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Medicaid & Medicaid Waiver Updates

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The Arc of Indiana Medicaid Waiver Guide 

Medicaid Benefits Portal – If you or a family member is a Medicaid recipient, it is important to keep your information up to date. Use the Medicaid Benefits Portal – Medicaid Benefits Portal to create an account, update your information, view important notices, and more!

Medicaid Benefits Portal Process Map 

Medicaid Waiver Waitlist Portal Fact Sheet – FSSA has an online resource to confirm an individual’s waiting list placement. The Online HCBS Waitlist Dashboard is available at ddrsprovider.fssa.in.gov. FSSA’s guide to accessing and using this resource is available here. Review our fact sheet for information on how to access and utilize the dashboard.

DDARS Advisory Council – August 2026 Meeting Slides

August 2026 Medicaid Waiver Amendments

The Office of Medicaid Policy and Planning approved amendments to the Community Integration and Habilitation (CIH), Family Supports (FS), Health and Wellness (H&W), and Traumatic Brain Injury (TBI) waivers that will take effect in August, 2026. Changes to Case Management Organizations (CMOs) that took effect August 1, 2026.

The following information shares key changes.

Paid Caregiver Limits

  • Reduced reimbursement rate for paid caregivers.
  • Legally Responsible Individuals (LRIs), parents of a minor child, and spouses, paid up to 40 hours per week for all LRIs combined
  • Relatives and legal guardians paid up to 40 hours per week for all services combined per waiver participant
  • Guide to who can be paid for what Medicaid waiver services

Consistency Across Waivers

  • Service definitions aligned across all waivers. Currently, essentially the same service is called different things on different waivers.
  • Documentation will focus on outcomes and therapeutic benefit.

Case Management Organizations Changes

FSSA Announcements

The Family Supports and CIH waivers hit their maximum capacity in December, 2025. As of February, 2026, People invited to begin the process of receiving the Family Supports or CIH waiver were placed on a new waiting list.

Transitioning from group home to CIH Waiver policy update.
As of January, 2026, under a new process established by the Bureau of Disabilities Services (BDS), individuals who want to transition from a Supervised Group Living (SGL) setting to the Community Integration and Habilitation (CIH) waiver must reside in an SGL setting for a minimum of 365 consecutive days before being eligible to apply for a CIH waiver.

As of February, 2026, J&B Medical is the sole provider of incontinence, ostomy, and urological supplies for people covered by Medicaid through a fee-for-service (FFS) (traditional) Medicaid plan. For people enrolled in Hoosier Healthwise, Healthy Indiana Plan (HIP), or Hoosier Care Connect, incontinence, ostomy, and urological supplies will continue to be managed through the member’s health plan and its provider network.

Indiana Medicaid Manuals

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