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Self Care
Activities related to caring for one's personal and daily needs.
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Indiana Waiver Resources
Indiana Medicaid Waiver Assessments and Appeals
Information and resources for Indiana individuals and families navigating waiver assessments, eligibility changes, and benefit terminations.
View ResourcesUnderstanding the Process
When the Rules Change, Families Need a Clear Place to Start
Indiana's Medicaid waiver assessment process can involve unfamiliar terminology, detailed functional assessments, and important eligibility decisions. This page brings together information and materials that may help individuals, families, caregivers, and providers better understand the assessment process and the issues that can arise when waiver eligibility is reviewed.
Waiver Assessments
Understanding What Is Being Evaluated
Indiana's waiver assessment process considers an individual's functional abilities across several areas of daily life. Assessment findings can play an important role in determining whether an individual satisfies applicable level of care and eligibility requirements.
Families may receive notices, assessment results, or other documentation containing terms that are difficult to understand without additional context. Reviewing those materials carefully can help you identify what was considered and what questions you may need to ask.
Functional Assessment
Seven Areas That May Be Considered
Assessment materials may address functional limitations in several areas. Understanding the terminology can make it easier to review the information you receive and discuss questions with your providers or legal counsel.
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Understanding and Use of Language
The ability to understand information and communicate effectively.
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Learning
Abilities related to gaining, processing, and using new information and skills.
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Mobility
Functional abilities related to movement and navigating everyday environments.
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Self Direction
The ability to make decisions, exercise judgment, and direct one's activities.
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Capacity for Independent Living
Functional abilities related to managing the tasks and responsibilities of everyday life.
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Economic Self Sufficiency
Abilities related to financial independence and economic functioning.
Received a Notice?
A Waiver Termination Deserves Prompt Attention
If you or someone you care for receives notice that waiver eligibility is changing or being terminated, read the entire notice carefully. It may contain information about the basis for the decision, appeal rights, and deadlines for taking further action.
Every situation is different. The appropriate next step will depend on the individual circumstances, the notice received, and the applicable rules and deadlines.
Discuss Your SituationWaiver Resource Library
Documents for Individuals, Families, and Providers
Use the resources below to learn more about Indiana's assessment process, level of care standards, implementation materials, and Medicaid waiver changes.
BDS interRAI Implementation Fact Sheet for HCBS Families
Information designed to help families understand the implementation of the interRAI assessment process for Home and Community Based Services.
What to Expect During the interRAI Process
A fact sheet for individuals and families explaining what they may encounter as part of the assessment process.
Assessment Form Example
Review an example assessment form to become more familiar with the type of information and terminology that may appear during the assessment process.
BDDS Policy Manual and Level of Care Definitions
Policy information and definitions related to level of care requirements and terminology used within Indiana's developmental disability services system.
BDS interRAI Implementation Fact Sheet for HCBS Providers
Implementation information prepared for providers working with individuals receiving Home and Community Based Services.
Medicaid Waiver Changes Fact Sheet
A fact sheet addressing changes affecting Indiana Medicaid waiver programs and information individuals and families may want to understand.
Educational Video Coming Soon
Jennifer is developing additional educational content to help families better understand waiver assessments, eligibility issues, and other public benefit concerns.
Learn From Jennifer
Making Complicated Information Easier to Understand
Public benefit rules and assessment terminology can be difficult to navigate. This learning library will continue to grow as new videos, webinars, and educational materials become available.
Visit the main Resource Center for additional elder law, special needs planning, estate planning, and caregiver resources.
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Important:
The materials provided on this page are for general educational and
informational purposes only and are not a substitute for legal advice.
Laws, policies, eligibility requirements, and deadlines may change,
and the circumstances of each individual are different.
Questions About a Waiver Decision?
Get Help Understanding What Comes Next
If you have questions about a waiver assessment, eligibility decision, termination notice, or another public benefits concern, VanderVeen Elder and Special Needs Law can help you understand your situation and discuss possible next steps.