What We Do

IPMG Case Managers work to ensure that Individuals receiving the Family Supports and Community Integration and Habilitation Waivers have the information and tools needed to best utilize all available waiver services and supports. Case Managers educate and guide Individuals as they make choices about their desired goals, and efficiently coordinate services that support those goals. They also help Individuals supported to access non-waiver services, including medical, social, educational, and natural community supports. Here are some of the ways in which our IPMG Case Managers provide support:

• Meeting with Individuals supported to develop Annual Planning Documents using the Person-Centered Planning and LifeCourse Framework Process. Case Managers will review the documents with each Individual supported in-person at least quarterly, and with their full Individualized Support Team (IST) at least two times per year (or more frequently if requested by the individual).
• Developing and submitting initial, annual, and updated Service Plans that will outline to the State the services that Individuals supported need, and the cost of those services.
• Completing a Monitoring Checklist in-person with Individuals quarterly to ensure that services are being implemented appropriately. Case Managers also monitor health and welfare, as well as service satisfaction of Individuals supported.
• Completing a health and safety assessment when Individuals supported initially start services, every year after that, and when there is a change in Individual’s status. Case Managers ensure that plans are written to address any risk factors that are identified.
• Cultivating and strengthening informal and natural supports and identifying resources to best meet identified needs. Case Managers know that it's important for Individuals supported to be a part of their community.
• Monitoring the services provided by other waiver providers to ensure that those services are being delivered in accordance with the Annual Planning Documents.
• Completing and processing an annual Level of Care determination to determine continuing eligibility for the waiver program.
• Sending all required information, including all Notices of Actions, to Individuals supported and their family/guardian.
• Completing and maintaining all required documentation. This includes writing case notes and keeping files in accordance with State standards including ensuring that all contact information for the individual and team is current in all State systems. Case Managers also submit and follow up on any needed Incident Reports in a timely manner.

Amendments to Indiana’s Medicaid Waiver program went into effect on July 1, 2024 for the new PathWays for Aging and Health and Wellness (H&W) waivers – formerly combined in the Aged and Disabled (A&D) waiver. Amendments to the Community Integration and Habilitation (CIH), Family Supports (FSW), and Traumatic Brain Injury (TBI) waivers also went into effect.

Effective July 1, individuals age 59 and younger who had been receiving services through the Aged and Disabled waiver will receive services through the Health and Wellness waiver.

IPMG Care Managers work to ensure that Individuals receiving the Health and Wellness Waiver have the information and tools needed to best utilize all available waiver services and supports. Care Managers educate and guide Individuals as they make choices about their desired goals, and efficiently coordinate services that support those goals. They also help Individuals supported to access non-waiver services, including medical, social, educational, and natural community supports. Our Care Managers bring to the people we serve not only a comprehensive knowledge of waiver services, but a philosophy of Person-Centered Thinking that guides our approach to working with individuals served, guardians and teams. Here are some of the ways in which our IPMG Care Managers provide support:

• They educate you about the waiver program and ensure that you have the information and resources needed to make thoughtful decisions about all of your services.
• They facilitate the Person-Centered Planning process in order to create your individual support plan to ensure that your needs and desires are the focus of all efforts by your waiver providers.
• They advocate for you in the face of any challenges that you might experience on your path to achieving your goals and outcomes.
• They will meet with you at least quarterly and at least two of these will be in the participant’s home setting. During these meetings, your wellbeing and satisfaction with services will be discussed.
• They monitor the quality of your services and collaborate with your service providers to solve problems as needed. They ensure the completion of all processes and documentation that are required for you to remain eligible for the waiver program.

IPMG Wraparound Facilitators (WF) work to ensure that participants have the information and tools needed to best utilize all available wraparound services and supports. WFs educate and guide individuals as they make choices about their desired goals, and efficiently coordinate services that support those goals. They also help participants to access non-wraparound services, including medical, social, educational, and natural community supports. Your IPMG Wraparound Facilitator will do the following for you:

• Meet with the Wraparound participant/family supported and others associated with the youth/family (extended family, referral source, school staff, service providers, family friends, etc.) and gather information to develop a family story, which will assist with identifying strengths and underlying needs for the Initial Plan of Care (POC). The WF will also provide quarterly and annual POC updates as well as a discharge POC when a participant completes the program.
• Develop an Initial Crisis plan, and provide quarterly and annual updates to the Crisis plan that will outline pro-active and reactive strategies
  that will be utilized to help keep the youth and others safe.
• Build a Wraparound team by cultivating and strengthening informal and natural supports and identifying resources to best meet the family’s identified needs. The WF will contact all potential team members to explain the wraparound process and to invite them to join the team.
• Monitor the Wraparound process through weekly contact with the youth/family and other team members to ensure that strategies are being implemented in accordance with the POC and to identify barriers to implementation, if necessary.
• Assure the support team knows the individual based upon his or her strengths and preferences, and builds supports around that information.
• Exercise integrity, creativity, and human responsiveness in the context of a partnership with the person being supported.
• Monitor the wraparound recipient's basic health and safety, satisfaction with services, progress toward outcomes, and overall quality of life.