List of Waiver Services

Community Integration and Habilitation Waiver (CIH)

Family Supports Waiver (FSW)

The FSW was created to be the initial point of entry into the Medicaid waiver system. This waiver provides services to Individuals of any age who live in their own homes, family homes or other community settings. The purpose of the waiver is to provide Individuals with access to community-based services and supports that are important to them and that are provided in a manner that respects their personal beliefs and customs. Priorities are to facilitate Individuals' development of social relationships in the home and work communities, as well as their ability to live as independently as possible. This waiver is subject to an annual cost cap of $16,545. 

Services available through this waiver are:

  • Adult Day Services: Community-based group programs designed to meet the needs of adults through individualized plans of care. These non-residential programs provide health, social, recreational and therapeutic activities, supervision, support services and personal care.
  • Behavioral Support Services: Training, supervision or assistance in appropriate expression of emotions and desires, acquisition of socially appropriate behaviors and the reduction of inappropriate behaviors.
  • Community-Based Habilitation: Services provided outside of the home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living and social skills. Community-based activities are intended to build relationships and natural supports. This service can be provided on an Individual basis or in a group setting.
  • Extended Services: Ongoing employment support services which enable an individual to maintain integrated competitive employment in a community setting. Individuals must be employed in a community-based, competitive job that pays at or above minimum wage in order to access this service.
  • Facility-Based Habilitation: Services provided outside of the home in an approved facility that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living and social skills. This service can be provided on an Individual basis or in a group setting.
  • Facility-Based Support Services: Facility-based group programs designed to meet the needs of participants through Individual plans of care. These non-residential programs provide health, social, recreational and therapeutic activities, supervision, support services and personal care. They may also include optional or non-work related educational and life skill opportunities. Participants attend on a planned basis.
  • Family and Caregiver Training: Services that provide training and education to instruct a parent, other family member or primary caregiver about the treatments and equipment specified in the ISP.
  • Intensive Behavioral Intervention (IBI): A highly specialized, individualized program of instruction and behavioral intervention. The primary goal of IBI is to reduce behaviors such as tantrums and acting out behaviors and to increase or teach replacement behaviors that have social value for the Individual and that increase access to their community. Program goals are accomplished by the application of research-based interventions.
  • Music Therapy: Services provided for the systematic application of music in the treatment of the physiological and psychosocial aspects of an Individual’s disability that focus on the acquisition of nonmusical skills and behaviors.
  • Occupational Therapy: Services provided under 460 IAC 6-5-17 by a licensed/certified occupational therapist.
  • Participant Assistance and Care: Staffing and personal assistance in the home.
  • Personal Emergency Response System: An electronic device that enables certain Individuals at high risk of institutionalization to secure help in an emergency. The Individual may also wear a portable “help” button to allow for mobility. The system is connected to the person’s phone and programmed to signal a response center, which is staffed by trained professionals, once a “help” button is activated.
  • Physical Therapy: Services provided under 460 IAC by a licensed physical therapist.
  • Prevocational Services: Services that prepare a participant for paid or unpaid employment. Prevocational services include teaching concepts such as compliance, attendance, task completion, problem solving and safety. Services are not job-task oriented, but instead, aimed at a generalized result.
  • Psychological Therapy: Services provided under 460 IAC 6-3-56 by a licensed psychologist with an endorsement as a health service provider in psychology, a licensed marriage and family therapist, a licensed clinical social worker or a licensed mental health counselor.
  • Recreational Therapy: Services provided under this article and consisting of a medically approved recreational program to restore, remediate or rehabilitate an Individual in order to improve the Individual’s functioning and independence and to reduce or eliminate the effects of an Individual’s disability.
  • Respite: Services provided to participants that are furnished on a short-term basis in order to provide temporary relief to those unpaid persons normally providing care. Respite care can be provided in the participant’s home or place of residence, in the respite caregiver’s home, in a camp setting, in a DDRS approved day habilitation facility or in a non-private residential setting (such as a respite home).
  • Specialized Medical Equipment and Supplies: Includes devices, controls or appliances, specified in the plan of care, which enable Individuals to increase their abilities to perform activities of daily living or to perceive, control or communicate with the environment in which they live and without which the Individual would require institutionalization.
  • Speech/Language Therapy: Services provided by a licensed speech pathologist under 460 IAC 6.
  • Transportation: Services that enable waiver participants to gain access to non-medical community services and resources, maintain or improve their mobility within the community, increase independence and community participation and prevent institutionalization.
  • Workplace Assistance: A range of personal care services and/or supports during paid competitive community employment hours and in a competitive community employment setting to enable waiver participants to accomplish tasks that they would normally do for themselves if they did not have a disability.

Community Integration and Habilitation Waiver (CIH)

The CIH was created to assist those FSW participants who experience emergencies for which that waiver does not provide sufficient support to ensure the Individual’s health and safety. Situations that might constitute an emergency include loss of primary caregiver, caregivers over the age of 80, evidence of abuse or neglect in the current institutional or home placement and an extraordinary health and safety risk. There is no annual waiver service cost cap associated with the CIH.

