Medicaid Waivers / Home and Community Based Services
Medicaid Waivers, sometimes called Home and Community Based Services, allow Medicaid to fund supports and services for children and adults with disabilities in their family homes or communities instead of institutions. Medicaid Waivers allow an individual to use traditional Medicaid services and the additional services under a waiver.
What Medicaid Waivers are available in Indiana?
Indiana provides Medicaid Waivers to individuals with medical needs requiring skilled nursing care (A&D Waiver), traumatic brain injuries (TBI Waiver) and developmental disabilities, including autism.
Medicaid Waivers for people with developmental disabilities, including autism, include:
- Family Supports (FS) Waiver
- Community Integration and Habilitation (CIH) Waiver
The FS Waiver can provide up to $16,545 annually in services and supports. The CIH Waiver provides supports and services based on the individual’s level of need and living situation.
Individuals on the waiting list for the FS Waiver will be targeted to begin waiver services based on their date of application.
New applicants will be placed on the FS Waiver waiting list.
There is no waiting list for the CIH Waiver. Consideration for CIH Waiver services will be made on a case by case basis in situations that include:
- Loss or incapacitation of the primary caregiver
- Living with an aging primary caregiver age 80 or older
- Aging out of a residential placement for children
- Health and welfare is threatened in current living situation
- Moving from a nursing facility or group home
- Certain other emergency or crisis situations
How do you qualify?
- You must meet Indiana’s Medicaid disability and financial eligibility requirements.
- Your family income and assets are NOT counted to determine eligibility for children under 18; however, assets or income in the child’s name Are counted. For those older than 18, only the individual’s income and assets are counted.
- You must require the type of care that ordinarily would be provided in a Medicaid-funded facility, such as a nursing home, large residential facility or group home.
Where do you apply?
Adults and children with developmental disabilities/autism: Obtain the number for your local Bureau of Developmental Disability Services (BDDS) office by calling 800-545-7763.
Adults and children with medical needs requiring skilled nursing care/TBI: Obtain the number for your local Area Agency on Aging by calling 800-986-3505.
If you need assistance in completing the application, contact The Arc at 317-977-2375 or 800-382-9100 and ask to speak to a Family Advocate.
Family Supports & Community Integration and Habilitation Waiver
Eligibility: Must meet ICF/DD level of care. An ICF/DD is a facility specifically licensed to care for people with developmental disabilities. In Indiana, group homes for 6-8 people may be licensed as an ICF/DD. Large facilities for 15 or more people may also be licensed as an ICF/DD. The income and resources of an adult or child (under 18) receiving waiver services Are considered in determining financial eligibility. Parental income and resources for children under 18 is NOT considered. Medicaid financial eligibility for individuals receiving waiver services is based on 300% of the Supplemental Security Income (SSI) maximum ($710/month as of January 2013).
Waiver Services (examples)
Participant Assistance & Care
Residential Habilitation (CIH Waiver)
Adult Day Services
Aged and Disabled & TBI Waiver
Eligibility: Must meet nursing facility level of care. The income and resources of an adult or child (under 18) receiving waiver services Are considered in determining financial eligibility. Parental income and resources for children under 18 is NOT considered. Medicaid financial eligibility for individuals receiving waiver services is based on 300% of the Supplemental Security Income (SSI) maximum for the A& D Waiver ($710/month as of January 2013) and 150% of the SSI maximum for the TBI Waiver ($355/month).
Aged & Disabled Waiver Services (examples)
Adult Day Services
TBI Waiver Services (examples)
Adult Day Services
How long will you have to wait for services?
There are waiting lists for Medicaid Waiver services. The length of time that you may have to wait is due in part to the availability of state and federal funds. However, it is important to apply even if you do not immediately need services. Applying is an important part of the process in planning for the future of your loved one.
How do I check my status on the waiting list and keep my information up-to-date?
The state has created a Waiting List Web Portal to check your status on the waiting list and keep your information updated.
To access the Waiting List Web Portal visit: www.in.gov/fssa/ddrs/4328.htm.
You should periodically check the portal to verify that your information is correct. If you do not have access to the Internet, contact your local BDDS office by calling 800-545-7763.
Always keep paperwork in a safe place, including a copy of your original application and application date. If you have questions or need assistance, contact The Arc of Indiana at 317-977-2375 or 800-382-9100 and ask to speak to a Family Advocate.
State & Federal Programs
Natural Supports & Community Connections
Introduction to Indiana’s Medicaid Waiver Program for Home and Community Based Services
Natural Supports & Community Connections Guide
Guide to Transitioning to a Home with Medicaid Waiver Supports in Your Community
Moving from a Nursing Facility to a Home in Your Community – Video
Family and Consumer Guide to Objective Based Allocations