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Indiana Medicaid home care: PathWays, Health and Wellness waiver and family caregiving

Indiana pays for care at home through the PathWays for Aging program for people 60 and older and the Health and Wellness waiver for younger adults, both run by FSSA. Waiver waitlists are long.

Carevo editorial team Updated October 27, 2026 Source checked by Carevo editorial team, October 27, 2026

Indiana pays for care at home through two waivers run by the Family and Social Services Administration (FSSA): PathWays for people 60 and older, and Health and Wellness for people 59 and younger. Both have waiting lists. FSSA's page, with counts dated October 2026, lists 12,680 people waiting for PathWays and 7,141 for Health and Wellness.

The programs

Indiana PathWays for Aging. FSSA describes PathWays as a program for Hoosiers aged 60 and over who receive Medicaid, or Medicaid and Medicare. Participants pick a health plan, and each member gets a care and services coordinator. The PathWays eligibility page says members must be 60 or older with a full-coverage aged, blind or disabled Medicaid category, and either live in a nursing or long-term care facility or be approved for an Aged and Disabled waiver. FSSA lists 877-284-9294 for PathWays.

Health and Wellness waiver. FSSA's waiting list page says this waiver is for individuals 59 and younger. We did not read an FSSA page that sets out its eligibility, so ask your care manager what level of care applies.

Structured Family Caregiving. A service under both waivers that pays a caregiver who lives with you. See Structured Family Caregiving in Indiana.

Waiver slots and waitlists

FSSA's page says 16,127 Health and Wellness slots and 39,842 PathWays slots were approved for the year July 2025 to June 2026, a combined 55,969. It lists 16,127 Health and Wellness slots for July 2026 to June 2027. It also lists a Traumatic Brain Injury waiver with 200 slots for 2026 and a Family Supports waiver.

The page gives these waitlist counts: 12,680 for PathWays and 7,141 for Health and Wellness as of October 2026, 23 for the Traumatic Brain Injury waiver as of September 2026 and 11,455 for Family Supports as of September 2026. In October 2026 FSSA sent 800 PathWays invitations and 250 Health and Wellness invitations. It says people moving from nursing facilities, from the CHOICE program or from hospital discharge get first priority for targeted invitations. Others are invited by original level of care assessment date. The page says people do not have a fixed place in line.

Who can be paid to give care

FSSA guidance effective July 1, 2024 says spouses, parents of minor children and guardians of minor children cannot provide attendant care. Spouses and those parents and guardians can provide Structured Family Caregiving. Adult children, siblings and other relatives can be paid for either. See paid family caregiver in Indiana.

How to start

  1. Call FSSA. Medicaid.gov lists FSSA at 800-403-0864.
  2. Ask for a waiver assessment. FSSA says a person's original level of care assessment date counts as the application date for the waitlist.
  3. Ask your care manager about Structured Family Caregiving if a relative lives with you.
  4. Ask about other help while you wait. Ask whether other Medicaid services are open to you while you wait. We did not read an FSSA page that answers this.

What we have not described

We did not read FSSA pages on the Traumatic Brain Injury waiver, the CHOICE program, assisted living rules or the waivers for people with developmental disabilities, so we do not describe them. Ask FSSA or your care manager. We state no pay rates.

Where Carevo fits

Carevo is a connection platform and directory. We do not run any Indiana program, assess eligibility or vouch for providers. For paid help now, see home care in Indiana, home health in Indiana, nursing homes in Indiana and developmental disability services in Indiana.

Programs in Indiana

  • Structured Family Caregiving (SFC): Structured Family Caregiving pays a caregiver who lives with a waiver participant, including a spouse or parent. FSSA pays an agency a daily rate, and the agency pays the caregiver and coaches them.

Find providers in Indiana

Looking for care?

Tell us your ZIP code and the type of care, and we will show providers that serve your area.

Common questions

Who runs Medicaid in Indiana?

The Indiana Family and Social Services Administration (FSSA). Medicaid.gov lists FSSA at 800-403-0864.

What is the difference between PathWays and the Health and Wellness waiver?

FSSA's waiting list page says PathWays is for individuals aged 60 and older and the Health and Wellness (H&W) waiver is for individuals 59 and younger. Both pay for home and community based services for people who qualify for a waiver.

How long is the waiting list?

FSSA's page, with counts dated October 2026, lists 12,680 people on the PathWays waitlist and 7,141 on the Health and Wellness waitlist. It says people moving out of nursing facilities or hospital discharges get first priority for targeted invitations each month.

Can a family member be paid in Indiana?

Yes, under rules FSSA set from July 1, 2024. A spouse cannot be paid for attendant care but can be paid through Structured Family Caregiving, as can parents of minors and guardians. Most other relatives can be paid for either service. See our Structured Family Caregiving page for the details.

Does Medicaid pay for assisted living in Indiana?

FSSA's waitlist page mentions assisted living reserve capacity that took effect July 1, 2025. We did not read an FSSA page on assisted living rules, so ask your care manager.

Does Carevo enroll people in Indiana programs?

No. Carevo is a connection platform and directory. FSSA, your care manager and your health plan handle assessment and enrollment.

Sources

Review status: Carevo checked this page against the primary sources listed above. It has not been professionally reviewed by a registered nurse, licensed social worker, benefits counselor or attorney. See our editorial standards.

This page is general information, not financial, legal or medical advice. Rules and services vary by state and by individual circumstances. Use the official sources and decision-maker named on the page. Carevo is a connection platform, not a care provider.