Enrollment Begins February 2024. Call 87-PATHWAY-4 (877-284-9294) to learn more.
With PathWays, you get support your way – to live life your way.
The Indiana Family and Social Services Administration will launch a new program in 2024 for Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits. Research shows that most older adults want to age at home. Or they want to age independently in their communities. The State believes 75 percent of Hoosiers who join the program will be able to get long-term care at home. With PathWays, older Hoosiers can pick a health plan. And that plan will help them to get the services and support they need to live as independently as possible. The program will not change or expand Medicaid benefits. But each qualifying Hoosier will have a care and services coordinator. These coordinators will help them get all the benefits for which they qualify. Hoosiers in the program may qualify for support like transportation to their doctor’s office. Or they may qualify for help in making meals. Or they may qualify for home-health visits or going to an adult day center. There are many other services and support available. It all depends on what the senior is qualified to receive. About 120,000 Hoosiers qualify for this program in Indiana.
Frequently Asked Questions
We traveled the state speaking with Hoosiers aged 60 and over. Here are their top questions about PathWays.
- What is changing?
It is good news. Right now, Medicaid for long-term care can be confusing. And you might not be using all the benefits available to you. You need those benefits to get the services and support you need. That support can help you live as independently as possible, for as long as possible. With the PathWays program, you can pick a health plan. And that plan will help you to get the services and support you need to live independently. The program will not change or expand Medicaid benefits. But each qualifying senior will have a care coordinator and services coordinator. These coordinators will help you get all the benefits for which you qualify.
- How can I get started with this new program?
In February 2024, you will be able to pick a health plan. Please watch for a letter from the Indiana Family and Social Services Administration. That letter will tell you where to call to pick your plan.
- How will I know if I qualify?
In the PathWays program you will have one phone number to call. That is the starting point for everything. The first step will be to see if you qualify. If so, the next step is to see what level of care you need and talk about your options. From there, your care and support coordinators will connect you directly to services and support in your own community. You will have someone there to help you every step of the way.
- What kind of "support and services" will be available to me?
Depending on the level of care you need, you could qualify for home-health support. You may also qualify for personal-care support or services to modify your home. Or you may qualify for assisted living. If you need a nursing facility, that is still an option in the PathWays program. And nursing-facility care is an option for long-term care or rehab services too. Your PathWays health plan support benefits may also cover transportation to your doctor’s office. Or help with making meals or bathing. And there are many other support services you could qualify for to help you live independently.
- If I need a nursing home for care, can I still get that?
Yes. If you should ever need a nursing facility to help care for you, that is available through the PathWays program.
Indiana PathWays for Aging Roll-Out Timeline:
| PathWays Activities: | Dates: |
|---|---|
| First notice from FSSA | February 2024 |
| Enrollment begins | February 2024 |
| Coverage begins | July 2024 |
Stakeholder Engagement
Stakeholder engagement is essential, and FSSA is committed to co-designing an Indiana PathWays for Aging program that is right for older Hoosiers. The state is engaging national experts, providers, members and caregiver communities to ensure a diverse range of voices is represented.
