These videos provide an overview of the various Home and Community-Based Services (HCBS) available in Indiana for providers seeking to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions in Indiana. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN INDIANA
SUPPORTING CAREGIVERS AND PROMOTING PARTICIPANT WELL-BEING THROUGH SHORT-TERM RELIEF SERVICES
Respite Care Services in Indiana provide temporary, short-term relief for unpaid caregivers of individuals with disabilities, chronic illnesses, or age-related needs. These services help prevent caregiver burnout, support family stability, and ensure participants continue receiving safe, high-quality care. Respite Care is authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS) and Division of Aging
Role: Oversees authorization, provider enrollment, quality assurance, and participant protections for Respite Care Services under HCBS Waivers
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Respite Services and manages provider enrollment and claims reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Respite Care Services align with HCBS Settings Rule, participant-centered care principles, and safety standards
2. RESPITE CARE SERVICE OVERVIEW
Respite Care Services offer substitute support and supervision for participants when their primary caregiver is unavailable, whether for planned relief, emergency situations, or unexpected caregiver needs.
Approved providers may deliver:
In-home respite care: Provided in the participant’s primary residence
Out-of-home respite care: Provided at a qualified facility or provider-operated setting
Planned respite: Scheduled relief to support caregiver self-care and personal needs
Emergency respite: Crisis-based temporary care due to caregiver hospitalization, emergencies, or urgent needs
Personal assistance during respite: Support with Activities of Daily Living (ADLs), medication reminders, mobility support, and basic health monitoring
All services must be aligned with the participant’s Individualized Service Plan (ISP) and based on assessed needs for caregiver relief and participant safety.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Maintain general liability and professional liability insurance
Obtain necessary facility licensure if providing facility-based respite (if applicable)
Develop policies for participant intake, emergency procedures, staffing, participant rights, and incident reporting
Ensure all direct care staff meet background screening, credentialing, and training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Respite Care Services under the appropriate waiver programs
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, operational policies, staff credentialing records, and participant intake procedures
Program Readiness Review:
FSSA (DDRS or Division of Aging) reviews provider readiness including staffing, participant safety protocols, documentation systems, and service quality standards
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for respite care services by unit (hourly, daily) depending on the program guidelines
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability and professional liability insurance
Facility licensing (if providing overnight facility-based care)
Respite Care Services Policy & Procedure Manual including:
Participant intake, caregiver relief planning, and emergency response procedures
Personal assistance, medication reminder, and supervision protocols
Participant rights protections, HIPAA confidentiality, and grievance policies
Staff hiring, background check, credentialing, and training policies
Critical incident reporting and risk management protocols
Medicaid billing, service tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Respite Services Program Director / Supervisor
Requirements: Bachelor’s degree in human services, healthcare, or a related field preferred; background screening clearance; supervisory experience in direct care settings
Role: Respite Care Workers / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED minimum; CPR/First Aid certification recommended; completion of direct care training; background screening clearance
All staff must complete:
Participant safety, abuse prevention, and emergency preparedness training
HIPAA compliance and participant confidentiality training
Infection control and emergency response training
Person-centered care and support strategies training
Annual competency assessments and continuing education
7. MEDICAID WAIVER PROGRAMS
Respite Care Services are available under the following Indiana Medicaid Waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Temporary in-home or facility-based care
Supervision and support with ADLs and health maintenance tasks
Emergency respite during caregiver crises
Personal support to maintain participant health, safety, and engagement
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing (if facility-based), and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Respite Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Provider Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Respite Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Division of Aging
Website: https://www.in.gov/fssa/da/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA RESPITE CARE SERVICES PROVIDER
WCG supports respite care agencies, home care companies, and facility-based care providers in launching Medicaid-compliant Respite Care Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and compliance setup support
Development of Respite Care Services Policy & Procedure Manual
Staff credentialing templates, intake and care planning forms, and incident tracking tools
Medicaid billing system setup and claims management support
Website, domain, and professional branding setup
Emergency response and crisis respite program development
Quality assurance systems for service monitoring, documentation audits, and participant satisfaction surveys
Partnership development with case managers, hospitals, and caregiver support organizations
Prevocational Services
PRE-VOCATIONAL SERVICES PROVIDER IN INDIANA
BUILDING WORKPLACE SKILLS AND PROMOTING EMPLOYMENT READINESS FOR INDIVIDUALS WITH DISABILITIES
Pre-Vocational Services in Indiana help individuals with developmental disabilities or other significant barriers to employment acquire essential skills necessary for success in the workforce. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs to support personal growth, independence, and community employment.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees Pre-Vocational Service delivery, provider enrollment, participant rights protections, and quality monitoring
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid waiver funding for Pre-Vocational Services and manages provider reimbursement processes
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring that Medicaid-funded Pre-Vocational Services align with HCBS Settings Rule, person-centered planning, and competitive integrated employment goals
2. PRE-VOCATIONAL SERVICE OVERVIEW
Pre-Vocational Services assist participants in developing general employment-related skills, rather than specific job training, to prepare for competitive or integrated employment in the community.
