Medicaid & Medicaid Waiver Updates
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Proposed August 2026 Medicaid Waiver Amendments
On February 12, 2026 the Bureau of Disabilities Services (BDS) announced the opening of the public comment period for upcoming amendments to the Community Integration and Habilitation (CIH), Family Supports (FS), Health and Wellness (H&W), TBI, and 1915 b(4) waivers (Case Management), planned to take effect in August, 2026.
The Arc of Indiana Waiver Amendments Public Comments
CIH Waiver
FS Waiver
H&W Waiver
TBI Waiver
1915 b(4)/Case Management Waiver
PathWays for Aging
Proposed amendments information sheet
Proposed amendments webinar slides
FSSA Announcements
12.25 – The Family Supports and CIH waivers hit their maximum capacity. No new slots will be released until at least July, 2026.
2.20.26 – People who were invited to begin the process of receiving the Family Supports or CIH waiver will now be placed on a new waiting list. From FSSA: “Due to limited capacity for the Family Supports and CIH waivers, individuals invited to begin the process of receiving waiver services ‘will be placed on hold’ until the waiver has capacity to move them forward. When there is capacity, BDS will notify the individual, and the individual can then move forward with the process to receive waiver services.” We believe this means that there will be no capacity to move new people into FS or CIH waiver services until July 1, 2026. Click here to read the full announcement.
1.13.26 – Transitioning from group home to CIH Waiver policy update.
Under a new process established by the Bureau of Disabilities Services (BDS), individuals who want to transition from a Supervised Group Living (SGL) setting to the Community Integration and Habilitation (CIH) waiver must reside in an SGL setting for a minimum of 365 consecutive days before being eligible to apply for a CIH waiver. Click here to learn more.
11.24.25 – Effective 2.1.26, J&B Medical is the sole provider of incontinence, ostomy, and urological supplies for people covered by Medicaid thorugh a a fee-for-service (FFS) (traditional) Medicaid plan. For people enrolled in Hoosier Healthwise, Healthy Indiana Plan (HIP), or Hoosier Care Connect, incontinence, ostomy, and urological supplies will continue to be managed through the member’s health plan and its provider network.
The Centers for Medicare and Medicaid Services approved several changes to Indiana’s Medicaid Waiver programs that took effect on December 31, 2025.
These waivers include the Family Supports (FSW), Community Integration & Habilitation (CIH), Health & Wellness (H&W), PathWays for Aging (PathWays), and Traumatic Brain Injury (TBI) Waivers.
Click here for our Medicaid Waiver 2026 Updates fact sheet that explains what has changed.
Ask The Arc – Waiver Changes and Updates Slides
Medicaid Benefits Portal – If you or a family member is a Medicaid recipient, it is important to keep your information up to date. Use the Medicaid Benefits Portal – Medicaid Benefits Portal to create an account, update your information, view important notices, and more!
Medicaid Benefits Portal Process Map
Medicaid Waiver Waitlist Portal Fact Sheet – FSSA has an online resource to confirm an individual’s waiting list placement. The Online HCBS Waitlist Dashboard is available at ddrsprovider.fssa.in.gov. FSSA’s guide to accessing and using this resource is available here. Review our fact sheet for information on how to access and utilize the dashboard.
Fact Sheets
Families as Personal Care Attendants
Nursing Services
Structured Family Caregiving
Who Can be Paid for What Services Guide
FSSA Attendant Care and Structured Family Caregiving Relationship Guidance
A&D Waiver Attendant Care Service Activities Not Allowed
FSSA Guidance on Attendant Care, SFC, and LRIs
FSSA Attendant Care and Structured Family Caregiving Side by Side
FSSA March 15 Update for A&D Waiver Recipients and Families
FSSA clarifies that SFC & HHS cannot be provided by same paid caregiver
FSSA updated Structured Family Caregiving FAQ – June 18, 2024