Medicaid & Medicaid Waiver Updates

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7.11.25 – Waiver Amendments & Public Comment Webinars

The Bureau of Disabilities Services and Office of Medicaid Policy and Planning have issued a public notice on the intent to submit proposed amendments to the Family Support, Community Integration and Habilitation, Health and Wellness, Indiana PathWays, and Traumatic Brain Injury Waivers to the Centers for Medicare and Medicaid Services. A 30-day public comment period will run from July 9, 2025-August 8.

Proposed Amendments

A summary of proposed changes for the Family Support, CIH, H&W and TBI Waivers
can be found here.

Submit public comments to:
DDRSwaivernoticecomment@fssa.in.gov

Waiver Amendment Public Comment
c/o Division of Disability and Rehabilitative Services
402 W. Washington St., #W453
P.O. Box 7083, MS26
Indianapolis, IN 46207-7083

Proposed PathWays Amendments

Submit public comments to:
backhome.indiana@fssa.in.gov

Family and Social Services Administration
Office of Medicaid Policy and Planning
Attention: Amanda Wills, Indiana PathWays for Aging Manager
402 W. Washington St., W374
Indianapolis, IN 46207-7083

FSSA will host three webinars to provide information on the process of amending a waiver, how to make public comments, and share a high-level overview of the key changes being proposed. Following are dates and links to join:

In addition, general information on waiver notice and the public comment process is currently available on the BDS website and can be found here.

The Arc of Indiana is reviewing the proposed changes and will be sharing information through a webinar, social media, and our e-newsletter.

Guide to Indiana’s Medicaid Waiver Program – Updated July 2025.

It is important to keep your information up to date with Indiana Medicaid.
Use the Medicaid Benefits Portal – Medicaid Benefits Portal – to create an account and:

Continue an incomplete online application
Print a summary of a recently completed online application
Review benefits you are receiving
Print proof of eligibility
Print an authorized representative form
Report changes
View your notices/ correspondence

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.

Medicaid is facing critical threats. We need your help!
Share your Medicaid story!

Medicaid Waivers and Medicaid—the lifeline for millions with disabilities—face critical threats at the state and federal levels. We know that Medicaid does not meet the current needs of people with disabilities, and programs must be strengthened, not reduced. We need your help to inform policymakers about the importance of these programs! Click here to submit a story to us on how Medicaid and/or Medicaid Waiver services help you or your family. Share how you would be impacted if services are reduced or eliminated. If you can share a photo or brief video this will help us share your story!

7.2.25 – KFF Report: Health Provisions in the 2025 Federal Budget Reconciliation Bill

7.2.25 – The Arc of the United States U.S. Senate Medicaid Reconcilliation Summary

3.24.25 – H&W and PathWays Waivers Reach Capacity – As of February 2025, the Health & Wellness and PathWays Medicaid Waivers reached capacity with invitations that have been sent to people on waiting lists. If an invitation is declined or rescinded by the state the invitation will be reissued.

People transitioning from nursing facilities, CHOICE, and hospital discharge receive priority to be targeted for a waiver, regardless of the date they were assessed for waiver eligibility (meeting nursing facility level of care). People without a priority status receive the remaining targeted waiver invitations based on the original level of care assessment date.

The new fiscal/waiver year begins July 1, 2025. However, no new waiver slots are proposed in the waiver amendments submitted for the H&W and PathWays Waivers that would begin July 1 and funding has not been added to the proposed state budget to expand waiver funding.

3.12.25 – People transitioning from nursing facilities, CHOICE, and hospital discharge receive priority to be targeted for the Health & Wellness and PathWays for Aging waivers, regardless of the date they were assessed for waiver eligibility (meeting nursing facility level of care). People without a priority status receive the remaining targeted waiver invitations based on the original level of care assessment date. Individuals can contact their local AAA to identify their original Level of Care assessment date. Click here to learn more.

