Medicaid & Medicaid Waiver Updates
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The Arc of Indiana Medicaid Waiver Guide
Indiana Medicaid Manuals
- Medicaid Waivers: Community Integration & Habilitation, Family Supports, Health & Wellness, Traumatic Brain Injury
- Medicaid Waiver: Indiana PathWays for Aging
- Adult Mental Health Habilitation Services
- Mental Health Behavioral & Primary Healthcare Coordination Service
- Child Mental Health Wraparound Services
Changes to Medicaid Waivers effective December 31, 2025.
Several Changes to the Family Supports (FSW), Community Integration & Habilitation (CIH), Health & Wellness (H&W), PathWays for Aging (PathWays), and Traumatic Brain Injury (TBI) Waivers took effect December 31, 2026.
Click here for our Medicaid Waiver 2026 Updates fact sheet that explains what has changed.
Ask The Arc – Waiver Changes and Updates Slides
August 2026 Medicaid Waiver Amendments
The Office of Medicaid Policy and Planning has approved amendments to the Community Integration and Habilitation (CIH), Family Supports (FS), Health and Wellness (H&W), and Traumatic Brain Injury (TBI) waivers that will take effect in August, 2026. Changes to Case Management Organizations (CMOs) will also take effect on August 1.
The following information shares key changes.
Paid Caregiver Limits
- Reduced reimbursement rate for paid caregivers.
- Legally Responsible Individuals (LRIs), parents of a minor child, and spouses,
paid up to 40 hours per week for all LRIs combined - Relatives and legal guardians paid up to 40 hours per week for all services combined per waiver participant
Consistency Across Waivers
- Service definitions aligned across all waivers. Currently, essentially the same service is called different things on different waivers.
- Documentation will focus on outcomes and therapeutic benefit.
Case Management Organizations (CMOs)
- BDS has already announced that the number of CMOs serving Medicaid waivers will be reduced to five and will be consistent across all four waivers
- People receiving services from a CMO that will not continue, must select a new CMO by July 15, 2026. If a new CMO is not selected people will be auto-assigned to one of the approved organizations.
- Remember, an individual can change their CMO, or their case manager, at any time for any reason
The following are the approved CMOs:
- Aging & In-Home Services of Northeast Indiana (AIHS )
Note: AIHS WILL provide services statewide - Indiana Professional Management Group (IPMG)
- Inspire Case Management
- The Columbus Organization
- Unity of Indiana
FSSA Announcements
The Family Supports and CIH waivers hit their maximum capacity in December, 2025. No new slots will be released until at least July, 2026.
As of February, 2026, People invited to begin the process of receiving the Family Supports or CIH waiver were 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.
Transitioning from group home to CIH Waiver policy update.
As of January, 2026, 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.
As of February, 2026, J&B Medical is the sole provider of incontinence, ostomy, and urological supplies for people covered by Medicaid through 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.
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.
Families as Personal Care Attendants
Nursing Services
Structured Family Caregiving
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