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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 i

Quick answer

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.

HomeQuestionsWhat Medicaid waiver pays for assisted living in Ind
Answer

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.

The detail behind the program

PathWays replaced Indiana's older Aged & Disabled Waiver in 2024 and is administered through the Office of Medicaid Policy and Planning, with CICOA Aging & In-Home Solutions handling local case management for this region. Before assuming a community's waiver relationship will cover your parent's stay, ask two direct questions: does this community hold a current PathWays provider agreement, and separately, does it also hold an RCAP room-and-board agreement? A community can hold one without the other, and a 'yes, we take Medicaid' answer sometimes only covers one half of the actual bill.

Related questions

Questions families ask

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.

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