Residential Information
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Intended to answer questions related to developmental disabilities, this section provides residential and community living information.
(Click on any large letter below to return to TOP of page)
- Active Treatment
- A requirement within the definition of ICF-MR (mandated by the Code of Federal Regulations in order for Medicaid to reimburse for ICF-MR residential services):
(1) The program is continuous and includes aggressive consistent implementation of specialized and generic training, treatment, health services and related services.
(2) The program is directed toward the acquisition of the behaviors necessary for the individual to function with as much self-determination and independence as possible, or the program is directed towards the prevention/deceleration of regression or loss of current optimal functional status. (3) Does not include services to maintain generally independent individuals who are to function with little supervision or in the absence of a continuous active treatment program.
(4) Does not include physical assistance for persons who are unable to physically perform tasks but who understand the process needed to do them. - Activities of Daily
- The basic skills of everyday living such as bathing, dressing, eating, grooming, toileting, and the skills necessary to maintain the normal routines of the day, such as housekeeping, shopping, and preparing meals. The term may also include personal, social, and communication skills.
- Adult Foster Care
- Now known as Alternative Family for Adults.
- Alternative Families for Adults and Children (AFA & AFC)
- Individuals live with a householder. Services are intended to be nurturing of the individual in anticipation of moving to a more independent setting. Provides integration in the community in a safe environment for people with disabilities who want to live in a family setting but are unable to live independently. A family or individual provides supervision and personal care while allowing the individual to maintain a great deal of independence. Coordinated and funded by the Bureau of Developmental Disabilities Services (BDDS).
- Area Agencies on Aging (AAA or "Triple A")
- (16 across state) Offers a network of services for older adults and their caregivers, and serves as the point of entry for in-home services (CHOICE and Medicaid Waiver) for people with disabilities, regardless of age.
(800) 432-2422
Area 1
Agency on Aging, LCEOC, Inc.
Area Agency on Aging for Lake, Porter, Newton, Jasper, Starke, and Pulaski counties.
Address: 5518 Calumet Avenue,
Hammond, IN 46320
800-826-7871Area 2
Agency on Aging, REAL Services, Inc.
Area Agency on Aging for LaPorte, St. Joseph, Elkhart, Marshall, and Kosciusko counties.
Address: 1151 S. Michigan St., S.
Bend, IN 46634
800-552-2916Area 3
Aging and In-Home Services of Northeast Indiana, Inc.
Area Agency on Aging for LaGrange, Steuben, Noble, Dekalb, Whitley, Allen, Huntington, Wells, and Adams counties.
Address: 201 E. Rudisill Blvd.,
Ft. Wayne, IN 46806
800-552-3662Area 4
Area IV Agency on Aging & Community Services, Inc.
Area Agency on Aging for Benton, White, Carroll, Warren, Tippecanoe, Clinton, Fountain, and Montgomery counties.
Address: 660 N. 36th St.,
Lafayette, IN 47903-4727
800-382-7556Area 5
Area Five Agency on Aging & Community Services, Inc.
Area Agency on Aging for Fulton, Cass, Miami, Wabash, Howard, and Tipton counties.
Address: 1801 Smith St., Suite 300,
Logansport, IN 46947
800-654-9421Area 6
Community and Senior Services, Inc.
Area Agency on Aging for Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry counties.
Address: 1701 Pilgrim Dr., Yorktown, IN 47396
800-589-1121Area 7
Agency on Aging and Disabled West Central Indiana Economic Development District, Inc.
Area Agency on Aging for Vigo, Vermillion, Parke, Putnam, Clay, and Sullivan counties.
Address: 1718 Wabash Ave., Terre Haute, IN 47808
800-489-1561Area 8
CICOA The Access Network
Area Agency on Aging for Boone, Hamilton, Henricks, Marion, Hancock, Morgan, Johnson, and Shelby counties.
Address: 4755 Kingsway Dr., Suite 200,
Indianapolis, IN 46205-1560
800-489-9550Area 9
In-Home and Community Services
Area Agency on Aging for Wayne, Rush, Fayette, Union, and Franklin counties.
Address: 520 S. 9th St., Suite 100,
Richmond, IN 47374
800-458-9345Area 10
Agency on Aging of Owen and Monroe Counties, Inc.
Area Agency on Aging for Owen and Monroe counties.
Address: 2129 Yost Ave.,
Bloomington, IN 47401
800-844-1010Area 11
Area XI Agency on Aging, Inc.
Area Agency on Aging for Brown, Bartholomew, Decatur, Jackson, and Jennings counties.
