Medicaid Legal Watch

Sent 6-5-2026 Public Access Counselor, I am writing to demand an immediate status update on the formal verification packet and State Form 49407 submitted to your office via email on May 27, 2026, regarding an ongoing constructive Access to Public Records Act (APRA) denial by the Indiana Family and Social Services Administration (FSSA). The underlying data withholding involves critical financial datasets and internal operational manuals regarding Medicaid Fair Hearing processes following the "Waiver Reset" service cap implementations. Because this systemic data blackout directly impacts active eligibility disruptions for vulnerable citizens, this matter requires immediate allocation of a formal Case Number and prompt transmittal to the respondent’s general counsel. Be advised that the statutory seven (7) day response gate under IC § 5-14-3-4.9 has been flagrantly violated by the agency. Should your office fail to procedurally docket this complaint and initiate the mandatory agency review window immediately, I am prepared to pursue all available administrative and judicial remedies under IC § 5-14-3-9 to compel transparency. For your immediate review, the explicit parameters of the violated electronic request are attached below: "Pursuant to the Indiana Access to Public Records Act (IC § 5-14-3), I hereby request copies of the following public records maintained or compiled by the Indiana Family and Social Services Administration (FSSA): The raw datasets, final monthly expenditure spreadsheets, and internal balance sheets detailing Medicaid spending and enrollment for the months of February 2026, March 2026, and April 2026 (the data sets ordinarily compiled to populate the 'Monthly Medicaid Financial Reporting' portal), alongside all internal administrative guidelines, agency operational manuals, or updated policy directives currently utilized by staff regarding Medicaid Fair Hearing and Appeal processes following the 'Waiver Reset' service cap implementations." Respectfully submitted, Matthew Dale Colley Senior Data Engineer / Public Interest Advocate IndianaMedicaidHelp.org

The Managed Collapse of Indiana Special Education: Trading Clinical Care for Classroom Chaos Choking off Medicaid ABA waiver hours while generating record state surpluses, Indiana bureaucrats are shifting a massive medical burden onto general education teachers who are barely hanging on Matthew Colley / Substack May 31, 2026 The August Tsunami in Landlocked Indiana There is an ugly, calculated shell game happening right now within the halls of Indiana's state government, and come August, our public school classrooms are going to feel the impact like a structural collapse. The state of Indiana is systemically cutting Medicaid ABA hours, forcing working parents to choose paying for ABA services $11,000.00 out of pocket (Yes you read that right) or putting their child in Indiana Public Schools who quite simply are overburdened, overworked and underfunded. Teachers will not get any administrative support. These are college educated teachers with a 4 year degree who will simply resign and go into the private sector. Indiana Family and Social Services Administration (FSSA) has operated under a veil of aggressive administrative silence Since the beginning of the year, the Indiana Family and Social Services Administration (FSSA) has operated under a veil of aggressive administrative silence. They have frozen public financial reporting and quietly rolled out a brutal ‘Waiver Reset’ designed to slash life-sustaining services for disabled children across the state. The most devastating blow is the implementation of a rigid, unilateral 4,000-hour lifetime cap on Applied Behavior Analysis (ABA) therapy. I have requested a comment from the state director of communications (no reply) and then filed a FOIA with the Federal Government. See the receipts here: https://www.in.gov/fssa/monthly-medicaid-financial-reporting/ — State of Indiana, notice there has been monthly reporting up until January 2026, when the medicaid cuts were enacted https://medicaidwatch.org/ — Our FOIA Request This is where the state's accounting trick becomes a human crisis. General education teachers are being handed an impossible, high-stakes directive: act as untrained, unsupported, and unpaid medical intervention teams while simultaneously trying to teach a room full of thirty students. Teachers are already running on empty, exhausted by institutional apathy and a severe lack of classroom resources. Forcing them to manage complex, high-support clinical behaviors with zero specialized training or structural backing isn't "mainstreaming" or "inclusion." It is institutional abandonment. These teachers know that they will get zero administrative support. Lets just follow the money. By pushing a disabled child out of a community-based clinical ABA setting and forcing them into the public school system, the state scores a double financial victory. First, they slash their immediate state Medicaid expenditures, allowing them to boast about massive budget surpluses. Second, the moment that child is enrolled in a public school district, they trigger a flood of federal education funding, including Title IX and IDEA special education allocations. Will that money trickle down to the classrooms? We all know that will never happen, that money will be moved into athletics, pet administrative projects, more School Resource Officers (its always under the guide of public safety) and Flock cameras. Get in touch with your local Teacher Organizations, PTOs, and State Legislatures.

