Home & Community Based Services (HCBS)

Area Agencies on Aging (AAA) and Aging and Disability Resource Centers (ADRC) are the first place everyone should contact when needing long term care services in Indiana. The ADRC staff can answer questions about services, providers and how to access services whether you are private pay, have long term care insurance, or are on Medicare or Medicaid. The state has 16 AAAs, follow the link to the left to locate the one that serves your area. The AAA case manager performs assessments for home care need and pre-admission screenings for nursing home care. You may reach your local AAA by calling 1-800-986-3505.


The Indiana Family and Social Services Administration (FSSA) is responsible for managing the public money which pays for long term care services in Indiana. FSSA and the Office of Medicaid Policy and Planning (OMPP) set regulations and follow the directives of the governor and the laws established by the legislature. You can learn about services provided, regulations, and rights by visiting the FSSA web pages.


Medicaid Waivers allow states to provide services to qualifying residents who need a defined "level of care" for long term care services. Indiana currently has five waivers. The Aging and Disabled Waiver (A&D) and the Traumatic Brain Injury Waiver (TBI) require the recipient to need a "nursing home level of care". Three waivers require an "Intermediate Care Facility for the Mentally Retarded (ICF-MR) level of care". These waivers are the Autism Waiver, the Developmental Disabilities Waiver (DD), and the Support Service Waiver. You must go through your AAA or a private care manager to see if you qualify for Medicaid Waiver services. There are currently waiting lists for these services - one can wait several years to receive waiver services. Ask the case manager for the estimated length of time one may spend on these lists.


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.


Administration on Community Living


New website for the Administration on Community Living is now available

The ACL website brings together three agencies within the Department of Health and Human Services: Administration on Aging, Administration on Intellectual and Developmental Disabilities, and Office on Disability. The new website offers resources about programs, services and issues facing persons with disabilities, older adults, and family caregivers. Site features include current issues, assessable icons to learn about ACL programs and information spread to the disability and aging communities.

Advocacy Resources


The Generations Project was founded in 2001 to work on improving access to home and community-based services in Indiana. They work with organizations including United Senior Action and the Indiana Home Care Task Force to keep abreast of HCBS issues and what is needed in Indiana. They hold annual listening sessions throughout the state to hear from consumers, their families and service providers. Go to their web site to read the publications they have produced over the past several years. The Good Road Home publication lists fifteen consensus conclusions about Indiana's home and community-based services. These conclusions and recommendations from former reports provide a road map for improving Indiana's system of long term care.

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