020 Title   Quarterly Report July-September 2020 (PDF, 193.59 KB)
Date   08/31/2020 Title   Budget Neutrality Workbook April-June 2020 (XLSM, 425.74 KB)
Date   08/31/2020 Title   Quarterly Report April-June 2020 (PDF, 325.2 KB)
Date   07/20/2020 Title   CMS Technical Corrections (PDF, 244.85 KB)
Date   07/08/2020 Title   CMS Completeness Letter (PDF, 138.35 KB)
Date   06/26/2020 Title   Demonstration Acceptance Letter from the State (PDF, 309.97 KB)
Date   06/03/2020 Title   Budget Neutrality Workbook January-March 2020 (XLSM, 425.62 KB)
Date   06/03/2020 Title   Budget Neutrality Workbook July-September 2019 (XLSM, 431.92 KB)
Date   05/29/2020 Title   CMS Approval - Workforce Bridge Account Amendment (PDF, 562.34 KB)
Date   05/29/2020 Title   Quarterly Report January–March 2020 (PDF, 330.56 KB)
Date   05/07/2020 Title   Annual Report 2019 (PDF, 357.63 KB)
Date   05/07/2020 Title   Draft Annual Report 2020 (PDF, 280.16 KB)
Date   03/31/2020 Title   Quarterly Report October-December 2019 (PDF, 295.87 KB)
Date   02/27/2020 Title   Budget Neutrality Workbook October-December 2019 (XLSM, 425.68 KB)
Date   11/21/2019 Title   Quarterly Report July–September 2019 (PDF, 292.6 KB)
Date   08/28/2019 Title   Quarterly Report April–June 2019 (PDF, 292.27 KB)
Date   07/25/2019 Title   Workforce Bridge Account Amendment (PDF, 252.5 KB) View Comments
Date   05/31/2019 Title   Quarterly Report January–March 2019 (PDF, 291.07 KB)
Date   04/30/2019 Title   Annual Report 2018 (PDF, 307.88 KB)
Date   02/27/2019 Title   Quarterly Report October–December 2019 (PDF, 299.37 KB)
Date   08/15/2018 Title   Annual Report 2017 (PDF, 173.7 KB)
Date   07/10/2018 Title   Quarterly Report July–September 2017 (PDF, 225.2 KB)
Date   06/29/2018 Title   Quarterly Report January–March 2018 (PDF, 138.2 KB)
Date   02/04/2018 Title   Quarterly Report January–March 2017 (PDF, 224.55 KB)
Date   03/22/2017 Title   Final ESRD Evaluation Design (PDF, 112.28 KB)
Date   03/02/2017 Title   Quarterly Report October–December 2016 (PDF, 225.34 KB)
Date   02/04/2017 Title   Quarterly Report April–June 2017 (PDF, 223.79 KB)
Date   12/05/2016 Title   Quarterly Report July–September 2016 (PDF, 247.95 KB)
Date   12/02/2016 Title   ESRD Draft Evaluation Design (12/2/2016) (PDF, 252.88 KB)
Date   08/31/2016 Title   Quarterly Report April-June 2016 (PDF, 224.77 KB)
Date   08/16/2016 Title   State Extension Acceptance Letter (08/16/2016) (PDF, 904.05 KB)
Date   07/28/2016 Title   Demonstration Approval (PDF, 201.87 KB)
Date   06/28/2016 Title   CMS Temporary Extension (06/28/2016) (PDF, 100.72 KB)
Date   05/25/2016 Title   CMS Temporary Extension (05/25/2016) (PDF, 100.98 KB)
Date   04/28/2016 Title   CMS Temporary Extension (04/28/2016) (PDF, 101.19 KB)
Date   03/30/2016 Title   CMS Temporary Extension (03/30/2016) (PDF, 101.59 KB)
Date   02/29/2016 Title   CMS Temporary Extension (02/29/2016) (PDF, 101.81 KB)
Date   01/29/2016 Title   CMS Temporary Extension (01/29/2016) (PDF, 101.66 KB)
Date   12/14/2015 Title   CMS Temporary Extension (12/14/2015) (PDF, 101.82 KB)
Date   07/20/2015 Title   2015 Extension Application (07/20/2015) (PDF, 1.06 MB) View Comments
Date   07/09/2015 Title   CMS Completeness Letter (07/09/2015) (PDF, 99.25 KB)
Date   12/31/2014 Title   Enrollment Freeze Extension (12/31/2014) (PDF, 389.5 KB)
Date   12/31/2014 Title   Enrollment Freeze Extension Approval Letter (12/31/2014) (PDF, 86.17 KB)
Date   12/12/2014 Title   Quarterly Report July-September 2014 (PDF, 251.51 KB)
Date   12/05/2014 Title   Financial Monitoring Report July-September 2014 (PDF, 82.1 KB)
Date   11/25/2014 Title   Letter of Extension Approval (11/25/14) (PDF, 1.1 MB)
Date   11/14/2014 Title   CMS Temporary Extension (11/14/2014) (PDF, 98.34 KB)
Date   10/31/2014 Title   CMS Approval – Extending Temporary Enrollment Freeze (10/31/2014) (PDF, 85.26 KB)
Date   10/21/2014 Title   Letter of Extension Approval (10/21/2014) (PDF, 75.04 KB)
Date   10/21/2014 Title   Pending Application - 2014 Extension Application (PDF, 2.3 MB) View Comments
