Aged and Disabled Waiver & Traumatic Brain Injury Waiver Recipients and Their Families Prompted to Take Immediate Action

FSSA is sending another important and time-sensitive reminder for the Aged and Disabled and Traumatic Brain Injury waiver members, their families, providers, and care managers. If a legally responsible individual is providing attendant care to a waiver member, the deadline for completing a transition plan with your care manager is June 15, 2024. Families should take action now by contacting their care manager.

FSSA announced in January that waiver members who receive attendant care provided by a legally responsible individual would need to transition to an alternative paid caregiver through attendant care or to Structured Family Caregiving by July 1. An LRI is defined as a parent of a minor child or a spouse.

Waiver recipients who have an LRI providing attendant care need to take action. Care managers must update the individual’s service plan no later than June 15 to identify the individual’s chosen path forward.  Individuals and families must communicate their choice to their care manager by the deadline.

Aged and Disabled Waiver members and their LRIs who are still in need of an updated service plan prior to July 1 may receive a phone call on behalf of FSSA. If you receive a call or a message, please respond. Individuals who have not heard from their care manager or are having difficulty contacting their care manager can email medicaid@fssa.in.gov with relevant details.

As previously announced, a structured family caregiving tier for individuals under 18 will be determined based on approved attendant care hours during this transition period only. FSSA has completed entering information in the care management system for each waiver recipient under 18 with an LRI providing care, so your care manager can add SFC to your service plan if this is the transition you choose. After July 1, any family who selects structured family caregiving will have their tier determined using the SFC assessment tool. As noted earlier, more detail on the transition choices and process is available in the May announcement.

Effective July 1, 2024, providers of attendant care may not reimburse nor submit claims for any legally responsible individual providing paid care on and after July 1.

For more information on the transition and resources, please visit the Medicaid Strategies webpage.

Note: Effective July 1, 2024, the Aged and Disabled Waiver will become the Health and Wellness Waiver for individuals who are 59 years and younger and the Indiana PathWays for Aging waiver for individuals age 60 and over. The Health and Wellness and Traumatic Injury waivers will be administered by the Division of Disability and Rehabilitative Services. The Indiana PathWays for Aging Waiver will be administered by the Office of Medicaid Policy and Planning. Beginning in July, individuals on the A&D Waiver should expect to see PathWays or H&W referenced on materials they receive from the state or its partners.