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Managed Care for Medicare/Medicaid Dual-Eligibles in Indiana

Indiana coordinates long-term services and supports for seniors through managed care under the PathWays for Aging program, launched July 1, 2024.

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How Indiana coordinates care for dual-eligibles

Short answer

Indiana restructured how it coordinates Medicare and Medicaid long-term services and supports for seniors on July 1, 2024, when the Indiana PathWays for Aging program launched and split the former Aged & Disabled Waiver into the PathWays Waiver (60+) and Health and Wellness Waiver (under 60).

What PathWays for Aging coordinates

The program is designed to bring managed-care coordination to long-term services and supports for Hoosiers 60 and older, working alongside Medicare rather than replacing it. Because this is a relatively new structure (launched mid-2024), families should confirm current plan details and any further changes directly with FSSA or CICOA rather than relying on older descriptions of Indiana's Aged & Disabled Waiver, which PathWays replaced.

Where to get current, local answers

CICOA Aging & In-Home Solutions provides local PathWays case management for every county this site covers and is the most reliable source for how the program is actually functioning in this metro right now.

Questions families ask

Is the ombudsman the same as filing a state licensing complaint?

No, they're two different systems. The ombudsman advocates for an individual resident; the Indiana Department of Health investigates regulatory complaints and can take enforcement action against a facility's license. Using one does not preclude using the other.

How do I report suspected abuse or neglect in Indiana?

Call Indiana's statewide Adult Protective Services line at 1-800-992-6978, or file online. Indiana APS is state-run through five regional field teams under FSSA, not county-run, so there is no separate Marion County number to look up.

Is there a different number for a facility-specific licensing complaint versus abuse?

Yes. Adult Protective Services (1-800-992-6978) investigates suspected abuse, neglect or exploitation of an individual. A facility licensing complaint -- about conditions, staffing, or care quality broadly -- goes to the Indiana Department of Health at 1-800-246-8909 or through its online complaint form.

What should I do if someone is in immediate danger?

Call 911 first. Adult Protective Services is not an emergency responder and does not dispatch immediate help -- it investigates reports after the fact. Use 911 for anything urgent, then follow up with APS or the ombudsman as appropriate.

Who has to report suspected elder abuse in Indiana?

Indiana is a mandatory-reporting state: anyone who suspects neglect, battery, or exploitation of an endangered adult (18 or older, incapacitated, and harmed or threatened) is required to report it, not just healthcare or facility staff.

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