2024 Medicaid & Medicaid Waiver Changes
On January 17, 2024, the Family and Social Services Administration (FSSA) submitted new waiver amendments to the Centers for Medicare and Medicaid Services (CMS) for the proposed Pathways for Aging, Community Integration and Habilitation (CIH), Family Supports (FSW), Traumatic Brain Injury (TBI), and Health and Wellness (H&W) waivers – currently the Aged & Disabled (A&D) waiver.
A significant change in the H&W and TBI Waivers is ending the practice of paying parents of minor children and spouses (Legally Responsible Indiviuals) to provide attendant care. Effective July 1, 2024 LRI’s will be required to transition to Indiana’s Structured Family Caregiving (SFC) program.
This will negatively impact families caring for medically fragile children with significant disabilities.
We continue to work with FSSA and legislators to identify areas to help bring Medicaid costs into alignment while minimizing the impact on people with disabilities and their families.
Recent Clarifications/Updates
- Legal guardians of adults will be allowed to provide attendant care up to 40 hours a week.
- Skilled nursing respite will be available for individuals providing SFC.
Visit in.gov/fssa/medicaid-strategies for information and updates from FSSA
A&D Waiver Transition to H&W Waiver Webinars
FSSA is hosting bi-weekly webinars regarding the transition of the A&D Waiver to the H&W Waiver for individuals 59 years and younger, effective July 1, 2024. Links to webinar recordings will be posted here. Each webinar will take place from 3:00-3:30 p.m. ET. Following are links to join a webinar and webinar recordings. Registration is not required.
Structured Family Caregiving Webinars
The Arc of Indiana hosted two webinars to provide information about Structured Family Caregiving.
Ask The Arc – Structured Family Caregiving Session I
Kelli Tungate and Lisa Bennett from Careforth, Indiana’s largest Structured Family Caregiving provider agency, discuss how Structured Family Caregiving works and what families should think about when considering Structured Family Caregiving.
Webinar Video
Webinar Slides
Ask The Arc – Structured Family Cargiving Session II
Evan Reinhardt, executive director, Indiana Association of Home and Hospice Care, talks about Structured Family Caregiving and the role that home health services can play in serving individuals on the Health & Wellness, Pathways for Aging, and TBI Waivers. He also gives an overview of the training requirements for home health aides so families know what the aides’ qualifications are and if they want to explore becoming a home health aide for their loved one.
Webinar Video
Webinar Slides
4.3.24 – Waiting list started for Aged & Disabled Waiver (Health & Wellness effective July 1, 2024)
What happens when you are added to the waiting list.
4.3.24 – Cost-share Restart: July 1, 2024. During the COVID-19 public health emergency, Indiana paused Medicaid cost sharing. This will end July 1, 2024, and Indiana will restart cost sharing for Medicaid, including the Healthy Indiana Plan (HIP), Children’s Health Insurance Program (CHIP); and MEDWorks program for employed individuals with a disability. Click here for information.
Who Can be Paid for What Services Charts
Why is This Happening
Families as Personal Care Attendants
Nursing Services
Structured Family Caregiving
FSSA Attendant Care and Structured Family Caregiving Relationship Guidance
A&D Waiver Attendant Care Service Activities Not Allowed
FSSA Guidance on Attendant Care, SFC, and LRIs
FSSA Attendant Care and Structured Family Caregiving Side by Side
FSSA March 15 Update for A&D Waiver Recipients and Families
Webinars hosted by The Arc of Indiana on February 8 and February 12 provide information on changes to Indiana’s TBI, CIH and Family Supports Waivers and information on the new H&W and Pathways to Aging Waivers.
Medicaid Waiver Changes Webinar I
Medicaid Waiver Changes Webinar II
DDRS Slides