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CCRC vs. Standalone Assisted Living

A Continuing Care Retirement Community keeps a couple together across care levels. A standalone community is usually simpler and less expensive to enter.

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Short answer

A Continuing Care Retirement Community (CCRC) combines independent living, assisted living, memory care and often skilled nursing on one campus, letting a resident -- or a couple with different needs -- move between levels without changing addresses. A standalone assisted living community offers one level of care, usually with a simpler, less expensive entry process.

Campuses in this metro combining multiple levels

Several Indianapolis-area campuses operate this multi-level model, including communities in Carmel, Fishers, Noblesville and Indianapolis itself that pair independent living with assisted living, memory care and skilled nursing on one site.

Entry cost and flexibility

Full CCRC/Life Plan Community models elsewhere in the country often charge a large upfront entry fee in exchange for guaranteed access to higher care levels later -- ask any local campus directly whether it uses an entry-fee model or a simpler month-to-month rental structure, since this varies by operator. A standalone assisted living community is typically the more flexible, lower-commitment choice if a couple does not yet need to plan for different care levels.

How Indiana licenses assisted living. Indiana licenses assisted living as a Residential Care Facility (RCF) under 410 IAC 16.2-5 -- one license type, not tiered like Texas's Type A/B. Read the full explanation →

Questions families ask

What's the difference between Indiana's Residential Care Facility and Comprehensive Care Facility licenses?

A Residential Care Facility (RCF) is Indiana's assisted-living-type license, covering personal care, medication administration and ADL help, not 24-hour skilled nursing. A Comprehensive Care Facility is Indiana's nursing-home license, for residents who need 24-hour licensed nursing care.

What Medicaid waiver pays for assisted living in Indiana?

Indiana's PathWays Waiver, part of the Indiana PathWays for Aging program launched July 1, 2024 for Hoosiers 60 and older, can pay for care services inside a licensed Residential Care Facility that holds a waiver provider agreement. It does not cover room and board -- that runs through a separate program, RCAP.

What is RCAP and how is it different from the PathWays Waiver?

The Residential Care Assistance Program (RCAP) is Indiana's Medicaid-funded room-and-board assistance for RCF residents. It pairs with, but is separate from, the PathWays Waiver, which pays for care services. A facility can hold a PathWays agreement, an RCAP agreement, both, or neither -- ask specifically which apply.

Is Indiana's Medicaid expansion (HIP) the same as long-term care Medicaid for seniors?

No. The Healthy Indiana Plan (HIP), Indiana's ACA expansion effective February 1, 2015, covers adults 19-64 based on income. Long-term-care Medicaid for seniors uses a separate, non-MAGI aged/blind/disabled eligibility pathway with different asset and income rules. The two are frequently and incorrectly conflated.

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