Address: 1635 N. National Rd.,
Columbus, IN 47202-0904
812-372-6918Area 12
Council on Aging and Community Services, Inc.
Area Agency on Aging for Ripley, Ohio, Dearborn, Jefferson, and Switzerland counties.
Address: 12794 North St.,
Dillsboro, IN 47018
812-432-5215Area 13
Agency on Aging Vincennes University Community Service Center Older Hoosier Program
Area Agency on Aging for Greene, Knox, Daviess, Martin, Pike, and Dubois counties.
Address: P. O. Box 314,
Vincennes, IN 47591
800-742-9002Area 14
Lifespan Resources, Inc.
Area Agency on Aging for Clark, Floyd, Harrison and Scott counties.
Address: 426 Bank Street, Suite 100, P.O. Box 995
New Albany, IN 47150-0995
(812) 948-8330
FAX (812) 948-0147Area 15
Hoosier Uplands Economic Development Corporation
Area Agency on Aging for Crawford, Orange, Lawrence, and Washington counties.
Address: 521 W. Main St.,
Mitchell, IN 47446
800-333-2451
Area 16
Southwestern Indiana Regional Council on Aging, Inc.
Area Agency on Aging for Gibson, Posey, Vandeburgh, Warrick, Spencer, and Perry counties.
Address: 16 W. Virginia St.,
Evansville, IN 47737
800-253-2188 - Basic Developmental Residence
- A licensed community residential facility (group home) for adults having severe and profound levels of developmental disabilities, supervised and staffed at 10 hours per day per resident, and providing training in at least one of the following areas: activities of daily living, communication, behavioral training, behavior management.
- Behavior Management
- Techniques to create or manipulate an environment to decrease maladaptive or inappropriate behaviors, or to increase appropriate, socially acceptable behaviors.
- Bureau of Developmental Disabilities Services
Central Office and 8 District Offices - BDDS is part of the Division of Disability & Rehabilitative Services, a division of the Indiana Family and Social Services Administration (FSSA).
As a state agency, BDDS coordinates services for individuals with developmental disabilities in order for them to become as capable and self-sufficient as possible. At the local level, the BDDS Service Coordinator is the placement authority and works with individuals with developmental disabilities and their families to plan and access community residential services. BDDS funds residential services to provide for the individual as long as their services are needed.
BDDS also funds long-term vocational/employment support services and developmental/rehabilitation services, and support services such as transporation, after an eligible individual's time-limited services through Vocational Rehabilitation (VR) have concluded. (See EMPLOYMENT: Supported Employment, Sheltered Employment, and Vocational Rehabilitative services, and GENERAL INFORMATION: Habilitation Training) BDDS services emphasize person-centered planning, and the development of personal skills and outside supports needed for individuals to live independently and be fully included in the community.
Eligibility To be eligible to receive developmental disabilities services, the individual must meet the following five criteria:
(1) Physical and/or mental impairment (other than a sole diagnosis of mental illness)
(2) Originated before age 22
(3) Expected to continue indefinitely
(4) Have an impairment which requires intensive, rehabilitative services which lead to greater functional independence
(5) Have substantial limitations in at least three of the following:
self-care;
language;
learning; mobility;
self-direction; capacity for independent living; and
economic self-sufficiency.(Note: The presence of a developmental disability does not indicate that the person with the disability can not make choices and decisions about their own lives, or that they will not be able to work or to live independently, for example, but that they may require ongoing supports to do so.)
Services may be available to individuals at least 16 years of age who are no longer participating in a secondary educational program, who have been determined by the BDDS service coordinator or Vocational Rehabilitation services staff to be eligible for developmental disability services.
Eligibility is determined without regard to race, color, current age, sex, or national origin. However, there may not be sufficient resources available to serve everyone who is eligible and needs a particular service (i.e. there is no law mandating services for adults with developmental disabilities). Most residential services have waiting lists, for which the State establishes priorities. Emergency situations are given preference for most residential services.
To Apply
For EmploymentVocational or Developmental/Rehabilitation Services
(1) Contact the nearest Vocational Rehabilitation office. (See EMPLOYMENT: Vocational Rehabilitation services)
(2) After completing VR-funded services, which are time-limited, the VR Counselor may determine your eligibility for continued services funded by BDDS.For Residential Services
(1) Contact the nearest BDDS District office (see listing of District Offices which follows) and speak with a Service Coordinator.
(2) Be prepared to supply documentation of the disability. This could include school transcripts, medical records, records of current or previous services, work history, or social security information.
