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What Happens When the Money Runs Out

Spend-down, Medicaid waiver transitions, and why you should ask a community about this before you move in.

HomeCosts & PayingWhat Happens When the Money Runs Out
Short answer

If private funds run out, the options generally are a Medicaid HCBS waiver for care inside a licensed community, Medicaid nursing facility coverage, or moving to a community that holds a waiver provider agreement. Confirm your state's specific programs before relying on this.

Ask before you move in, not after

This is the single most consequential question families skip. A community that does not hold a Medicaid waiver provider agreement will ask your parent to leave when private funds are exhausted — often with short notice, at the point when moving is hardest.

Ask directly: do you hold a Medicaid waiver provider agreement, and how many current residents use it? A community can technically hold an agreement and still have no waiver capacity available.

How families pay for care. Indiana's PathWays Waiver pays for care services, RCAP pays for room and board, and VA Aid and Attendance can help veterans and surviving spouses. Read the full explanation →
The local long-term care ombudsman. Indiana Legal Services' Region 8 Long Term Care Ombudsman covers this entire six-county metro: 317-631-9424, or the statewide line at 800-622-4484. Read the full explanation →

Questions families ask

Does Hamilton County have its own Area Agency on Aging?

No -- Hamilton County is covered by the same agency as Indianapolis, CICOA Aging & In-Home Solutions, so Carmel, Fishers and Noblesville families use the same regional resources as Marion County families.

What senior care options exist in Hendricks County?

Hendricks County, covering Avon and Plainfield, has verified assisted living, memory care, and skilled nursing options, plus Hendricks Regional Health as the main hospital for discharge planning. CICOA is the Area Agency on Aging serving the county.

What senior care options exist in Johnson County?

Johnson County, anchored by Greenwood, has multiple verified assisted living, memory care and skilled nursing providers along the US-31 corridor, served by Community Hospital South and CICOA Aging & In-Home Solutions.

What senior care options exist in Boone County?

Boone County, anchored by Zionsville and the county seat Lebanon, has a smaller but growing set of verified communities, including standalone memory care and Trilogy Health Services campuses, with CICOA as the Area Agency on Aging.

What senior care options exist in Hancock County?

Hancock County, anchored by Greenfield, has several verified assisted living, independent living and skilled nursing options and is served by Hancock Regional Health and CICOA Aging & In-Home Solutions.

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