Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Health Policy topic
No spam. Unsubscribe anytime.
Lawmakers press FSSA over ABA cuts and 340B reimbursement practices
Summary
Committee members questioned FSSA officials about cuts to Applied Behavioral Analysis services and plans to adjust 340B reimbursements for Federally Qualified Health Centers, citing concerns for rural providers and visibility into how dollars are spent.
FSSA Chief of Staff Eric Miller presented a State Plan Amendment for Applied Behavioral Analysis (ABA). Representative Gregory Porter asked whether recent cuts had reduced provider capacity and when the cuts would end; Miller said the goal is to provide high‑quality care and that the agency would use a process to determine when more intensive care is needed. Representative Ed DeLaney and Senator David Niezgodski raised concerns about care for children who require intensive services.
FSSA Secretary Mitch Roob then presented a proposed adjustment related to 340B reimbursements, noting the agency’s analysis found Indiana Medicaid was reimbursing some FQHCs at rates higher than the centers’ charges for services. Senator Chris Garten pressed for visibility on how those dollars are spent and warned against changes that could harm rural health providers. Secretary Roob said FSSA lacks line‑by‑line visibility into FQHC spending and would welcome further review of services and pricing data. Representative Porter asked for comparisons with MDWise and other managed-care organizations; Secretary Roob said MDWise was the highest cost, lowest quality provider and that FSSA would share comparative information.
Committee members requested additional data and clarity from FSSA on how the ABA program changes will affect provider capacity and on the methodology used to evaluate 340B-related reimbursements. No formal policy decision was made at the meeting.