Indiana Medicaid Waiver Reset Audit: Tracking the $1 Billion Transparency Gap Since January 2026, the Indiana Family and Social Services Administration (FSSA) has entered a state of strategic administrative silence, freezing all public financial reporting while implementing the most aggressive ‘Waiver Reset’ in state history. While the administration publicly cites a multi-billion dollar Medicaid shortfall to justify service caps—including the controversial 4,000-hour lifetime limit on Applied Behavior Analysis (ABA)—internal metrics and federal reporting tell a different story. This audit documents a systematic data blackout: from the deliberate suppression of the April 2026 enrollment numbers to the 404-error obstruction of the Medicaid Fair Hearing portal. IndianaMedicaidHelp.org exists to bridge this transparency gap, surfacing the forensic data that proves Hoosier families are being ‘churned’ off the rolls not by lack of need, but by engineered administrative friction Facts: The April Gap: Enrollment data for April 2026—the first month of the “Waiver Reset” caps—remains withheld from the public. Due Process Obstruction: The primary OALP/FSSA portal for appeal instructions (in.gov/fssa/1032.html) is currently generating a 404 error, coinciding with a self-reported “scanning backlog” for physical appeals. Federal FOIA Request #2909696 has been filed with CMS (Federal Medicaid) to retrieve the T-MSIS and CMS-64 datasets that the State of Indiana has failed to publish. The State of Indiana is not publishing this data on their own websites, but since they receive federal dollars, we are going to track down the actual numbers from the Federal Department of Medicaid Services We have asked the FSSA of Indiana public communications director if they would like to comment, as of this posting the state of Indiana has not responded on record. Case Management Organizations Changes The forced exit of CareStar and other long-standing Case Management Organizations (CMOs) marks the beginning of the ‘selective contracting’ phase of the Waiver Reset. By August 1, 2026, the state is effectively narrowing the field from dozens of local vendors to just five state-approved entities (The ‘Big 5’). While FSSA frames this as a simplification of the system, the reality is a massive consolidation of power. By limiting the number of vendors, the state gains the ability to enforce uniform service caps—like the 4,000-hour ABA limit—with far less institutional resistance. For families, this transition is a high-risk churn event: if you do not select a new agency by July 15, 2026, you will be auto-assigned. In a system already plagued by a ‘scanning backlog’ and 404-error portals, these forced transitions are designed to move families into a more restrictive, state-controlled environment where sustainability takes precedence over individual care. Every time a family is forced to switch case managers, paperwork is lost, authorizations expire, and the clock restarts on appeals. This “administrative friction” naturally reduces the state’s expenditures by simply making it harder for beneficiaries to stay enrolled.

