Medicaid & Medicaid Waiver Updates

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January 2026

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 Family Supports Waiver (FSW), Community Integration & Habilitation (CIH), Health & Wellness (H&W), PathWays for Aging (PathWays), and Traumatic Brain Injury (TBI).

Click here for our Medicaid Waiver 2026 Updates fact sheet that explains what has changed.

January 8, 2026
Ask The Arc – Waiver Changes and Updates Webinar Recording

Ask The Arc – Waiver Changes and Updates Slides

At the end of 2025, the Family Supports and CIH waivers hit their maximum capacity. No new slots will be released until at least July.
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January 13, 2026 – 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.
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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.

11.24.25 – J&B Medical will become the sole provider of incontinence, ostomy, and urological supplies for people covered by Medicaid thorugh a a fee-for-service (FFS) (traditional) Medicaid plan, effective February 1, 2026. 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.

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

Additional 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