Eligibility for all state waiver programs requires:

• The recipient must meet Medicaid guidelines.
• The recipient would require institutionalization in the absence of the waiver and/or other home-based services.
• The total Medicaid cost of serving the recipient(s) on the waiver (waiver cost plus other Medicaid services), cannot exceed the total cost to Medicaid for serving the recipient(s) in an appropriate institutional setting(s).
  
  

Indiana administers six (6) home and community-based waivers.

Three (3) of the waivers assist individuals who meet Intermediate Care Facility for the Mentally Retarded (ICF-MR) level of care and they are:

• Autism Waiver

The Autism Waiver provides community supports to Medicaid eligible individuals with Autism, including Autism Spectrum Disorder. Individuals on this waiver must meet ICF-MR level of care. This waiver is designed to provide services for individuals living with family, or in other community settings, in order for individuals to gain and maintain optimum levels of self determination and community integration while allowing flexibility in the provision of those supports.

• Developmental Disabilities Waiver

The Developmental Disabilities (DD) Waiver provides services to Medicaid eligible individuals with developmental disabilities. Individuals on this waiver must meet ICF-MR level of care. The services available through this waiver are designed to assist individuals with remaining in their own homes or in community settings, and assists those individuals who transition from state operated facilities or other institutions to community settings. This waiver is designed to provide support for individuals to gain and maintain optimum levels of self determination and community integration while allowing flexibility in the provision of those supports.

• Support Services Waiver

The Support Services (SS) Waiver provides support to Medicaid eligible individuals with developmental disabilities. Individuals on this waiver must meet ICF-MR level of care. These individuals may be residing with their families, or in other settings with informal supports.

The other three (3) waivers assist individuals who meet nursing facility level of care and they are:

• Aged and Disabled Waiver

• Assisted Living Waiver

• Traumatic Brain Injury Waiver

For more information on these waivers or how to apply for services, please visit the Indiana Family & Social Services Administration at: www.in.gov/fssa/elderly/medicaid/index.html