The 2027 Medicaid Waiver Reset is a major redesign of Indiana’s Home and Community-Based Services (HCBS) system, led by the Indiana Bureau of Disabilities Services. This process will replace the current waiver structure with a new framework intended to simplify access, improve coordination, and better align services with individual needs, shaping how individuals, families, and providers experience Medicaid-funded supports moving forward. 

Key Decision-Makers and Contributors in the 2027 Medicaid Waiver Reset

The 2027 Medicaid Waiver Reset involves multiple groups with distinct roles in shaping the design, recommendations, and implementation of the new waiver structure:

• Division of Disability and Rehabilitative Services (DDRS) & Bureau of Disabilities Services (BDS)
  State leadership and staff within DDRS and BDS are responsible for overseeing the waiver redesign process, making key policy decisions, and guiding implementation.

• DDRS Advisory Council
  This council provides formal input and recommendations to the state, representing stakeholder perspectives and helping inform decision-making throughout the process.

• Human Services Research Institute (HSRI)
  HSRI serves as the contracted consultant, supporting the state through data analysis, facilitation, research, and development of recommendations based on national best practices.

• Waiver Reset Committee
  This group includes providers, family members, and other stakeholders who contribute feedback, share lived and professional experiences, and help inform the direction of proposed changes.