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Indiana Medicaid Waivers

In the past, Medicaid only paid for long term care services that were provided in an institution, such as nursing facilities and group homes. The waiver program "waives" the requirement of an admission into an institution in order for Medicaid to pay for the needed Home and Community-Based Services (HCBS).

The Office of Medicaid Policy and Planning (OMPP) is responsible for the development and operation of the waiver program, in agreement with the Division of Aging and the Division of Disability and Rehabilitative Services. Each Division works to create the service definitions and standards for services and providers and then certifies provider applicants in order to provide the Waiver services.  Indiana has five waiver services programs:

Nursing Facility level of care waivers:

  • Aged and Disabled Waiver
  • Traumatic Brain Injury Waiver

These waivers are for children and adults whose needs are primarily medical, and assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home

Developmental Disability (ICF-MR)  level of care waivers:

  • Autism Waiver
  • Developmental Disabilities Waiver
  • Support Services Waiver

These waivers are for children and adults with a developmental disability, and assist a person to: Become involved in the community where he/she lives and works; Develop social relationships in the person's home and work communities; Develop skills to make decisions about how and where the person wants to live; Be as independent as possible