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This program allows Indiana Medicaid programs to pay for services that are provided in a person’s home or other community setting rather than a Medicaid funded facility or institution. Persons must qualify for institutional care in order to be eligible for home and community-based services. Waiver refers to the waiving of certain federal requirements that otherwise apply to Medicaid program services. The Division of Aging oversees two waivers; they are the Aged and Disabled Waiver (A&D) and the Traumatic Brain Injury Waiver (TBI).
Aged and Disabled Waiver (A&D)
The A&D Waiver provides an alternative to nursing facility admission for adults and persons of all ages with a disability. The waiver is designed to provide services to supplement informal supports for people who would require care in a nursing facility if waiver or other supports were not available. Waiver services can be used to help people remain in their own homes, as well as to assist people living in nursing facilities to return to community settings such as their own homes, apartments, assisted living or adult foster care.
Assisted Living (AL) - Assisted Living service is defined as personal care, homemaker, chore, attendant care and companion services, medication oversight (to the extent permitted under state law), therapeutic social and recreational programming, provided in a home-like environment in a residential facility which is licensed by the Indiana State Department of Health, in conjunction with residing in the facility. This service includes 24 hour on-site response staff to meet scheduled or unpredictable needs in a way that promotes maximum dignity and independence, and to provide supervision, safety and security. Participants may also receive Case Management Services, Specialized Medical Equipment and Supplies and Health Care Coordination through the waiver.
Attendant Care - Attendant Care services primarily involve hands-on assistance for aging adults and persons with disabilities. These services are provided in order to allow older adults or persons with disabilities to remain in their own homes and to carry out functions of daily living, self-care, and mobility. Attendant Care services are limited to 40 hours a week.
For additional information about Medicaid Waivers in Indiana, please visit Waiver Programs
For Members interested in additional information about the waiver, please visit these sites:
The Money Follows the Person (MFP) program is a special project developed by the federal government to assist Hoosiers moving from a nursing facility to a residential setting in the community. The rules have recently changed and Residential Care Communities as well as Housing with Services Establishments may both qualify as viable community settings for these clients.
For further information and clarification regarding the program, please read the attached notices.
Money Follows the Person Clarifying Requirements for an assisted living community to participate.
If you are an approved Aged & Disabled Medicaid Waiver Provider and want to participate in MFP please contact: Provider Specialist at 317-234-0373
For all other MFP questions please contact Sheila Killebrew at 317-234-5712 or Maureen MacDonald at 317-234-5715.
And, be sure and visit the state’s web site.