Pratt Precedent Indiana Medicaid Ruling The Pratt Precedent: How a Federal Judge Ruled that Indiana Likely Violated the Constitutional Rights of Disabled Hoosiers. In the landmark case Indiana Protection and Advocacy Services Commission (IPAS) v. Indiana FSSA (1:24-cv-00833), Chief Judge Tanya Walton Pratt of the U.S. District Court for the Southern District of Indiana issued a preliminary injunction that fundamentally challenged the State’s authority to unilaterally reduce life-sustaining services for disabled Hoosiers. The Court found that the FSSA’s sudden implementation of service caps and waiver ‘redesigns’ likely violated the Integration Mandate of the Americans with Disabilities Act (ADA) and the Supreme Court’s Olmstead decision. Judge Pratt explicitly stated that Indiana has ‘very likely violated the constitutional rights of disabled Hoosiers’ by creating a system where the reduction of home-based care (like ABA and attendant care) places individuals at a ‘serious risk of institutionalization.’ This ruling serves as a vital legal shield for families today. It establishes that administrative ‘efficiency’ does not supersede the federal requirement to provide services in the most integrated setting appropriate to a person’s needs. If your services are being cut to the point that staying in your home is no longer viable, the State of Indiana is operating in the shadow of this federal warning.

Request for Public Records 5/19/2026 5:59:27 PM Introduction Your request will be reviewed to determine if we have the information you are seeking and if the information is releasable. This process can take some time depending on the scope of your request. You can track the progress of your request through the portal. Please note that your APRA ling is a matter of public record and will be displayed in the log of all requests that have been led with the agency, which you can nd here. REQUEST FOR PUBLIC RECORDS Requestor Information Full Name: Matthew Colley Phone Number: (317) 446-1686 Email Address: gimpygoat@proton.me Company / Organization Name: Indiana Medicaid Help Inc Address Address Line 1: 867 S 100 w Address Line 2: City: Franklin State: Indiana Zip: 46131 I am making this request on behalf of another person. Request for Public Records Pursuant to Indiana’s Access to Public Records Law (IC 5-14-3 et. seq.), I would like to inspect these public records. Detailed request for public records: To the Public Records Custodian: Pursuant to the Indiana Access to Public Records Act (IC § 5-14-3), I hereby request copies of the following public records maintained or compiled by the Indiana Family and Social Services Administration (FSSA): The raw datasets, nal monthly expenditure spreadsheets, and internal nancial balance sheets detailing Medicaid spending and enrollment for the months of February 2026, March 2026, and April 2026 (the data sets ordinarily compiled to populate the "Monthly Medicaid Financial Reporting" portal). The internal administrative guidelines, agency operational manuals, or updated policy directives currently utilized by sta regarding Medicaid Fair Hearing and Appeal processes following the "Waiver Reset" service cap implementations. This is a formal request for existing public records, not a general inquiry or website content request. Please provide these records electronically to mattcolley@yahoo.com. Under IC § 5-14-3-4.9, an agency response is required within seven (7) days of electronic receipt. Requestor's Signature Attestation: I attest that by checking this box it qualies as a digital signature. Date: 5/19/2026

Wednesday May 13 Dear Mr. Barlow, I am writing to you today not as a disgruntled constituent, but as a Senior Data Engineer and public advocacy project. My automated monitoring systems have flagged a high-risk transparency gap within the FSSA’s public-facing data silos. Specifically, the following reporting failures are currently active: Financial Reporting Blackout: The "Monthly Medicaid Financial Reporting" portal has ceased all updates since January 2026. Enrollment Data Suppression: The "Medicaid Monthly Enrollment Reports" have deliberately withheld April 2026 data—the exact month the BT202627 service caps went into effect. Digital Barrier to Justice: The primary fair hearing instruction portal (in.gov/fssa/1032.html) has been 404ed, coinciding with a self-reported "scanning backlog" that is currently preventing the docketing of Medicaid appeals. As a Marine Corps veteran, I find the "lip service" being paid to our families, while simultaneously engineering a budget surplus through administrative churn, to be a significant breach of the public trust. We are seeking a formal statement regarding the following: Why has the FSSA ceased all public-facing financial transparency during a period of record-high service denials? When will the April 2026 Enrollment Data be released to show the impact of the new service caps? How does the FSSA justify a $150M+ surplus while failing to maintain the basic digital infrastructure (404 errors) required for families to exercise their 14th Amendment rights? Please be advised that we have already secured a Federal FOIA Confirmation (#2909696) with the CMS for the T-MSIS and CMS-64 data feeds to bridge the transparency gap your office has created. We would like to include your office's explanation in our upcoming public dashboard and media briefing. We will also notate the FSSA silence as well should the FSSA choose to ignore this request. Semper Fidelis, Matthew Colley