Date   09/09/2014 Title   Quarterly Report April-June 2014 (PDF, 283.09 KB)
Date   09/05/2014 Title   Financial Monitoring Report April-June 2014 (PDF, 82.1 KB)
Date   08/21/2014 Title   State Acceptance Letter (PDF, 1.08 MB)
Date   07/23/2014 Title   Amendment Approval Letter (07/23/2014) (PDF, 93.91 KB)
Date   07/15/2014 Title   Request for Extension of 1115 Demo Letter (07/15/14) (PDF, 76.61 KB)
Date   06/27/2014 Title   State Acceptance Letter (PDF, 1.22 MB)
Date   05/30/2014 Title   CMS Temporary Extension (05/30/2014) (PDF, 174.93 KB)
Date   05/15/2014 Title   Quarterly Report January-March 2014 (PDF, 280.21 KB)
Date   05/09/2014 Title   Financial Monitoring Report January-March 2014 (PDF, 280.21 KB)
Date   02/28/2014 Title   Financial Monitoring Report October-December 2013 (PDF, 1.05 MB)
Date   02/28/2014 Title   Quarterly Report October-December 2013 (PDF, 621.43 KB)
Date   02/28/2014 Title   State Quarterly Report October-December 2013 (PDF, 1.96 MB)
Date   11/30/2013 Title   Quarterly Report July - September 2013 (PDF, 677.17 KB)
Date   11/22/2013 Title   Financial Monitoring Report July-September 2013 (PDF, 90.79 KB)
Date   09/03/2013 Title   CMS Temporary Extension (09/03/2013) (PDF, 71.97 KB)
Date   08/31/2013 Title   Quarterly Report April-June 2013 (PDF, 270.75 KB)
Date   08/31/2013 Title   State Quarterly Report April-June 2013 (PDF, 190.14 KB)
Date   05/31/2013 Title   Quarterly Report January-March 2013 (PDF, 517.73 KB)
Date   05/17/2013 Title   Financial Monitoring Report January-March 2013 (PDF, 82.12 KB)
Date   04/30/2013 Title   Approval for Extension Letter (04/30/13) (PDF, 114.2 KB)
Date   04/12/2013 Title   Healthy Indiana 1115 Waiver Extension App (Submitted 04/12/13) (PDF, 1.19 MB)
Date   04/11/2013 Title   Letter of Update and Supplementation (04/11/13) (PDF, 144.89 KB)
Date   03/26/2013 Title   Benchmark Equivalent Coverage Analysis Healthy Indiana Plan Demo (03/26/13) (PDF, 816.29 KB)
Date   03/08/2013 Title   IHCP Bulletin (03/08/13) (PDF, 1.08 MB)
Date   02/25/2013 Title   Denial for Extension Letter (02/25/13) (PDF, 156.95 KB)
Date   02/13/2013 Title   Request for Extension of 1115 Demo Letter (02/13/13) (PDF, 389.17 KB)
Date   01/30/2013 Title   Summary Budget Neutrality Estimate - Waiver Renewal (01/30/13) (PDF, 962.33 KB)
Date   01/16/2013 Title   Special Terms and Conditions (01/16/13-12/31/13) (PDF, 837.91 KB)
Date   01/16/2013 Title   Waiver List (01/16/13-12/31/13) (PDF, 352.45 KB)
Date   01/15/2013 Title   Approval Letter to Extend Section 1115 (01/15/13) (PDF, 122.58 KB)
Date   07/31/2012 Title   Letter of Extension Approval (07/31/12) (PDF, 114.06 KB)
Date   12/28/2011 Title   Healthy Indiana 1115 Waiver Extension App (Submitted 12/28/11) (PDF, 500.06 KB)
Date   12/27/2011 Title   Letter Regarding Waiver Renewal Submission (12/27/11) (PDF, 127.09 KB)
Date   11/30/2011 Title   Letters of Support for Renewal of 1115 Medicaid Waiver (November 2011) (PDF, 1.85 MB)
Date   09/10/2010 Title   Letter Regarding Covering New Eligibles under HIP (09/10/10) (PDF, 134.77 KB)
Date   12/22/2009 Title   HIP 1.0 Final Evaluation Design 2008-2012 (12/22/2009) (PDF, 706.65 KB)
Date   01/01/2008 Title   Expenditure Authority (01/01/08-12/31/12 Amended January 2010) (PDF, 331.73 KB)
Date   01/01/2008 Title   Special Terms and Conditions (01/01/08-12/31/12 Amended January 2010) (PDF, 938.5 KB)
Date   Title   Advantage Health Solutions Inc. (PDF, 938.65 KB)
Date   Title   Anthem Blue Cross and Blue Shield Healthy Indiana Plan (PDF, 371.93 KB)
Date   Title   Approval for Amendment Letter (PDF, 68.18 KB)
Date   Title   BCBS Service Benefit Plan 2009 (PDF, 1.29 MB)
Date   Title   Expenditure Authority (PDF, 536.81 KB)
Date   Title   Health Benefit Booklet Blue Access PPO Anthem Traditional Plan II ASO 2009 (PDF, 507.75 KB)
Date   Title   Letter Regarding 1115 Waiver Renewal - Budget Neutrality (PDF, 129.62 KB)
Date   Title   Mdwise Healthy Indiana Plan Member Handbook (PDF, 2 MB)
Date   Title   Public Comments (PDF, 107.64 KB)
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