Indiana Medicaid Waivers & Home and Community Based Programs Overview

Indiana, known as The Hoosier State, has a well-structured Medicaid Waiver and Home and Community-Based Services (HCBS) system that provides long-term care alternatives for seniors, individuals with disabilities, and those with chronic health conditions.

Administered by the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP), and Division of Aging (DA), the state’s Medicaid waiver programs allow participants to receive services in their homes or community settings instead of institutional care.

Key waiver programs include the Aged & Disabled (A&D) Waiver, which offers personal care, respite, and home modifications for seniors and individuals with physical disabilities, and the Traumatic Brain Injury (TBI) Waiver, which provides rehabilitative and supportive services for individuals recovering from brain injuries. The Family Supports Waiver (FSW) and the Community Integration & Habilitation (CIH) Waiver, administered through the Division of Disability and Rehabilitative Services (DDRS), offer services such as habilitation, employment support, and respite for individuals with intellectual and developmental disabilities (IDD).

Indiana also provides Self-Directed Attendant Care (SDAC) options, giving participants greater control over their care planning and provider selection.

Regulatory oversight in Indiana is managed through FSSA, OMPP, and the Bureau of Developmental Disabilities Services (BDDS), with provider licensing and compliance monitored by the Indiana Department of Health (IDOH). The state’s Managed Long-Term Services and Supports (MLTSS) initiative integrates waiver services with Medicaid Managed Care Organizations (MCOs) to enhance care coordination and cost-effectiveness.

Indiana has also implemented Electronic Visit Verification (EVV) for personal care services, reinforcing compliance and service integrity. Providers must navigate Medicaid enrollment, prior authorization processes, and strict regulatory requirements to participate in Indiana’s HCBS programs. With a strong emphasis on community integration, person-centered planning, and expanding access to home-based care, Indiana’s Medicaid waiver system ensures that residents receive high-quality, sustainable long-term care services while promoting independence and inclusion in their communities.

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Explore Policy and Procedure for licensing and certification for Indiana Medicaid Waiver and HCBS programs here.

Browse Policy & Procedure for Indiana Program and Services