5/19/2026 5:59:27 PM Request for Public Records Pursuant to Indiana’s Access to Public Records Law (IC 5-14-3 et. seq.), I would like to inspect these public records. Detailed request for public records: To the Public Records Custodian: Pursuant to the Indiana Access to Public Records Act (IC § 5-14-3), I hereby request copies of the following public records maintained or compiled by the Indiana Family and Social Services Administration (FSSA): The raw datasets, nal monthly expenditure spreadsheets, and internal balance sheets detailing Medicaid spending and enrollment for the months of February 2026, March 2026, and April 2026 (the data sets ordinarily compiled to populate the "Monthly Medicaid Financial Reporting" portal). regarding Medicaid Fair Hearing and Appeal processes following the "Waiver Reset" service cap implementations. Please Under IC § 5-14-3-4.9, regarding Medicaid Fair Hearing and Appeal processes following the "Waiver Reset" service cap implementations. Please Under IC § 5-14-3-4.9, provide these records electronically to mattcolley@indianamedicaidhelp.org The internal administrative guidelines, agency operational manuals, or updated policy directives currently utilized by an agency response is required within seven (7) days of electronic receipt.

DATE: May 13, 2026 TO: Indiana Supreme Court Disciplinary Commission 251 North Illinois Street, Suite 1600, Indianapolis, IN 46204 FROM: Matthew Colley, Senior Data Engineer RE: Formal Grievance Regarding Pattern of Professional Misconduct by Theodore Rokita (Atty #20417-45) STATEMENT OF FACTS: I am filing this grievance to alert the Commission to a systemic pattern of conduct by Attorney General Todd Rokita that is prejudicial to the administration of justice (Rule 8.4(d)) and serves no substantial purpose other than to embarrass or burden citizens exercising their First Amendment rights (Rule 4.4(a)). Specifically, I draw the Commission’s attention to the following: Prior Sanctions: On November 2, 2023, this Court publicly reprimanded Respondent Rokita (Case 23S-DI-258) for professional misconduct related to extrajudicial statements made against Dr. Caitlin Bernard. The Court found those statements were made to "embarrass or burden" the physician. Current Intimidation (The Lawmaster Case): As documented in the federal lawsuit Lawmaster v. Spivey (May 7, 2026), an investigator from the Respondent’s office was dispatched to the home of Lee Lawmaster to threaten criminal prosecution for protected political speech (posting "86" on social media). This mirrors the "investigative intimidation" tactics previously deployed against Dr. Bernard. Obstruction of Transparency (FSSA Data Blackout): As the chief legal officer for state agencies, Respondent is presiding over a systemic "data blackout" within the FSSA. Public financial reporting has ceased since January 2026, and the primary portal for Medicaid Fair Hearing instructions (in.gov/fssa/1032.html) has been removed (404 Error), effectively obstructing the due process rights of thousands of disabled Hoosiers. REDRESS SOUGHT: Respondent was warned in 2023 that his position as Attorney General "counsels that he should have known better." Yet, the State continues to use "knock-and-talk" investigative threats to chill political dissent while simultaneously allowing the agencies it represents to delete the public's digital path to justice. I petition the Commission to investigate whether the Respondent is again violating Rule 8.4(d) by using his office to "interfere with the administration of justice" through the weaponization of investigations and the deliberate withholding of statutory transparency data. Semper Fidelis, Matthew Colley Franklin, Indiana 317-446-1686 CC: Office of the Indiana Attorney General (Todd Rokita) Indiana Public Access Counselor (Luke Britt) ACLU of Indiana