(3) A medical examination and a diagnostic evaluation may be needed to further document the disability and/or the limitations it presents, to verify eligibility for BDDS services and to help plan residential services based on the individual's needs and preferences.Services & Cost Residential services arranged through BDDS may include independent living supports through a Medicaid Home and Community-Based Waiver, Semi-Independent Living Programs (SILP), Supported Living, Family Subsidy, Alternative Families for Children or Adults, Group Homes (also called Supervised Group Living), Large Private Intermediate Care Facilities, and State Developmental Centers. (Indiana recently moved to close two State Developmental Centers in favor of community living in smaller, more integrated and more homelike settings with supports for individuals with developmental disabilities.)
Funding for services is largely from public funds. Developmental/habilitation and vocational/ employment support services through BDDS are generally provided at no cost to eligible individuals. Transportation to these services may need to be paid by the individual. The majority of funding for residential services is covered by Medicaid or other State funding. BDDS Service Coordination and diagnostic evaluations are provided at no cost to the individual. Individuals are expected to contribute a portion of their income and benefits (such as SSI) toward the costs of their living expenses and services.
BDDS Central Office MS18
Deputy Director: Steve Cook
P. O. Box 7083
Indianapolis, IN 46207-7083
(317) 232-7842BDDS District 1 - Merrillville E-mail mroyster@fssa.state.in.us
Serving Benton, Carroll, Jasper, Lake, LaPorte, Newton, Porter, and White counties.
Address: 5800 Broadway, Suite P, Merrillville, IN 46410 219-887-0503BDDS District 2 - South Bend E-mail SMcColly@fssa.state.in.us
Serving Cass, Elkhart, Fulton, Kosciusko, LaGrange, Marshall, Pulaski, Starke, and St. Joseph counties.
Address: 215 S. St. Joseph St., South Bend, IN 46601-2022 219-232-1412BDDS District 3 - Fort Wayne E-mail nbobay@fssa.state.in.us
Serving Adams, Allen, Blackford, Dekalb, Grant, Huntington, Noble, Steuben, Wabash, Wells, and Whitley counties.
Address 219 W. Wayne St., Fort Wayne, IN 46802 219-423-2571BDDS District 4 - Greencastle E-mail LBaugh2@fssa.state.in.us
Serving Clay, Clinton, Fountain, Hendricks, Lawrence, Monroe, Montgomery, Owen, Parke, Putnam, Tippecanoe, Vermillion, Warren, and Vigo counties.
Address: 608 Tennessee St., Greencastle, IN 46135 765-653-2468BDDS District 5 - Indianapolis E-mail twashburn@fssa.state.in.us
Serving Boone, Hamilton, Hancock, Howard, Johnson, Marion, Miami, Morgan, Rush, Shelby, and Tipton counties.
Address: 4701 N. Keystone Ave., Indianapolis, IN 46205-1541 317-254-2065BDDS District 6 - Muncie E-mail DSmith@fssa.state.in.us
Serving Delaware, Henry, Jay, Fayette, Franklin, Union, Madison, Randolph, and Wayne counties.
Address: 1100 Martin Luther King Blvd., Suite 4, Muncie, IN 47304 765-288-6516BDDS District 7 - Evansville E-mail MRobinson2@fssa.state.in.us
Serving Daviess, Dubois, Gibson, Greene, Knox, Martin, Perry, Pike, Posey, Spencer, Sullivan, Vanderburgh, and Warrick counties.&
Address: 100 N. St. Joseph Ave., Evansville, IN 47712 812-423-8449BDDS District 8 - Clarksville E-mail GHill@fssa.state.in.us
Serving Clark, Crawford, Floyd, Harrison, Jefferson, Orange, Scott, and Washington counties.
Address: 1452 Vaxter Ave., Clarksville, IN 47131-2517 812-522-5859
Seymour Serving Bartholomew, Brown, Dearborn, Decatur, Jennings, Jackson, Ohio, Ripley, and Switzerland counties.
Address: 200 E. Third St., Seymour, IN 47274-0930 812-283-1040 - Child Rearing Residence
- A licensed community residential facility (group home) for children only, staffed at 8 hours a day per resident, providing developmental training for residents who function on a similar behavioral level. Residents must be younger than 18 or still enrolled in a public school program.
- Child Rearing Residence with Behavior Management
- A Child Rearing Residence staffed with personnel and/or behavior management consultants who develop and monitor behavioral training in addition to the developmental training for the residents.