Approved providers may deliver:
Instruction in workplace behaviors such as punctuality, attendance, social interaction, and following directions
Development of soft skills like teamwork, problem-solving, communication, and task completion
Activities to build stamina, focus, and endurance for a regular work schedule
Career exploration activities to identify interests, preferences, and strengths
Support for developing self-advocacy skills and work-related decision-making
Volunteer opportunities and community-based work experiences to practice skills
All services must align with the participant’s Individualized Service Plan (ISP) and Employment Outcome goals, and must be time-limited, emphasizing movement toward competitive employment.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Meet FSSA DDRS provider standards for Pre-Vocational Service delivery
Maintain general liability and professional liability insurance
Develop policies for skill-building activities, participant health and safety, rights protection, and service documentation
Ensure all direct service staff meet background screening, training, and credentialing requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Pre-Vocational Services under the applicable HCBS waiver program
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, operational policies, staff background check records, and participant intake procedures
Program Readiness Review:
FSSA (DDRS) reviews provider readiness including service models, skill development plans, staff qualifications, safety protocols, and participant rights policies
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to deliver Pre-Vocational Services and bill for service delivery based on approved units
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability and professional liability insurance
Pre-Vocational Services Policy & Procedure Manual including:
Participant intake, skill assessment, service planning, and goal development procedures
Structured skill development activity plans
Participant health and safety monitoring protocols
Participant rights protections, HIPAA compliance, and grievance procedures
Staff credentialing, background screening, training documentation
Medicaid billing documentation and audit readiness systems
6. STAFFING REQUIREMENTS
Role: Pre-Vocational Services Program Director / Supervisor
Requirements: Bachelor’s degree in rehabilitation, education, psychology, human services, or related field preferred; background clearance; experience in vocational development preferred
Role: Pre-Vocational Skills Trainers / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED minimum; experience working with individuals with disabilities preferred; background screening clearance
All staff must complete:
Person-centered planning and employment support training
Abuse, neglect, and exploitation prevention training
HIPAA compliance and confidentiality training
Emergency response and participant safety training
Annual competency evaluations and continuing education updates
7. MEDICAID WAIVER PROGRAMS
Pre-Vocational Services are available under the following Indiana Medicaid waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Approved providers may deliver:
Work readiness skill development
Career exploration and goal-setting activities
Community-based volunteer work and internships
Training aimed at transitioning to Supported or Competitive Employment
8. TIMELINE TO LAUNCH
Phase: Business Formation and Licensing/Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Curriculum Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Pre-Vocational Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Office of Medicaid Policy and Planning (OMPP)
Website: https://www.in.gov/fssa/ompp/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA PRE-VOCATIONAL SERVICES PROVIDER
WCG assists employment service agencies, day service providers, and community rehabilitation programs in launching Medicaid-compliant Pre-Vocational Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and waiver provider certification guidance
Development of Pre-Vocational Services Policy & Procedure Manual
Staff credentialing templates, skill development tracking forms, and participant progress templates
Medicaid billing system setup and claims management support
Website, domain, and professional branding setup
Structured skill development curriculum templates and community engagement planning tools
Quality assurance systems for service tracking, incident reporting, and participant satisfaction monitoring
Partnership development with vocational rehabilitation agencies, schools, and community employers
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN INDIANA
EMPOWERING INDIVIDUALS TO ACHIEVE COMPETITIVE, INTEGRATED EMPLOYMENT THROUGH INDIVIDUALIZED SUPPORT
Supported Employment Services in Indiana assist individuals with disabilities or significant barriers to work by providing customized job development, placement, and on-the-job support. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs, the Bureau of Rehabilitation Services (BRS), and Vocational Rehabilitation (VR) initiatives, promoting independence and long-term success in community-based employment.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS) and Bureau of Rehabilitation Services (BRS)
Role: Oversees Supported Employment programs, provider enrollment, participant protections, service standards, and employment outcome tracking
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid waiver funding for Supported Employment Services and manages provider reimbursement and billing compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Supported Employment Services meet HCBS Settings Rule, competitive integrated employment requirements, and participant-centered standards
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services provide individualized assistance to help participants prepare for, obtain, and maintain meaningful employment in community settings at competitive wages.
