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The Family and Social Services Administration was established by the General Assembly in 1991 to consolidate and better integrate the delivery of human services by state government. FSSA is led by the Secretary who is appointed by the Governor and is a member of the Governor's cabinet.

FSSA is a health care and social service funding agency. Ninety-four percent of the agency's total budget is paid to thousands of service providers ranging from major medical centers to a physical therapist working with a child or adult with a developmental disability. The six care divisions in FSSA administer services to over one million Hoosiers.

Division of Family Resources - Receives applications and approves eligibility for Medicaid, Supplemental Nutrition Assistance Program, Cash Assistance and childcare; implementing a modernized application process using internet, document imaging and call-in services. DFR operates in all 92 counties.

Office of Medicaid Policy and Planning - Administers Medicaid programs for the state of Indiana, including Hoosier Healthwise, Hoosier Care Connect and the Healthy Indiana Plan.

Division of Disability and Rehabilitative Services - Manages the delivery of services to children and adults with developmental disabilities. DDRS oversees the First Steps rehabilitation program for children from birth to age three.

Division of Mental Health and Addiction - Supports network of mental health care providers. DMHA operates six psychiatric hospitals and funds addiction prevention and treatment programs.

Division of Aging - Funds long-term care through Medicaid programs. The Division of Aging supports the development and utilization of alternatives to nursing home care, as well as coordinates and funds services through network of Area Agencies on Aging.

Office of Early Childhood and Out-of-School Learning- Oversees early care and education and out-of-school time programs. OECOSL administers the childcare licensing and inspection program.

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