- Community and Home Options to Institutional Care for the Elderly and Disabled (CHOICE)
- CHOICE services are designed to provide an option to institutional care by offering support services to assist the individual to remain in their own home.
Eligibility
(1) The applicant has functional limitations which are expected to last indefinitely.
(2) CHOICE services are not restricted by age; in fact 20% of the funds must be spent for those under the age of 60.To Apply
(1) To apply, contact the AAA office for your area, listed in the "A" section above.
(2) All applicants for CHOICE must be assessed by a AAA care manager. If the applicant is not eligible for CHOICE services, he may be eligible for other services. The care manager will inform the applicant of other services which may be available.Services & Cost
CHOICE services may include:& home-delivered meals, personal care, care management, respite care, transportation, minor home modifications, adaptive aids and devices.
(1) AAA and the applicant must exhaust all other formal payment sources for funding services in the home before using CHOICE funds.
(2) CHOICE services are for people of all income levels. Applicants are not required to spend their savings or investments before they qualify. There are cost share provisions for those with greater incomes.
(3) CHOICE services are limited by available funds, and are 100% funded by the State of Indiana.- Community Residential Facility (aka Group Home aka Supervised Group Living aka Small ICF/MR) (See Group Home.)
- Division of Disability & Rehabilitative Services (DDRS) (See DDARS in GENERAL INFORMATION) Also see DDRS webpage.
- Family Subsidy Program
- Provides time-limited support to individuals and/or their families to fill gaps in services in order to support the individual outside of an institutional setting. Service categories include medical treatment, special diets, therapeutic equipment, special clothing, transportation, homemaker services, behavior management, and respite care and may be utilized only when other funding streams are not available. Coordinated and funded by the Bureau of Developmental Disabilities Services local offices.
- Group Home aka Supervised Group Living (SGL) aka Small ICF/MRs aka Community Residential Facility
- From four to eight individuals with developmental disabilities living together in a home in the community. There is 24 hour supervision by paid staff who provide assistance and training to help residents develop daily living skills, with programming for each individual's active treatment needs. These residential facilities are licensed to operate as one of the following types: Basic Developmental Residence, Child Rearing Residence (with or without Behavior Management Program), Intensive Training Residence, or Sheltered Living Residence. Most group homes are funded by Medicaid, and placements are coordinated through the Bureau of Developmental Disabilities Services (BDDS).
- Group Home Program Level and Staffing hours per day per resident:
- Sheltered Living Residence/4.5 staffing hours per day per resident;
Intensive Training Residence/6 staffing hours per day per resident;
Child Rearing Residence/8 staffing hours per day per resident;
Developmental Training Residence/8 staffing hours per day per resident;
Basic Developmental Residence/10 staffing hours per day per resident;
Child Rearing Residence with a Specialized Program/10 staffing hours per day per resident;
Small Behavior Management Residence for Children/12 staffing hours per day per resident. - Home Ownership
- Many people prefer the security of private home ownership over renting an apartment or living in someone else's home. Services may be arranged to be provided in the person's own home. Besides increased personal control, other benefits of home ownership include the consistency of the home environment.
- Individual Community Living Budget (ICLB)
- A personalized budget, approved by the BDDS service coordinator, using State financial support for individualized support services for individual living in the community.
- Intensive Training Residence
- A licensed community residential facility (group home) for adults with developmental disabilities, staffed at 6 hours per day per resident, and providing structured, comprehensive training in at least one of the following areas for residents to progress to a less restrictive setting:
Activities of daily living;
Communication;
Behavioral training;
Behavior management;
Leisure time. - Intermediate Care Facility for Persons with Mental Retardation (ICF/MR)
- A facility in which individuals with developmental disabilities live together. There is 24 hour supervision by paid staff who provide assistance and training to help residents develop daily living skills, with programming for each individual's active treatment needs.
These residences may be large, privately operated facilities housing from 40 to 200 persons, or group homes for 4 to 8 residents (small ICF/MRs). ICF/MR residential services are funded by Medicaid, and placements are coordinated through the Bureau of Developmental Disabilities Services. (Also see Group Homes and Large Private Intermediate Care Facilities for the Mentally Retarded)
- Large Private Intermediate Care Facilities for the Mentally Retarded (LP-ICFs/MR)
- Individuals with developmental disabilities having medical needs, as well as needs to eliminate significant behaviors, may be admitted to these large facilities. These facilities have from 9 to 200+ residents. ICF/MR residential services are funded by Medicaid, and placements are coordinated through the Bureau of Developmental Disabilities Services (BDDS).
