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Medicaid HCBS

Indiana Home- and Community-Based Services Waivers

IMPORTANT: As of May 13, 2024, the Office of Medicaid Policy and Planning (OMPP) has assumed responsibility for the Division of Aging’s HCBS provider certification process.  To learn more about this process and to access to the new certification portal, click here.

This program allows Indiana Medicaid programs to pay for services that are provided in a person’s home or other community setting, rather than a Medicaid-funded facility or institution. Persons must qualify for institutional care in order to be eligible for home- and community-based services. Waiver refers to the waiving of certain federal requirements that otherwise apply to Medicaid program services. The Division of Aging oversees two waivers; they are the Aged and Disabled Waiver and the Traumatic Brain Injury Waiver.

Dear Indiana HCBS Provider,

On July 1, 2024, the Family and Social Services Administration (FSSA) is transforming  Indiana's HCBS Waivers to better serve the thousands of Hoosiers whose lives are impacted by home and community-based supports.

To support this transformation, the FSSA is outlining the opportunities for providers to receive expedited approval to become Structured Family Caregiving providers on the Aged & Disabled (A&D) Waiver, the Traumatic Brain Injury (TBI) Waiver, and the Community Integration & Habilitation (CIH) Waiver.

This opportunity allows for the following:

  • Current providers of Attendant Care (ATTC) on the A&D and/or TBI Waiver as of 3/1/2024 to request and receive an expedited approval to offer Structured Family Caregiving (SFC) for the A&D/TBI.
  • Current providers of Structured Family Caregiving (SFC) on the CIH Waiver to request and receive an expedited approval to offer Structured Family Caregiving on the A&D and/or TBI Waivers.
  • Current providers of Residential Habilitation Services (RHS) on the CIH Waiver to request and receive an expedited approval to offer Structured Family Caregiving on the A&D and/or TBI Waiver.

While these HCBS Waivers share many common statutory and regulatory requirements, it is important that you, as a prospective provider, review the few but important differences between the waivers to ensure your organization's capacity to effectively offer the service. Information about SFC on these waivers is available in a webinar created by the FSSA to ensure you are fully informed regarding each waiver. This webinar is available here.

If your organization currently offers Attendant Care (ATTC) on the A&D or TBI Waivers or Structured Family Caregiving (SFC) on the A&D, or CIH Waiver and is interested in offering expanded Structured Family Caregiving (SFC) services, please compete this form by March 28, 2024 to express your interest. In order to expedite the process, a "conditional approval" will be issued and an expedited approach will allow for required documentation to be submitted and reviewed within the established time frame.

All required documentation must be submitted by 6/1/2024 in order for current HCBS providers to participate in this expedited opportunity.

For questions regarding the A&D or TBI Waiver, you may contact the Division of Aging at: DAProviderApp@fssa.in.gov

Thank you for the many ways you improve the lives of Indiana's HCBS Waiver recipients. The FSSA looks forward to working with you as we expand options and opportunities for our fellow Hoosiers served by Indiana's HCBS Waivers.

Aged and Disabled Waiver

The Aged & Disabled waiver provides an alternative to nursing facility admission for adults and persons of all ages with a disability. The waiver is designed to provide services to supplement informal supports for people who would require care in a nursing facility if waiver or other supports were not available. Waiver services can be used to help people remain in their own homes, as well as assist people living in nursing facilities to return to community settings such as their own homes, apartments, assisted living or Adult Family Care.

Traumatic Brain Injury Waiver

The Traumatic Brain Injury waiver provides home- and community-based services to individuals who, but for the provision of such services, would require institutional care. Through the use of the TBI, the Indiana Office of Medicaid Policy and Planning and the Indiana Division of Aging seek to increase availability and access to cost-effective traumatic brain injury waiver services to people who have suffered a traumatic brain injury. Indiana defines a traumatic brain injury as a trauma that has occurred as a closed or open head injury by an external event that results in damage to brain tissue, with or without injury to other body organs. Examples of external agents are: mechanical; or events that result in interference with vital functions. Traumatic brain injury means a sudden insult or damage to brain function, not of a degenerative or congenital nature. The insult of damage may produce an altered state of consciousness and may result in a decrease in cognitive, behavioral, emotional or physical functioning resulting in partial or total disability not including birth trauma-related injury.

A copy of the TBI waiver renewal can be found here.

Where to begin to become a HCBS waiver provider

IMPORTANT: As of May 13, 2024, the Office of Medicaid Policy and Planning (OMPP) has assumed responsibility for the Division of Aging’s HCBS provider certification process.  To learn more about this process and to access to the new certification portal, click here.