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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 separat

Quick answer

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.

HomeQuestionsWhat is RCAP and how is it different from the PathWa
Answer

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.

The detail behind the program

Families often assume 'the community takes Medicaid' means the whole monthly bill is covered once a waiver kicks in. In Indiana, that is rarely true in one step: PathWays pays for care services delivered inside the building, while RCAP is the piece that helps with the room-and-board portion of the bill. A facility can be a strong care-services fit but have no RCAP agreement at all, which leaves a real gap families need to plan around. Ask for both answers in writing before assuming a waiver closes the entire cost gap.

Related questions

Questions families ask

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.

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