Serving Indiana · Availability varies · Call 812-521-5022

Family First Attendant Care

Refer a participant

Case managers and service coordinators can refer an Indiana participant to FFAC using this form. FFAC reviews current program and network status, requested service, county, authorization information, and caregiver availability.

Do not submit protected health information, Social Security numbers, Medicaid identification numbers, diagnoses, medical records, medication lists, dates of birth, or clinical documents.