Services available through the CIH are:

  • Adult Day Services: Community-based group programs designed to meet the needs of adults through individualized plans of care. These non-residential programs provide health, social, recreational and therapeutic activities, supervision, support services and personal care.
  • Behavioral Support Services: Training, supervision or assistance in appropriate expression of emotions and desires, acquisition of socially appropriate behaviors and the reduction of inappropriate behaviors.
  • Community-Based Habilitation: Services provided outside of the home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living and social skills. Community-based activities are intended to build relationships and natural supports. This service can be provided on an Individual basis or in a group setting.
  • Community Transition: Reasonable, one-time set-up expenses for Individuals who make the transition from an institution to their own home in the community. These will not be reimbursable on any subsequent move.
  • Electronic Monitoring/Surveillance System and Onsite Response: The provision of oversight and monitoring within the residential setting of adult waiver participants through off-site electronic surveillance. Also included is stand-by intervention staff prepared for prompt engagement with the participant(s).
  • Environmental Modifications: Physical adaptations to the home required by the Individual’s plan of care, which are necessary to ensure the health, welfare and safety of the Individual, or which enable the Individual to function with greater independence in the home and without which, the Individual would require institutionalization.
  • Extended Services: Ongoing employment support services which enable an individual to maintain integrated competitive employment in a community setting. Individuals must be employed in a community-based, competitive job that pays at or above minimum wage in order to access this service.
  • Facility-Based Habilitation: Services provided outside of the home in an approved facility that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living and social skills. This service can be provided on an Individual basis or in a group setting.
  • Facility-Based Support Services: Facility-based group programs designed to meet the needs of participants through Individual plans of care. These non-residential programs provide health, social, recreational and therapeutic activities, supervision, support services and personal care. They may also include optional or non-work related educational and life skill opportunities. Participants attend on a planned basis.
  • Family and Caregiver Training: Services that provide training and education to instruct a parent, other family member or primary caregiver about the treatments and equipment specified in the ISP.
  • Intensive Behavioral Intervention (IBI): A highly specialized, individualized program of instruction and behavioral intervention. The primary goal of IBI is to reduce behaviors such as tantrums and acting out behaviors and to increase or teach replacement behaviors that have social value for the Individual and that increase access to their community. Program goals are accomplished by the application of research-based interventions.
  • Music Therapy: Services provided for the systematic application of music in the treatment of the physiological and psychosocial aspects of an Individual’s disability that focus on the acquisition of nonmusical skills and behaviors.
  • Occupational Therapy: Services provided under 460 IAC 6-5-17 by a licensed/certified occupational therapist.
  • Partner Assistance and Care: Staffing and personal assistance in the home.
  • Personal Emergency Response System: An electronic device that enables certain Individuals at high risk of institutionalization to secure help in an emergency. The Individual may also wear a portable “help” button to allow for mobility. The system is connected to the person’s phone and programmed to signal a response center, which is staffed by trained professionals, once a “help” button is activated.
  • Physical Therapy: Services provided under 460 IAC by a licensed physical therapist.
  • Prevocational Services: Services that prepare a participant for paid or unpaid employment. Prevocational services include teaching concepts such as compliance, attendance, task completion, problem solving and safety. Services are not job-task oriented, but instead, aimed at a generalized result.
  • Psychological Therapy: Services provided under 460 IAC 6-3-56 by a licensed psychologist with an endorsement as a health service provider in psychology, a licensed marriage and family therapist, a licensed clinical social worker or a licensed mental health counselor.
  • Recreational Therapy: Services provided under this article and consisting of a medically approved recreational program to restore, remediate or rehabilitate an Individual in order to improve the Individual’s functioning and independence and to reduce or eliminate the effects of an Individual’s disability.
  • Rent and Food for an Unrelated, Live-in Caregiver: The additional cost a participant incurs for the room and board of an unrelated, live-in caregiver (who has no legal responsibility to support the participant) as provided for in the participant’s residential budget.
  • Residential Habilitation and Support: Services that provide up to a full day (24-hours) of services and/or supports which are designed to ensure the health, safety and welfare of the participant and assist in the acquisition, improvement and retention of skills needed to support participants to live successfully in their homes.
  • Respite: Services provided to participants that are furnished on a short-term basis in order to provide temporary relief to those unpaid persons normally providing care. Respite care can be provided in the participant’s home or place of residence, in the respite caregiver’s home, in a camp setting, in a DDRS approved day habilitation facility or in a non-private residential setting (such as a respite home).
  • Specialized Medical Equipment and Supplies: Includes devices, controls or appliances, specified in the plan of care, which enable Individuals to increase their abilities to perform activities of daily living or to perceive, control or communicate with the environment in which they live and without which the Individual would require institutionalization.
  • Speech/Language Therapy: Services provided by a licensed speech pathologist under 460 IAC 6.
  • Structured Family Caregiving: A living arrangement in which a participant lives in the private home of a principal caregiver who may be a non-family member (foster care) or a family member who is not the participant’s spouse, the parent of the participant who is a minor, or the legal guardian of the participant. Necessary support services are provided by the principal caregiver. Only agencies may be Structured Family Caregiving providers.
  • Transportation: Services that enable waiver participants to gain access to non-medical community services and resources, maintain or improve their mobility within the community, increase independence and community participation and prevent institutionalization.
  • Wellness Coordination: The development, maintenance and routine monitoring of the waiver participant’s Wellness Coordination plan and the medical services required to manage his/her health care needs.
  • Workplace Assistance: A range of personal care services and/or supports during paid competitive community employment hours and in a competitive community employment setting to enable waiver participants to accomplish tasks that they would normally do for themselves if they did not have a disability.