Indiana program guide
Health & Wellness Waiver
Guide last reviewed: August 22, 2026. See dated public updates below.
Program participation: ParticipatingFFAC currently provides authorized Attendant Care and Home & Community Assistance for eligible Health & Wellness Waiver participants across Indiana, subject to the approved service plan and caregiver availability.
Important limits: eligibility, coverage, and availability
Health & Wellness Waiver: at a glance
- Who it generally serves
- People age 59 or younger who meet nursing-facility level-of-care and other program requirements.
- Does Family First currently serve it?
- Participating.Check your county and current staffing availability.
- What Family First provides
- Attendant Care and Home & Community Assistance, when authorized and currently available.
- What should I do next?
- Check your program, health plan when applicable, county, authorized service, and current caregiver availability before making a change.
Start here: get help with this program
Indiana’s Level of Care Assessment Representative and FSSA resources explain current intake and assessment steps. Ask the case manager or service coordinator which path applies.
Find official program contacts · Read eligibility and coordination details
Ask about FFAC careExplore all 21 waiver servicesIncludes services FFAC does not provide. Open only the details you need.
What’s on your waiver?
Health & Wellness Waiver Services in Indiana
This waiver includes multiple kinds of support. Enrollment does not automatically authorize every service below; the participant’s assessed needs, goals, person-centered service plan, and program requirements determine which services may be approved.
Information reviewed .
What changed in Indiana’s waiver programs? Checked September 10, 2026
Approved changes, not just proposals
FSSA reports CMS approval of amendments effective August 1, 2026 for H&W, TBI, PathWays, CIH, and Family Supports. The proposed live-in caregiver rate adjustments in bulletin BT202673 were rescinded. This does not establish an individual’s eligibility, hours, or caregiver approval. Read FSSA’s approval notice (PDF).
Case management and future Waiver Reset
Contracted case management changed August 1 for the BDS waivers and PathWays fee-for-service. PathWays managed-care members should work with their health plan. FSSA describes the Youth Waiver as targeted for July 2027 and adult Waiver Reset for 2028; these are future plans, not programs FFAC currently offers. Check FSSA’s current transition guidance.
Waiting lists are different from provider staffing
A waiver invitation, Medicaid enrollment, service authorization, and an available caregiver are different steps. PathWays waiver services can have a waiting list even though the overall PathWays managed-care program does not. For current information, use Indiana’s official waiting-list page and the instructions in your notice.
This update checks the linked public guidance, not FFAC’s contracts or every individual service rule. Confirm personal next steps with your coordinator or health plan.
Read eligibility, application, and coordination details
Plain-language overview
Health & Wellness Waiver is one of Indiana’s Home- and Community-Based Services (HCBS) waivers. Waivers let eligible people receive authorized supports in community settings as an alternative to institutional care.
Who the program generally serves
People age 59 or younger who meet nursing-facility level-of-care and other program requirements.
Eligibility and level of care
Eligibility generally includes Medicaid financial rules and program-specific functional or diagnostic requirements. “Level of care” is the assessed support threshold for the program. FFAC does not perform or approve these determinations.
How to apply
Indiana’s Level of Care Assessment Representative and FSSA resources explain current intake and assessment steps. Ask the case manager or service coordinator which path applies.
How services are coordinated
A case manager, service coordinator, health plan, or program-specific coordinator helps develop and maintain the participant-centered plan. Services must appear in the approved plan before FFAC can provide them.
Provider choice and an existing caregiver
Participants generally choose among providers available for the program, service, county, authorization, and applicable network. An existing caregiver may apply to work through FFAC, but the person must qualify, be hired, and complete screening, training, documentation, and employment requirements. Relationship rules and authorization still apply.
FFAC participation and availability
Program participation:Participating
Current service availability:Check your county and current staffing availability.
Review FFAC’s Attendant Care information and Home & Community Assistance information before contacting FFAC about an authorized service.
Related FFAC services and next steps
Official Indiana resource
Indiana FSSA / OMPP: Health & Wellness Waiver
Official Indiana Medicaid HCBS waiver information
Frequently asked questions
Does FFAC currently serve the Health & Wellness Waiver?
Program participation: Participating. Current service availability: Check your county and current staffing availability.
Does FFAC determine eligibility or level of care?
No. Indiana Medicaid and its administering entities make those decisions. FFAC is a service provider.
Can program rules change?
Yes. Check the linked official Indiana resource and confirm with the case manager, service coordinator, or health plan.