State & Federal Programs
There are many state and federal programs and services for children and adults with developmental disabilities. The availability of programs will vary depending on age, disability, individual and family income and waiting lists for services.
Home and Community-Based Services / Medicaid Waiver
Home and Community-Based Services, funded through Indiana’s Medicaid Waiver program, provide supports to families to care for a loved one at home through the Family Supports (FSW) Waiver, and supports to adults living in small community residential programs through the Community Integration and Habilitation (CIH) Medicaid Waiver. Medicaid also funds group homes, also know as supervised group living.
Medicaid Waivers allow Medicaid to pay for services that support families in caring for a loved one at home, allow adults with disabilities to live in the community residential programs with up to 24 hour supports, and supports to help people move out of large congregate facilities, including nursing facilities. Family income and resources are not counted when determining Medicaid eligibility for children receiving Medicaid Waiver services. Because there is a waiting list to get Medicaid Waiver services, it is important to apply and get on the waiting list, even if you do not need services at this time.
Group homes, also know as supervised group living, funded by Medicaid, typically serve six to eight people.
Specialied FAcilities for Adults
Indiana has two large, specialized facilities for adults with I/DD with intensive needs funded through Medicaid. This includes a 30 bed facility in Marion and a 20 bed facility in Greencastle. Placement is made through BDDS. There are also some specialized group homes for up to four people who have Extensive Support Needs (ESN) and specialized group homes for up to four people who have significant medical needs.
Specialized Facilities for Children
The Department of Children’s Services or Department of Education may place children in specialized children’s facilities that provide 24-hour care. Placement may require a “Child In Need of Service” recommendation for placement through the Children’s Mental Health Initiative or special education system, if it is determined that the school cannot meet the child’s educational needs.
People with developmental disabilities need not live in nursing homes unless they have a serious medical condition. The closure of all of Indiana’s state institutions for people with developmental disabilities, and the successful transition of people who once lived in those institutions to community based programs, is strong proof that people need not live in large facilities. If your loved one is currently living in a nursing home, they can move to a community-based residential program, funded through the Medicaid Waiver program, with 24 hour supports. If you are considering placing your loved one in a nursing home, or if someone is recommending a nursing home as an option, it is important to explore other residential options. Contact The Arc at 800-382-9100 and ask to speak to a Family Advocate.
First Steps/Early Intervention Services
First Steps is a program offered by the State of Indiana that provides early intervention services for families who have infants and toddlers (birth to third birthday) with developmental delays or who show signs of being at-risk of delays in the future. If you have any concerns about your child’s development, or know that your child has a disability, Call: 800-441-STEP (800-441-7837).
Pre-school and school-age children with a disability are eligible for a free and appropriate education through the public school system, beginning at age three and continuing through their 21st birthday. Eligibility for special education services is determined through the local school corporation. Contact your local school corporation, or the State Division of Exceptional Learners. Call: 317-232-0570 or 877-851-4106.
Supplemental Security Income (SSI)
Supplemental Security Income (SSI) provides federal financial assistance, in the form of a monthly check, for eligible individuals who have a disability and who have little income or assets. Children with disabilities may be eligible for SSI, depending on their level of disability and family income. Eligibility is determined through your local Social Security office.
Social Security Disability Insurance (SSDI)
The Social Security disability insurance program (SSDI) pays benefits to individuals and certain family members if you worked long enough and paid Social Security taxes. Your adult child also may qualify for benefits on your earnings record if he or she has a disability that started before age 22.
Employment and Day Programs
Employment and Day Programs are provided in communities throughout Indiana. These programs are provided by organizations, including local chapters of The Arc, approved through either the Bureau of Rehabilitation Services or the Bureau of Developmental Disabilities.
Apply for employment services through your local Bureau of Rehabilitation Services.
Day program services are funded through Indiana’s Medicaid Waiver program.
Learn more about Employment.
Health Related Services
Children’s Special Health Care Services (CSHCS)
Children’s Special Health Care Services (CSHCS) is a program to help Indiana children ages birth to 21 years old with severe chronic medical conditions. It helps pay for treatment related to the child’s condition. Autism is also a condition that may qualify a child for services from CSHCS. Families who apply for CSHCS must also apply for Medicaid; however, they do not need to be eligible for Medicaid to be eligible for CSHCS. A family with an income before taxes no greater than 250% of the federal poverty level may be eligible for the program. Call: 800-475-1355.
Healthy Indiana Plan
The Healthy Indiana Plan (HIP) covers adults age 19-64 whose incomes are less than approximately 138% of the federal poverty level and who are not eligible for Medicare or another Indiana Medicaid category. HIP requires you to make a minimal monthly contribution to your coverage based on the amount of your income.
Medicaid provides health insurance to eligible low income individuals. There are several programs available under Medicaid in Indiana. Each program has different eligibility criteria. Unless otherwise noted, eligibility determination is made by the Division of Family Resources (DFR).
Traditional Medicaid covers the following individuals:
- Medicaid Waiver program recipients (parental income is disregarded when determining financial eligibility for a child).
- Dually eligible for Medicare and Medicaid
- Residents of nursing homes, intermediate care facilities for people with developmental disabilities and state-operated facilities
- Members in the hospice program
- Undocumented aliens
Hoosier Care Connect
Hoosier Care Connect covers individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. It also covers people enrolled n M.E.D Works.
Hoosier Healthwise covers children, pregnant women, and families with low income. Based on family income, children up to age 19 may be eligible for coverage.
M.E.D. Works, Medicaid for Employees with Disabilities, covers working people with disabilities. Individuals eligible through M.E.D. Works will be enrolled with the Hoosier Care Connect program. Eligibility for M.E.D. Works is determined by a Medicaid medical review team for disability eligibility.
Generally, the following services are covered by Medicaid programs. This list does not include everything Medicaid covers.
- Family planning
- Prescription drugs
- Doctor office visits
Behavior and Mental Health Services
Coverage includes outpatient mental health services you receive from:
- Local center for mental health
- Social workers in your community
Coverage includes eye exams and eyeglasses.
Diabetes Self Care Management Training
- Medication counseling
- Blood glucose self-monitoring
- Insulin injection
- Foot, skin, and dental care
Inpatient/Outpatient Hospital Care
- Rx Drugs
- Other diagnostic tests that are considered medically necessary during the stay
Home Health Care & Services
- Durable medical equipment
- Incontinence supplies
- Medical supplies, equipment, and appliances
Medicaid will pay for up to 20 one-way trips without prior authorization
Covered services include annual exams and preventive care.
- Hospital admittance
- Medically necessary screening services