Medicaid & Medicaid Waiver Updates
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Guide to Indiana’s Medicaid Waiver Program – Updated July 2025.
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.
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
- PathWays for Aging Waiver
- Health & Wellness Waiver
- Traumatic Brain Injury Waiver
- Family Supports & CIH Waivers 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
DDRS Advisory Council Slides
DDRS Advisory Council November 2025 Meeting Slides
DDRS Advisory Council October 2025 Meeting Slides
DDRS Advisory Council September 2025 Meeting Slides
DDRS Advisory Council August 2025 Meeting Slides
DDRS Advisory Council August 2025 Data
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
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