While all PACE participants must be certified to need nursing home care to enroll in PACE, only about seven percent of PACE participants nationally reside in a nursing home.If a PACE enrollee needs nursing home care, the PACE program pays for it and continues to coordinate the enrollee's care.The Division of Aging oversees two waivers; they are the Aged and Disabled Waiver (A&D) and the Traumatic Brain Injury Waiver (TBI).The Aged & Disabled (A&D) Waiver provides an alternative to nursing facility admission for adults and persons of all ages with a disability.Indiana defines a traumatic brain injury as a trauma that has occurred as a closed or open head injury by an external event that results in damage to brain tissue, with or without injury to other body organs.Examples of external agents are: mechanical; or events that result in interference with vital functions.A table indicating required documents for each waiver service is available for you to review.
This program allows Indiana Medicaid programs to pay for services that are provided in a person’s home or other community setting rather than a Medicaid funded facility or institution.
The following categories of businesses and business practices are prohibited from using the Stripe Service ("Prohibited Businesses").
Prohibited Business categories may be imposed through Network Rules or the requirements of our Financial Services Providers.
This CMS rule requires states to ensure that all Medicaid Waiver services are delivered in settings that meet the requirements of a home and community-based setting.
Please note that effective March 1, 2017, new Assisted Living providers will need to include with their application for certification a waiver of RCF licensure provisions approved by the Indiana State Department of Health for those requirements that are in conflict with the Settings Rule.
For more information, please contact Area 8, CICOA Aging & In-Home Solutions at 317-254-5465.