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Indiana's In-Home Medicaid Waiver, Explained

Most Indianapolis-area seniors needing in-home-only services use the same PathWays Waiver, locally case-managed by CICOA.

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Home›State Rules›Indiana's In-Home Medicaid Waiver, Explained

In-home services under the PathWays Waiver

Short answer

Seniors (60+) needing in-home-only Medicaid HCBS services in the Indianapolis metro generally use the same PathWays Waiver that pays for care inside a licensed community -- it is not a separate program for home-only care. CICOA Aging & In-Home Solutions provides local case management.

What it covers at home

Personal/attendant care, respite for family caregivers, home modifications, case management, and adult day services -- delivered in a private home rather than a licensed facility. It does not cover room and board, which is not applicable to an in-home arrangement in the first place.

The separate program for younger Hoosiers

Hoosiers under 60 with disabilities use a different program, the Health and Wellness (H&W) Waiver, administered by DDARS's Bureau of Disability Services -- most families using this site's guidance will use PathWays instead.

Who to call

CICOA Aging & In-Home Solutions (317-254-5465, or the Resource Center at 317-803-6131) is the Area Agency on Aging serving every county this site covers, and handles PathWays case management locally.

Questions families ask

What does a long-term care ombudsman actually do?

An ombudsman advocates for a resident free of charge, and only with the resident's consent. They can attend a care conference with a family but do not license, inspect, or fine a facility -- that is the state health department's job, not the ombudsman's.

Can an ombudsman file a complaint even if my parent doesn't want to?

No. Consent matters: if a parent has capacity and does not want a complaint pursued, that decision stands, even where family disagrees with it. The ombudsman represents the resident's wishes, not the family's.

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.

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