Home Health Care Service in Indianapolis
Dignified, hands-on assistance with bathing, dressing, personal hygiene, grooming, and mobility support tailored to daily routines.
Direct, practical daily living support including meal preparation, medication reminders, light housekeeping, and mobility safety.
Heartfelt social connection, cognitive stimulation, accompaniment on walks, and friendly presence to prevent isolation.
Professional training, guidance, and stress-management strategies to empower family caregivers providing home support.
Supporting individuals with active community participation, grocery shopping, routine errands, and local outings.
Transitioning into a new community or living arrangement can be a major milestone.
Financial coaching, ongoing clinical support, and guidance for family members who care for a loved one at home.
Safe, reliable door-to-door transit for medical appointments, community events, therapy sessions, and essential errands.
Level of care is the minimum needs an individual must have to be considered eligible for HCBS waiver services. A nursing facility level of care is required for a person to be admitted into a nursing facility.
What is Nursing Facility Level of Care?
Aged and Disabled Waiver
On July 1, 2024, the Aged and Disabled Waiver split into two new waivers, the Health and Wellness Waiver for individuals 59 and under and the Indiana PathWays for Aging (PathWays) Waiver for individuals 60 and older. The Health and Wellness Waiver is administered by the Division of Disability and Rehabilitative Services. The PathWays Waiver is administered by the Office of Medicaid Policy and Planning.
Individuals must meet home- and community-based services (HCBS) waiver eligibility and Medicaid eligibility guidelines to be eligible for a Medicaid HCBS waiver. To be eligible, individuals must:
Be aged, blind, or otherwise disabled
Reside in or transitioning into an HCBS-compliant setting (non-institutionalized)
Have income no greater than 300% of maximum Supplemental Security Income (SSI) amount (parental income for children under 18 years of age is disregarded)
Meet nursing facility level of care
Nursing Facility Level of Care
Level of care is the minimum needs an individual must have to be considered eligible for HCBS waiver services. A nursing facility level of care is required for a person to be admitted into a nursing facility. Level of care is evaluated when a person applies for Medicaid and then at least once a year after that. The initial level of care determination is made by the Area Agency on Aging (AAA). The waiver case manager will complete an annual level of care evaluation for waiver services.
For the purposes of nursing facility level of care, a person must have one of the following:
- An unstable, complex medical condition, which requires direct assistance from others for the following: decubitus ulcers, comatose condition, or management of severe pain
- Need for direct assistance from others for medical equipment, such as a ventilator, suctioning, tube feeding, central intravenous access (I.V.)
- Need for direct assistance for special routines or prescribed treatments from others, such as tracheotomy, acute rehabilitation conditions, administration of continuous oxygen
- Need for medical observation and physician assessment due to a changing, unstable physical condition
- Other substantial medical conditions.
Available Waiver Services
Eligible individuals may receive authorized waiver services in conjunction with Traditional Medicaid or PathWays. Authorized waiver services may include:
- Adult Day Service
- Adult Family Care
- Assisted Living
- Attendant Care
- Care Management
- Caregiving Coaching
- Community Transition
- Home and Community Assistance
- Home-Delivered Meals
- Home Modifications
- Home Modification Assessment
- Integrated Health Care Coordination
- Nutritional Supplements
- Participant-Directed Home Care Services
- Personal Emergency Response System
- Pest Control
- Respite Care Services
- Specialized Medical Equipment and Supplies
- Structured Family Caregiving
- Transportation
- Vehicle Modifications
The specific services that meet the needs of the individual member are identified by the member’s case manager. These services are submitted by the state agency for approval and are listed on the member’s Plan of Care (POC)/Notice of Action (NOA).
