Waivers and Programs

 

Waivers and Programs

Coverage may be available through Indiana Medicaid programs, such as A&D, TBI, Choice, SSBG, and Title III, CIH, FSW, PAC, and Caregiver’s Support. Contact our office for consultation Monday – Friday 8:00 AM – 4:30 PM. 812-945-6868

 

CIH Waiver

Community Integration and Habilitation Waiver

The Community Integration and Habilitation Waiver program provides Medicaid Home and Community-Based Services (HCBS) to participants of any age residing in a range of community settings as an alternative to care in an intermediate care facility for persons with intellectual disabilities (known as an ICF/ID) or related conditions. The CIHW serves persons with an intellectual/developmental disability, intellectual disability or autism who have substantial functional limitations. However, entrance into services under the CIH Waiver occurs only when an applicant has been determined by the Division of Disability and Rehabilitative Services (DDRS) to meet priority criteria of one or more federally approved reserved capacity categories, a funded slot is available and DDRS also determines that other placement options are neither appropriate nor available.

FSW Waiver

Family Supports Waiver

The Family Supports Waiver (FSW) program provides Medicaid Home and Community-Based Services (HCBS) to participants of any age residing in a range of community settings as an alternative to care in an intermediate care facility for persons with intellectual disability (known as an ICF/ID) or related conditions. The FSW serves persons with an intellectual/developmental disability, intellectual disability or autism and who have substantial functional limitations. Participants may choose to live in their own home, family home, or community setting appropriate to their needs. Participants develop an Individual Service Plan (ISP) using a person centered planning process guided by an Individual Support Team (IST). The IST is comprised of the participant, their case manager and anyone else of the participant’s choosing but typically family and/or friends. The participant with the IST selects services, identifies service providers of their choice and develops a Plan of Care/Cost Comparison Budget (CCB)

A&D Waiver

Aged and Disabled Waiver

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 assist people living in nursing facilities to return to community settings such as their own homes, apartments, assisted living or Adult Family Care.

TBI Waiver

Traumatic Brain Injury Waiver

The TBI Waiver provides home and community-based services to individuals who, but for the provision of such services, would require institutional care. Through the use of the Traumatic Brain Injury Waiver (TBI), the Indiana Office of Medicaid Policy and Planning and the Indiana Division of Aging seek to increase availability and access to cost-effective traumatic brain injury waiver services to people who have suffered a traumatic brain injury. Indiana defines a traumatic brain injury as a trauma that has occurred as a closed or open head injury by an external event that results in damage to brain tissue, with or without injury to other body organs. Examples of external agents are: mechanical; or events that result in interference with vital functions.  Traumatic brain injury means a sudden insult or damage to brain function, not of a degenerative or congenital nature. The insult of damage may produce an altered state of consciousness and may result in a decrease in cognitive, behavioral, emotional, or physical functioning resulting in partial or total disability not including birth trauma related injury.

 

SSBG Program

Social Services Block Grant

The FSSA Divison of Aging uses the Social Services Block Grant (SSBG) to fund a number of different in-home, community-based, and facility-oriented services targeted for low-income older adults and persons with disabilities.

CHOICE Program

Community and Home Options to Institutional Care for the Elderly and Disabled

The Community and Home Options to Institutional Care for the Elderly and Disabled (CHOICE) provides case management services, assessment, and in-home and community services to individuals who are at least 60 years of age or persons of any age who have a disability due to a mental or physical impairment and who are found to be at risk of losing their independence.

CHOICE funds may only be utilized after an applicant has been determined and documented ineligible for Medicaid or if currently eligible for Medicaid, after a determination that the requested service(s) is not available from Medicaid.

Title III Program

Title III Supportive Services and Senior Center Programs

Title III-B Supportive Services and Senior Center Programs are provided through Indiana’s 16 Area Agencies on Aging. The services, under the Older Americans Act, as amended, organize, coordinate and provide community-based services and opportunities for older individuals and their families.