This page highlights important public comment opportunities related to Indiana Medicaid policies and disability services. These are active proposals that are still open for public input. If you’re a family member, provider, or advocate, this is your chance to speak up and make your voice count.
Public input plays a critical role in shaping the services that impact individuals with disabilities and their families. Whether you’re a waiver participant, caregiver, provider, or advocate—this is your chance to make your voice heard.
📢 Opportunities to Share Your Voice – OPEN NOW!
As of July 9th 2025, there are 3 major public comment opportunities open in Indiana
Indiana ABA Therapy Listening Sessions
In-Person Session Dates: July 10, July 15, and July 24, 2025
The Applied Behavior Analysis (ABA) Therapy Working Group, created under Executive Order 25-31, is inviting families, providers, and community members to attend in-person listening sessions across the state this July.
These sessions are a chance to share your experiences with ABA therapy in Indiana, voice concerns, and help shape future recommendations on cost containment strategies. Your feedback will directly inform how ABA services are evaluated and potentially improved.
📅 Wednesday, July 10
🕒 2:00–3:00 p.m. CT / 3:00–4:00 p.m. ET
📍 Ivy Tech Valparaiso – Room D226
3100 Tech Dr., Valparaiso, IN 46383
📅 Tuesday, July 15
🕒 3:00–4:00 p.m. ET
📍 Ivy Tech Richmond – Room 1239
2357 Chester Blvd., Richmond, IN 47374
📅 Thursday, July 24
🕒 2:00–3:00 p.m. CT / 3:00–4:00 p.m. ET
📍 Ivy Tech Evansville – Room 107
3501 N First Ave., Evansville, IN 47710
Read the official announcement about the listening sessions and the purpose behind the Working Group’s efforts.
👉 More about the ABA Workgroup
📢 Press Release Announcing Listening Sessions
Public Input Encouraged:
Community members are welcome to share their experiences, concerns, or suggestions by emailing: abaworkgroup@fssa.in.gov
Vocational Rehabilitation Rule Changes (460 IAC 14.1)
Deadline to submit comments: Monday, August 4, 2025 (by close of business)
The Indiana Family and Social Services Administration (FSSA) and the Division of Disability and Rehabilitative Services (DDRS) are asking for public feedback on major changes to Indiana’s Vocational Rehabilitation (VR) program rules. These changes involve replacing the old rules (460 IAC 14) with new rules under 460 IAC 14.1.
This is the second and final chance for the public to provide comments before the rules are finalized. DDRS has already reviewed earlier feedback and made some revisions. You can now view:
The updated proposed rule
Public comments previously submitted
DDRS’s responses to those comments
🔔 Deadline to submit comments: Monday, August 4, 2025 (by close of business)
Option 1: By Mail
Send to:
Amanda DeRoss, Office of General Counsel
FSSA – 402 W. Washington St., Room W451
Indianapolis, IN 46204
Label your letter: “COMMENT RE: LSA Document #24-82”
Option 2: By Email
Send to: amanda.deross@fssa.in.gov
Subject line: COMMENT RE: LSA Document #24-82
Option 3: Speak at the Public Hearing
🗓️ Date/Time: August 4, 2025, at 10:00 a.m. ET
📍 Location: Indiana Government Center South, Room W451
💻 Remote option available via Zoom (link is posted in the public notice)
✅ Your voice matters. Now is the time to speak up to help shape how Indiana supports people with disabilities through its VR program.
Indiana HCBS Waiver Amendments – CIH, FSW, Health & Wellness, TBI
Deadline to submit comments: Thursday, August 8, 2025 (by close of business)
The Indiana Family and Social Services Administration (FSSA) has opened a public comment period from July 9 to August 8, 2025 for proposed changes to several Medicaid Home and Community-Based Services (HCBS) waivers.
