Episode Details

Indiana lawmakers are sounding the alarm over a shocking spike in Medicaid waiver denials—especially for families caring for children with disabilities—blaming a new state assessment tool that’s triggering automated terminations even when eligibility hasn’t changed. Families are losing critical therapies like speech and physical therapy, often due to paperwork errors or missed documentation requests, forcing them into costly and stressful appeals battles. Advocates say the denial rate has skyrocketed from 0.02% to 6%, with up to 40% of renewals canceled for procedural reasons—not medical ones. Lawmakers accuse the agency of prioritizing budget cuts over care, demanding an immediate pause on denials and a full audit of the flawed system, while the state defends its new process as more accurate and compliant with federal rules.

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