Helping Our Hoosiers – Waivers for Those in Indiana

The Aged and Disabled waiver, or A&D, is a Medicaid waiver for those individuals who may be facing the option of a nursing facility. Designed to provide the services to those that would require care in a nursing facility, the A&D can be used to help individuals stay in their homes, while also helping to assist those who have been in a nursing facility to return to a community setting, such as their own home, an apartment, assisted living or adult family care facilities.

The A&D provides many services including adult day care, adult family care, attendant care, home delivered meals, respite, personal emergency response systems, transportation, case management, community transition services, and more.

To be eligible for this waiver, individuals must meet the nursing facility level of care and meet Medicaid financial eligibility. Income and resources of an adult or child that is receiving the waiver is considered a part of the determination factors for financial eligibility; parental income or resources are not considered.

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Traumatic Brain Injury

The TBI waiver would require institutional care if not for the very waiver and service this provides. This waiver is for individuals who have suffered a traumatic brain injury, as defined as trauma that has occurred as an open or closed head injury by an external event that results in damage to brain tissue.

As with the A&D waiver, the TBI waiver covers many of the same support and services, like adult day services, adult family care, assisted living, behavior management & programs, case management, community transition services, home delivery, personal emergency response systems, specialized medical equipment & supplies, and many others.

Money Follows the Person

The MFP is actually a grant from the federal agency of the Centers for Medicare and Medicaid Services. The program helps to move individuals from institutions to that of their own home or a community based setting. Since 2007, Indiana has focused efforts on assisting those who are eligible to leave institutional care by providing services to live safely in the community.

The service provides a transition nurse and specialist to work with individuals and families to identify needs and support services and to discuss the changes that will be occurring after leaving the institution. The transition process includes helping to find places to live, along with arranging for medical, rehab, home health, and other funding in the community. Individuals are expected to stay on the program for a year, in which a case manager will coordinate and manage the scope of services, monitor their safety, and assists that their needs are being met.

To be eligible for this waiver, applicants need to currently live in an institution for at least 90 days; they must also meet the program’s requirements, including having needs that can be met safely through the services, be eligible for Medicaid, and meet the minimum requirements for a funding source that is partnered with the MFP program.

As youve seen, Indiana has a variety of different solutions for individuals and their families if youre looking for assistance with housing and facilities. These are just some of the programs that the state helps to deliver, with these being targeted at the senior population, however there are others, like the Community Integration and Habilitation waiver and the Family Supports Waiver. Depending on your family’s needs, these programs also supported by the HCBS offer support and services to those who may be disabled or have a developmental disability. Hoosiers can rejoice in knowing that their state cares about their health and aging supportive care.

Responses to this article:

Mary Wrote:

I truly am grateful that my daughter has been on the A&D Waiver since she was 18, she is now 28. Due to changes in the system, they are required to have PA hours before the A&D waiver. My daughter needs 24 hour supervision and care, but she is only qualified 40 hours PA and 28 hours Waiver per week. So all the other hours she needs family to help care for her. I don’t understand how one would say it would be cheaper for her to go into a home than it would be staying in her own home. I don’t know who to write to Governor, Mayor, Senate or Congress, I don’t know, but I’m sure she is not the only one who is going through this. I am a Home Health Aide in which I work for two separate employers in which she is my client. Please either explain to me or advise me who I need to either speak with or write a letter. Thank You So Much 765-894-0997

26 January 2017 at 9:17 am

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