The Indiana Health Coverage Programs (IHCP) pays for services for eligible individuals who choose to remain in their home as an alternative to residing in a long-term care institution, such as a nursing facility or intermediate care facility for individuals with intellectual disabilities (ICF/IID).These services are offered through Home- and Community-Based Services (HCBS) programs intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.
The IHCP HCBS programs are operated through the Indiana Family and Social Services Administration (FSSA) agencies listed below. Click the links to find out more about each HCBS program.
- The Division of Disability, Aging and Rehabilitative Services (DDARS) operates four HCBS waiver programs for individuals with intellectual and/or physical disabilities:
- The Office of Medicaid Policy and Planning (OMPP) oversees the following HCBS waiver program for individuals who are 60 years of age or older and who meet the requirements for a nursing facility level of care (NF LOC):
- The Division of Mental Health and Addiction (DMHA) operates three HCBS programs addressing the mental health needs of children and adults:
HCBS Provider Certification and Enrollment
Providers that wish to participate in an HCBS program and receive IHCP reimbursement for covered services must complete the following two-step process:
- First, the provider must receive certification or approval from the appropriate FSSA agency, as follows:
- For FS or CIH waiver services, providers must submit a request for certification to the Bureau of Disabilities Services (BDS). For more information visit the BDS Developmental Disabilities webpage.
- For TBI, H&W or PathWays waiver services, providers must submit a request for certification to the OMPP. For more information visit the OMPP Medicaid HCBS Certification webpage.
- For AMHH, BPHC or CMHW services, providers must be approved by the DMHA. For more information, visit the DMHA Child Mental Health Wraparound webpage, the DMHA Adult Mental Health Habilitation Services webpage or the DMHA Behavioral and Primary Healthcare Coordination webpage.
- After the certification or approval is completed with the appropriate FSSA agency, the provider must enroll in the IHCP under the applicable provider type and specialty for the HCBS program in which they will be participating. See the Complete an IHCP Provider Enrollment Application page for more information about that process.
More Information for HCBS Providers
Information about providing CIH, FS, H&W or TBI waiver services can be found in the DDARS HCBS Waivers provider reference module.
Information about providing PathWays waiver services can be found in the OMPP HCBS Waiver: PathWays provider reference module.
Information about providing AMHH, BPHC and CMHW services can be found in the following provider reference modules:
For additional information about HCBS claim completion, reimbursement and related topics, see the HCBS Billing Guidelines provider reference module.