Indiana Medicaid & Disability Resource Library 

Indiana County-Based Disability Resources

Find local resources tailored to your county, including disability services, advocacy groups, housing support, and community-based programs.

🔗 Link:

• Indiana County Disability Resource Finder

Grants for Indiana Families and Caregivers

Explore a variety of grants available to Indiana residents, including those for individuals with disabilities, caregivers, and families in need of financial support.

🔗 Links:

• Explore Available Grants (webpage link) 

Transportation Reimbursement Through Medicaid

Get help covering transportation costs for approved medical or waiver-related appointments. Find instructions and forms to submit your mileage for reimbursement through Indiana Medicaid.

🔗 Links:

• Medicaid Gas Reimbursement Information (webpage link) 

Medicaid Rules for Caregiver Income

If you are a live-in caregiver using HIP or another form of Indiana Medicaid, and you are relying on your caregiver payments to be treated as exempt income, the Indiana Health Coverage Programs (IHCP) Policy Manual provides guidance on how these payments are handled. The relevant sections are:

• Section 2835.30.05 – Foster Care Payments

• Section 2810.55.00 – Structured Family Caregiving
  
  

These sections explain how caregiver payments may be excluded from income when determining Medicaid eligibility.

For informational purposes only. Please consult a professional
for advice based on your individual situation.

🔗 Link:

•  Medicaid Eligibility Guide

IRS Rules on Difficulty of Care Payments

Under IRS Notice 2014‑7, payments received from state Medicaid Home and Community-Based Services waivers (like Health & Wellness, Pathways, Family Supports or TBI waivers) for the care of a disabled individual living in the same home are classified as “difficulty of care” payments and are excludable from gross income. This applies even if the caregiver is a relative or the individual they’re caring for contributes to payment.

Important details:

• Only payments made specifically for the care of the disabled person qualify for exclusion 

• Other forms of compensation—such as vacation pay or fees for unrelated services—are not excludable under this rule

🔗 IRS FAQs:

• Certain Medicaid Waiver Payments May Be Excludable from Income (Website) 

• IRS Notice 2014-7 Bulletin (Website) 

Apply for Indiana Medicaid Waiver Programs

Step-by-step guidance on applying for Indiana Medicaid waiver programs that support individuals with disabilities at home and in the community.

🔗 Link:

•  Indiana Medicaid Waiver Application Guide (webpage link) 

How to File a Medicaid Appeal in Indiana

If you’ve been denied Medicaid services or funding—such as home health care, waiver hours, or equipment—you have the right to appeal. This section provides guidance to help you understand your rights, prepare your appeal, and advocate effectively.

📂 What's Included:

• Step-by-step instructions for filing an appeal

• Sample letters and language you can use

• FAQs about deadlines, hearings, and what to expect
  
  

🔗 Visit the Full Resource Page:

• • Indiana Medicaid Appeal Tools & Templates
    (Includes appeal guide, sample letters, and FAQs – all in one place)

IHCP Medical Policy Manual Overview

The IHCP Medical Policy Manual includes a detailed section on Home Health Services for individuals covered by Indiana Medicaid.

This section explains:

✔️ Who qualifies for home health services (must be medically confined to home)

✔️ What services are covered, including skilled nursing, therapy, and aide support

✔️ When prior authorization (PA) is required and when it’s not

✔️ Documentation needed for PA requests

✔️ How many hours may be approved, depending on care needs and family situation

✔️ Which services are not covered (like homemaker or companion care)

✔️ Special billing rules, such as limits on overhead charges and multiple visits

✔️ Clinical indicators for specific conditions like CNS disorders or gastrointestinal issues

This manual is primarily for providers and agencies, but it’s helpful for families to understand the eligibility rules, care standards, and how decisions are made about service approvals.

📄 Link to Manual:

• IHCP Medical Policy Manual – Home Health Services Section (starts on page 197) 

Indiana Medicaid Waiver Manuals

Indiana Medicaid offers several Home and Community-Based Services (HCBS) waivers that allow individuals with disabilities or long-term needs to receive care in their homes or community instead of an institutional setting. Each waiver has its own eligibility criteria, covered services, and program guidelines.

You can access the official manuals below to better understand what each waiver covers, how services are approved, and what responsibilities providers and families have.

🔍 Waiver Programs Covered:

• Health & Wellness Waiver (A&D Waiver) – for individuals who are aged, blind, or disabled and need a nursing facility level of care

• Traumatic Brain Injury (TBI) Waiver – for individuals with a documented traumatic brain injury

• Community Integration & Habilitation (CIH) Waiver – for individuals with intellectual or developmental disabilities requiring high levels of support

• Family Supports Waiver (FSW) – for individuals with intellectual or developmental disabilities who need ongoing services but not 24/7 care
  
  

🔗 Access Waiver Manuals:

• Indiana PathWays Participant Handbook

PathWays For Aging Waiver Program Guide

A helpful overview for participants in the PathWays program, including eligibility, covered services, and tips on working with care coordinators.

🔗 Link:

• • •  Indiana PathWays Participant Handbook (PDF) 

Indiana Medicaid State Plan Explained