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2024-10-22

Indiana Medicaid Waiver for Family Caregiving: A Handy Guide

By
Team Member
Abby Care
Learn about the Indiana Medicaid waiver for family caregiving. Find out how it helps, who can get it, and how to sign up.

Indiana Medicaid waiver for family caregiving is a lifeline for Hoosiers taking care of loved ones with health challenges at home. These waivers are special programs that help people who might not qualify for regular Medicaid. They’re designed to keep seniors and those with disabilities in their homes and communities rather than nursing facilities.

As a family caregiver, you do important work for your loved ones and the healthcare system as a whole. That’s where Indiana’s Medicaid waiver comes in. It gives you the support and resources to keep doing what you do best. In this guide, we’ll cover the benefits of the program and show you how to apply for it.

What Is the Indiana Medicaid Waiver for Family Caregiving?

The Indiana Medicaid waiver is part of the state’s Home and Community-Based Services (HCBS) waiver program. It is designed to help people who need long-term care stay at home instead of moving to a nursing facility.

The waiver allows Medicaid to cover services that support home-based care, which aren’t usually covered under regular Medicaid. The main goal is to help your loved ones get the care they need in familiar surroundings where family members like you serve as caregivers. This way, your elderly family members or those with disabilities can live more independently, and you, the caregiver, can get the financial help and support services you need to better manage the responsibilities of looking after them.

Who Can Get This Waiver?

To qualify for the Indiana Medicaid waiver for family caregiving, the person you are caring for needs to meet a few requirements:

  • Residency: Your loved one should live in Indiana and be a US citizen or lawful permanent resident.
  • Medical Need: They should require a level of care that would typically be provided in a nursing home.
  • Financial Need: They need to meet Medicaid’s financial eligibility rules, which look at their income and assets.
  • Age or Disability: Your loved one should be either elderly or have a disability that requires significant care and help with daily activities. For some waivers, like the Traumatic Brain Injury (TBI) Waiver, they’ll need to have a specific condition.

Benefits of the Indiana Medicaid Waiver

Types of Services Covered Under the Waiver

The waiver covers many helpful services to make life easier at home. These include:

  • Care planning and management
  • Help with housework and home changes to make it easier to get around
  • Adult daycare and personal care helpers
  • Rides to appointments
  • Help with behavior issues
  • Special medical equipment and therapy sessions
  • A chance for you, the caregiver, to take a break (this is called respite care)

Financial Assistance Available to Caregivers

While the waiver doesn’t give direct payments to family caregivers, it does help out financially in other ways. The waiver covers services that you might otherwise have to pay for, which can save you money. Additionally, some waivers provide a budget for approved services.

You can choose and manage your loved one’s caregiver with Participant-Directed Care options. This might mean paying a family member to provide care. You could also get reimbursed for some expenses related to caring for your family member who needs extra help.

Here’s something to keep in mind. The specific financial assistance you can get depends on the waiver program and your situation. It’s a good idea to talk with a case manager or contact the Indiana Family and Social Services Administration (FSSA) to get the latest and most helpful information.

How to Apply for the Indiana Medicaid Waiver

Here are the simple steps you can take to apply for Indiana Medicaid waivers:

Step 1: Apply for Medicaid

Before you can apply for a Medicaid waiver, you need to apply for Medicaid. To do this, fill out and submit the “Indiana Application for Health Coverage” online, by mail, or in person at your local Division of Family Resources office.

Step 2: Contact Your Local Agency Based on the Waiver Program

Once you have Medicaid, reach out to the right agency for the Medicaid waiver program you’re applying for. They’ll give you the forms and help you with the whole process.

  • For the Medicaid  Waiver and others for medical or physical needs, contact your local Area Agency on Aging (AAA), no matter your loved one’s age.
  • For waivers for developmental disabilities, such as the Family Supports Waiver, visit your local Bureau of Developmental Disabilities Services (BDDS) office.

Step 3: Complete the Waiver Application

With the help of your AAA or BDDS case manager, you’ll fill out the Medicaid Waiver application. You’ll need to submit the following documentation along with your application:

  • Proof that your loved one lives in Indiana
  • Papers showing their age or if they have a disability
  • Financial information such as how much they make, what they own, and what they spend
  • Records from their doctor showing why they need nursing care

Step 4: Functional Needs Assessment

A specialist from the right agency will check how much care your loved one needs to see if they qualify for the Medicaid waiver you’re applying for. This assessment is important because it helps the state make sure your loved one can get the right care through the waiver program instead of having to move into a nursing home.

Step 5: Approval and Waiting List

If your application is approved, you’ll receive a notification. Remember, the application process can take time, and some programs may have waiting lists. So, it’s best to apply as soon as you identify a need for waiver services.

Comparison With Other Medicaid Waivers

Indiana’s Medicaid waiver program has some unique features compared to other states. One big difference is the variety of specialized waivers available, like those for people with traumatic brain injuries or developmental disabilities. In many other states, waivers are more general and cover a broader group of people. Indiana also gives you more say in choosing your caregivers through participant-directed care options.

But when you look at the basics, there are some similarities, too. To qualify for a waiver anywhere, you usually need to meet certain care and financial requirements. And the types of services covered are pretty much the same across the country. At the end of the day, the goal is to make sure your loved ones get the care they need right at home.

FAQs About the Indiana Medicaid Waiver for Family Caregiving

Q: What are the income limits?

A: Your loved one has to meet Medicaid’s financial rules, which include limits on income and assets. The exact limits depend on things like age and household size.

Q: Is there a waiting list?

A: Yes, many Indiana waivers have waiting lists because of limited funding. How long you wait can depend on the program and your needs.

Q: What services are covered?

A: The waiver offers support at home and in the community, like case management, personal care, and respite care.

Q: What are my rights?

A: As a participant, you have rights like choosing providers and being free from abuse or neglect.

Conclusion

Indiana’s Medicaid Waiver program offers important services at home instead of in a nursing facility. It’s a big help for families looking after loved ones who need a lot of care. By using this program, you can help your loved one live independently in your community while getting the support they need.

If you need help with this, contact Abby Care today. We’re here to make sure these waivers work well for your family.

Sources

https://www.iidc.indiana.edu/irca/articles/medicaid-waiver-programs-home-and-community-based-services-for-adults-and-children.html

https://www.arcind.org/supports-services/medicaid-waivers/

https://www.arcind.org/2024-medicaid-waiver-changes/

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