In order for personal care services to be an allowable option in Medicaid Waiver services, the state must define what types of supports are considered beyond what a parent or spouse would be ordinarily obligated to provide. FSSA is offering an opportunity for feedback on extraordinary care provided by a spouse or parent of a minor child, known as a Legally Responsible Individual (LRI), as defined in the provision of Attendant Care for individuals on the Health & Wellness, Traumatic Brain Injury, and Pathways for Aging waivers as well as for individuals utilizing Participant Assistance and Care on the Family Supports waiver.
Feedback should be sent to BDS.Help@fssa.in.gov or Medicaid@fssa.IN.gov by June 15, 2025, to be considered for inclusion in upcoming waiver amendments.
Proposed Definition
“Extraordinary care” means care provided by the parent of a minor child or a spouse (LRI) that the individual is unable to perform independently to meet his or her intensive nursing care needs under the supervision of an interdisciplinary team. The care must exceed the range of activities that an LRI would ordinarily perform in the household on behalf of a person of the same age without a disability or chronic illness. Intensive nursing care needs includes: Continuous ventilator care, Ttracheostomy care, and Total Parenteral Nutrition (TPN), or other comparable nursing services approved by FSSA.