4.3.24 – Waiting list started for Health & Wellness Waiver
What happens when you are added to the waiting list

July 1, 2024 Medicaid Waiver Changes
Amendments to Indiana’s Medicaid Waiver program went into effect on July 1, 2024 for the new PathWays for Aging and Health and Wellness (H&W) waivers – formerly combined in the Aged and Disabled (A&D) waiver. Amendments to the Community Integration and Habilitation (CIH), Family Supports (FSW), and Traumatic Brain Injury (TBI) waivers also went into effect.

Effective July 1, individuals age 59 and younger who had been receiving services through the Aged and Disabled waiver will receive services through the Health and Wellness waiver.

Indiana PathWays for Aging, a Medicaid managed care program for individuals aged 60 and over also launched on July 1. Some individuals on the PathWays program will qualify for additional services based on their needs and will be eligible for the PathWays Medicaid Waiver. Those individuals were also previously served by the Aged and Disabled Waiver.

Resources, including a guide for who to contact if you are in need of assistance, are available to help individuals navigate any challenges faced with the transition.

Information and resources for individuals transitioning from the Aged and Disabled Waiver to the Health and Wellness Waiver can be found on FSSA’s website.

For information about Indiana PathWays for Aging visit in.gov/PathWays.

Visit in.gov/fssa/medicaid-strategies for information and updates from FSSA

Fact Sheets on Medicaid Waiver Changes & Prior Authorization Medicaid State Plan Services

Additional fact sheets

Why is This Happening
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

DDRS Advisory Council Slides

DDRS Advisory Council June 2025 Meeting Slides

DDRS Advisory Council April 2025 Meeting Slides

DDRS Advisory Council BDS Meeting Data April 2025

DDRS Advisory Council BRS Meeting Data April 2025

DDRS Advisory Council November 2024 Meeting Slides

DDRS Advisory Council November 2024 Meeting Data

DDRS Advisory Council October 2024 Meeting Slides

DDRS Advisory Council October Meeting Data

DDRS Advisory Council September 2024 Meeting Slides

DDRS Advisory Council August 2024 Meeting Slides

FSSA clarifies that SFC & HHS cannot be provided by same paid caregiver
FSSA updated Structured Family Caregiving FAQ – June 18, 2024

Care managers will not use an evaluation tool to determine the SFC tier level for children, at this time. The SFC tier level will be based on authorized attendant care hours as of May 1:

SFC Level One: 1-20 hours/week
SFC Level Two: 21-40 hours/week
SFC Level Three: 41+ hours/week

FSSA has received approval from the Centers for Medicare and Medicaid Services (CMS) for eligible individuals to be able to receive skilled respite while receiving SFC. This is in addition to the 15 days per calendar year of unskilled respite available within SFC. Foster parents are also approved to provide SFC.

The Arc of Indiana Webinars

Ask The Arc – Finalized 2024 Medicaid Waiver Changes – 6.14.24

Ask The Arc – Structured Family Caregiving Session I
Kelli Tungate and Lisa Bennett from Careforth, Indiana’s largest Structured Family Caregiving provider agency, discuss how Structured Family Caregiving works and what families should think about when considering Structured Family Caregiving.
Webinar Video
Webinar Slides

Ask The Arc – Structured Family Cargiving Session II
Evan Reinhardt, executive director, Indiana Association of Home and Hospice Care, talks about Structured Family Caregiving and the role that home health services can play in serving individuals on the Health & Wellness, Pathways for Aging, and TBI Waivers. He also gives an overview of the training requirements for home health aides so families know what the aides’ qualifications are and if they want to explore becoming a home health aide for their loved one.
Webinar Video
Webinar Slides

Webinars hosted by The Arc of Indiana on February 8 and February 12 provide information on changes to Indiana’s TBI, CIH and Family Supports Waivers and information on the new H&W and Pathways to Aging Waivers.

Medicaid Waiver Changes Webinar I
Medicaid Waiver Changes Webinar II
DDRS Slides

Medicaid & Medicaid Waiver Updates

Stay informed. Click here to sign up for public policy updates, legislative alerts, and our weekly newsletter.

Share how Medicaid and/or Waivers help your child, family, or you.

Stay informed. Click here to sign up for
public policy updates, legislative alerts,
and our weekly newsletter.