Indiana PathWays for Aging HCBS Waiver¶
Indiana’s PathWays HCBS Waiver provides services that help eligible people age 60 or older live in community settings. It requires nursing-facility level of care and compatible Medicaid coverage. Waiver enrollment is separate from enrollment in the PathWays managed care program.
Home and community-based services under an approved service plan. The waiver can help a participant remain at home or move from a nursing facility to a community setting. Waiver capacity is limited. PathWays managed care enrollment alone does not establish waiver eligibility.
Some details for this program are still being verified. Check the official source for the most current information.
Questions to ask the program¶
These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.
- Does the person receiving care live in Indiana? — Residency is usually the first thing a program checks.
What this record does not yet say¶
- complete medicaid financial and category rules
- immigration rules and october 2026 change
- full service plan and level of care assessment
- current waitlist priority and capacity
- individual benefit and cost sharing amounts
- complete conditional document checklist
- full waiver decision timeline
Services¶
Home and community-based services under an approved service plan. The waiver can help a participant remain at home or move from a nursing facility to a community setting. Waiver capacity is limited. PathWays managed care enrollment alone does not establish waiver eligibility.
How to apply¶
- If already enrolled in PathWays, contact your assigned managed care entity about an HCBS waiver assessment and service coordination.
- If not enrolled, contact Indiana LCAR–Maximus at 833-597-2777 to request a nursing-facility level-of-care assessment. A local AAA or ADRC can help with the referral.
- DFR determines compatible Medicaid coverage and financial eligibility. Waiver approval, an approved service plan, and a start date are separate requirements.
- Check the waiver waiting-list process and update your contact information with your plan or intake team. A general PathWays health-plan enrollment is not an HCBS waiver approval.
Use the official program page for application details: official program page.
Age and Medicaid category review¶
- PathWays has disability-based groups for ages 60–64. Disability verification is not required for people age 65 or older. All applicants still need nursing-facility level of care, compatible Medicaid coverage, and a separate waiver review. [Official source]
Medicaid status rules change October 1¶
- Indiana announced Medicaid immigration-status changes effective October 1, 2026. DFR must review the applicable category. This record is due for review before that date. [Official source]
Assessment timing is one step¶
- LCAR typically issues a level-of-care determination within 11 calendar days after receiving a request, with an exception for completed assessments from qualified entities. The provider module separately requires an outcome letter within 10 working days after the determination. Neither period is a deadline for full waiver enrollment. [Official source]