Indiana Medicaid Waivers
Section 1915(c) of the Social Security Act permits Indiana to offer many home and community-based services that an individual needs to avoid institutionalization.
In order to qualify you MUST meet these three (3) requirements:
- The recipient must meet Medicaid guidelines.
- The recipient would require institutionalization in the absence of the waiver and/or other home-based services.
- The total Medicaid cost of serving the recipient(s) on the waiver (waiver cost plus other Medicaid services), cannot exceed the total cost to Medicaid for serving the recipient(s) in an appropriate institutional setting(s).
Indiana administers six (6) home and community-based waivers. Two (2) of the waivers assist senior hoosiers who meet nursing facility level of care and they are:
Aged and Disabled Waiver
The Aged and Disabled Waiver is designed to provide an alternative to nursing facility admission for Medicaid eligible persons over the age of sixty-five (65), and persons of all ages with disabilities by providing supports to complement and supplement informal supports for persons who require care in a nursing facility if waiver services were not available. Individuals on this waiver must meet nursing facility level of care. The services available through this waiver are designed to assist participants with remaining in their own homes and communities, as well as to assist individuals residing in nursing facilities to return to community settings, be it their own homes or other congregate community settings such as assisted living.
Assisted Living Waiver
The Assisted Living Waiver assists Medicaid eligible individuals sixty-five (65) and over and persons with physical disabilities who are over the age of eighteen (18) as an alternative to nursing facility placement. Individuals on this waiver must meet nursing facility level of care. The AL waiver is based on the philosophy of personal autonomy and decision making, and provides support services in a congregate setting by a licensed and certified assisted living provider who provides individual single living units with participant controlled access and food storage and prep areas.