- Medicaid Waiver Services
-
Indiana Medicaid Waivers make use of federal Medicaid funds (plus state matching funds) for Home and Community-Based Services (HCBS) as an alternative to institutional care, under the condition that the overall cost of supporting people in the home or community is not more than the institutional cost.
The Office of Medicaid Policy and Planning (OMPP) is responsible for the development and operation of the Waivers, in agreement with the Division of Aging and the Division of Disability & Rehabilitative Services (DDRS). Each division works to create the service definitions and standards for services and providers and then certifies the applicants in order to provide the Waiver Services.
Once you have made application with the appropriate office below, your name will be placed on the waiting list for which you apply. Your name will be placed on the waiting list for each type of Waiver for which you apply, according to your date of the application. The number of Waivers available is limited and a wait may be expected, so early application is advised.
Division of Aging Waivers
Supporting children and adults whose needs are primarily medical in nature, the Nursing Facility Level of Care Waiver (also known as the Medical Model Waivers) includes two Waivers:
- Aged and Disabled Waiver (A&D)
- Traumatic Brain Injury Waiver (TBI)
To apply for one of these Waivers, contact your nearest local Area Agency on Aging. [Will link to Aging website]
DDRS Waivers
Supporting children and adults with developmental disabilities who require ICF/MR Level of Care, the Intermediate Care Facility for the Mentally Retarded (ICF/MR) Level of Care Waiver (also known as the Developmental Disability (DD) Waivers) includes three types of Waivers:
- Autism Waiver
- Developmental Disabilities (DD) Waiver
- Support Services (SS) Waiver
- Nursing Facilities (NF)
- For individuals who have a Developmental Disability, and a serious and unstable medical condition. Admission to Nursing Facilities require Pre-Admission Screening by a local Area Agency on Aging (AAA).
- Personal Care Assistant or Personal Care Attendant
- Personal care services may aid a person who needs assistance for physical health or care issues, such as medication administration, bladder care, range of motion and positioning exercises. These services are managed by the person with a disability.
- Personal Profile or Person-Centered Assessment
- Developed with the individual and his or her family, friends, and significant others, often facilitated by staff providing services. Presents information about the individual to assist in developing employment opportunities and other individualized supports needed for the person with a disability to live and partipicate fully in the community. May include such information as:
Individual's personal goals, hopes/dreams for the future (wants for his or her life, now and later); The person's talents, gifts, natural abilities, interests, preferences, dislikes;
His or her personal skills (socially as well as community living and participation, self and home care, vocational and employment, communication, mobility, academic, self-management, recreation and leisure;
The person's learning style and effective learning strategies;
Current relationships and natural supports;
Supports needed (services, relationships, accommodations or adaptations). - Residential Living Allowance
- An amount of funds allowed in the Individual Community Living Budget for living expenses.
- Section 8 Rent Subsidy
- For individuals on a limited income, who have the skills necessary to live independently. Rent subsidies such as Section 8 certificates may be available through the local housing authorities. These subsidies allow people with limited income to live in an integrated environment in a regular apartment building.
- Semi-Independent Living Program (SILP)
- One or two individuals live in a setting of their own choosing. Supervision, training and supports may be as little as one hour per week or more if the individual requires. SILP provides training and counseling in specific areas of independent living such as financial management, grocery shopping, cooking or medical issues, while allowing the person to maintain independence.
- Sheltered Living Residence
- A licensed community residential facility (group home) for adults with developmental disabilities, staffed at 4.5 hours per day per resident, and providing training in at least one of the following areas for residents to achieve an independent lifestyle: activities of daily living, communication, behavioral training, behavior management, use of community resources.
- State Developmental Centers (SDC)
- Individuals whose behaviors are a serious threat to themselves or others may be committed to a developmental center:
(1) Fort Wayne State Developmental Center - serves adults from the northern part of the state.
(2) Muscatatuck State Developmental Center - serves adults from the southern area of the state. - Supervised Group Living (SGL) aka Group Home aka Small ICF/MR aka Community Residential Facility (See Group Home.)
- Supported Living
- A concept challenging the traditional assumption that people with developmental disabilities needed to live in some kind of facility if they did not live with their own families. Individuals live, with personalized supports, in their own homes or apartments (with or without roommates), with the goal of not only living independently in the community, but establishing a sense and security of "place", and personal control over their homes and the assistance they require. Supported living assumes that everyone can live in a home of their own if given appropriate support, and (like Supported Employment) that people can learn most easily in the actual environment.
- Waivers (See Medicaid Waiver Services)
