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Health and Wellness Waiver

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 provides care management for Hoosiers receiving the Health and Wellness Waiver. Information and resources for individuals transitioning from the Aged and Disabled Waiver to the Health and Wellness Waiver can be found on FSSA’s website.

Additional resources have been posted to assist individuals and their families. For example, you can review Home Health FAQs and examine the Health and Wellness Waiver Waiting List Process.

Your questions answered
Question: Whom do I contact if I have questions about my specific plan or services for the H&W and TBI waivers?
Answer: First contact your care manager or their supervisor if needed. You may also contact the Bureau of Disabilities Services at bds.help@fssa.in.gov.
Question: Who is responsible for conducting functional eligibility for a Level of Care for H&W, Pathways and TBI waivers?
Answer: The Area Agencies on Aging. This has not changed.

Additional FAQs are available on the FSSA Medicaid Strategies webpage.