This opportunity is part of the ongoing BDS Waiver Re-set project aimed at improving and aligning services for individuals with disabilities. FSSA is collecting feedback on amendments to the following waivers:
Community Integration and Habilitation (CIH)
Family Supports Waiver (FSW)
Health and Wellness (H&W) Waiver
Traumatic Brain Injury (TBI) Waiver
These changes will not take effect until December 2025, but your input now is essential. The public comment process ensures that individuals, families, caregivers, and providers have a chance to weigh in before the changes are submitted to the federal government (CMS).
Some of the major proposed changes across all waivers include:
Adding Benefits Counseling as a new service
Combining Home Modifications with the Home Modification Assessment
Limiting paid caregiver hours to 40 hours/week per caregiver for relatives or legal guardians
New self-direction options for certain services
Technical updates to make the waivers easier to understand and more consistent across programs
Specific waiver updates include:
CIH & FSW:
New Level of Care (LOC) assessment tool
Restructuring behavior services; eliminating Intensive Behavioral Intervention (IBI)
New limits on Music & Recreational Therapy
Ending facility-based prevocational services
Adding DSP training and registry requirements
Health and Wellness Waiver:
Removing certain licensing requirements (HHA/PSA) for services like Attendant Care and Transportation
Ending the Participant-Directed Home Care Services (PDHCS) pilot and replacing it with a new model
Adding Extended Services
TBI Waiver:
Shared staffing option for individuals living with housemates
Renaming and aligning employment services
Removing HHA and PSA license requirements from several services
Summaries of the proposed amendments are posted on the BDS Waiver Re-set webpage
The full proposal is on the Waiver Drafts Website
Instructions for submitting comments will also be posted that day
Comments can be submitted from July 9 through August 8, 2025
Learn How to Participate
Want to get involved but not sure where to start?
Public comment is one of the most important ways to influence Medicaid and disability services in Indiana—but it can be hard to know when and how to speak up. We’ve created a simple guide to help you:
Understand the public comment process
Track proposed rule changes and waiver amendments
Find where to submit feedback
Learn how to submit a Policy Consideration Request to Indiana Medicaid
Where to Find Future Comment Opportunities
Staying involved in Medicaid and disability policy means knowing when to speak up. Many public comment notices are posted directly on the websites of state agencies.
Here are a few websites that you may find public input opportunities for proposed rules, waiver changes, and service updates:
Indiana Register & Rulemaking Notices
Track official rule proposals, public hearing dates, and instructions for submitting feedback.
🔗 Visit Indiana Rulemaking Portal
Bureau of Developmental Disabilities Services (BDDS) Waiver Re-Set Project Page
Fact sheets, timelines, and amendment drafts for the CIH, FSW, Health & Wellness, and TBI waivers.
🔗 Waiver Re-Set Page
DDRS Draft Policies for Public Comment
The Division of Disability and Rehabilitative Services posts draft policies, grant applications, waiver renewal webinars, and other documents for public feedback.
🔗 Visit DDRS Draft Policies for Public Comment
FSSA Public Notices
Indiana Family and Social Services Administration posts announcements for waiver changes, public hearings, and policy updates.
🔗 Visit FSSA Public Notices
What We Are Commenting On Right Now
These are waiver proposals and policy changes I’m currently commenting on. Each one is still open for public input, and I’m sharing my comments here in case it helps others speak up, too.
These are comments I’ve submitted—or am preparing to submit—on current public proposals related to Indiana Medicaid waivers and disability services. These are still open for feedback, and I encourage others to get involved while there's still time to be heard.
👉 Read our current public comments
Past Public Comments
Here you'll find a record of public comments we've submitted in response to proposed changes affecting Indiana's Medicaid waivers and home- and community-based services. These comments reflect our ongoing commitment to advocating for individuals with disabilities, family caregivers, and the providers who support them. Reviewing past submissions can help you stay informed on key issues and see how our voice has been used to shape policy.
Contact Us for Help
Have Questions or Want Help with Your Comment?
We’re here to help families and providers understand the process and take action.
📱 Call or Text: 260-209-4404
📧 Email: info@FamilySolutionsCares.com