Approved providers may deliver:
Discovery and Career Planning: Assessing interests, strengths, and career goals
Job Development: Resume building, application assistance, and job search support
Job Placement: Matching participants to employment opportunities
On-the-Job Training and Coaching: Teaching job tasks, promoting independence, and supporting workplace adjustments
Job Retention Services: Ongoing support to help participants sustain employment and advance professionally
Self-Employment Support: Assisting participants who wish to start and manage their own businesses
Career Advancement Planning: Helping participants pursue raises, promotions, and professional development
All services must be tied to the participant’s Individualized Support Plan (ISP) or Vocational Rehabilitation Individualized Plan for Employment (IPE), emphasizing movement toward independence in employment.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Meet Indiana Vocational Rehabilitation (VR) Employment Services Provider Standards (if working with VR clients)
Maintain general liability and professional liability insurance
Develop comprehensive policies for employment services, participant safety, rights protections, emergency response, and service documentation
Ensure staff meet background checks, credentialing, and employment support training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Supported Employment Services
Application and Documentation Submission:
Submit Articles of Incorporation, EIN/NPI confirmation, liability insurance certificates, operational policies, staff credentialing records, and service protocols
Program Readiness Review:
FSSA (DDRS) and/or Indiana Vocational Rehabilitation Services (VR) review service delivery models, staff qualifications, participant-centered service planning practices, and billing readiness
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for discovery, job development, job coaching, retention services, and career advancement activities
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability and professional liability insurance
Supported Employment Services Policy & Procedure Manual including:
Participant intake, career exploration, and employment goal development procedures
Job development, placement, and coaching protocols
Participant rights protections, HIPAA compliance, and grievance procedures
Critical incident reporting and emergency procedures
Staff credentialing, background screening, training documentation, and competency validations
Medicaid billing, service documentation, and audit readiness protocols
6. STAFFING REQUIREMENTS
Role: Supported Employment Program Supervisor / Manager
Requirements: Bachelor’s degree in rehabilitation, human services, education, or a related field preferred; background screening clearance; employment services experience required
Role: Employment Specialists / Job Coaches
Requirements: High school diploma or GED minimum (bachelor’s degree preferred); experience in employment supports for individuals with disabilities; background clearance; training in person-centered planning and employment support strategies
All staff must complete:
Person-centered employment planning and HCBS Settings Rule training
Job coaching and employer engagement training
Abuse prevention, HIPAA compliance, and participant rights training
Emergency response and workplace safety training
Annual competency evaluations and continuing education in employment support services
7. MEDICAID WAIVER PROGRAMS
Supported Employment Services are available under the following Indiana Medicaid waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Approved providers may deliver:
Discovery and career planning services
Job development and placement support
Job coaching during onboarding and beyond
Career advancement planning for long-term employment success
Time-limited and ongoing follow-along support to promote independence
8. TIMELINE TO LAUNCH
Phase: Business Formation, Compliance Preparation, and Staffing Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Service Planning Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Supported Employment Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Vocational Rehabilitation Services (VR)
Website: https://www.in.gov/fssa/ddrs/vocational-rehabilitation-services/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA SUPPORTED EMPLOYMENT SERVICES PROVIDER
WCG assists employment support agencies, vocational rehabilitation providers, and community rehabilitation programs in launching Medicaid-compliant Supported Employment Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and VR credentialing guidance
Development of Supported Employment Services Policy & Procedure Manual
Staff credentialing templates, participant intake forms, job development tracking forms, and job coaching documentation tools
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding support
Employment readiness curriculum templates and employer engagement strategies
Quality assurance systems for employment outcome tracking, service satisfaction surveys, and participant rights protections
Partnership development with employers, workforce development boards, and community service organizations
Personal Care
PERSONAL CARE SERVICES PROVIDER IN INDIANA
SUPPORTING DAILY INDEPENDENCE THROUGH PERSONALIZED HANDS-ON ASSISTANCE
Personal Care Services in Indiana help individuals with disabilities, chronic health conditions, or aging-related limitations perform Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). These services promote participant independence, health, and dignity while reducing reliance on institutional care. Personal Care Services are authorized under Indiana Medicaid State Plan benefits and Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP) and Division of Aging
Role: Administers Medicaid funding for Personal Care Services, oversees provider enrollment, service standards, and reimbursement processes
Agency: Indiana Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees service authorization for Personal Care Services under certain HCBS waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Personal Care Services align with HCBS Settings Rule, participant-centered planning, and quality standards
2. PERSONAL CARE SERVICE OVERVIEW
Personal Care Services provide direct assistance with daily activities that participants cannot perform independently due to functional limitations, disabilities, or health conditions.
Approved providers may deliver:
Assistance with ADLs: Bathing, grooming, dressing, toileting, eating, transferring, and mobility
Support with IADLs: Light housekeeping, meal preparation, laundry, and medication reminders
Safety supervision and cueing to assist participants in completing daily tasks independently
Basic health monitoring (e.g., reporting changes in condition to supervisors)
Support during community participation (e.g., outings, appointments)
All services must be authorized in the participant’s Individualized Support Plan (ISP) and/or Medicaid-approved service plan.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Personal Care Services provider through the Indiana Medicaid Provider Enrollment Portal
Maintain general liability and professional liability insurance
Develop participant-centered service delivery policies, incident reporting procedures, and staff training protocols
Ensure all staff meet background screening, health screening, and personal care training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Personal Care Services under HCBS Waivers or Medicaid State Plan
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, staff credentialing and background check documentation, operational policies
Program Readiness Review:
FSSA reviews provider readiness, including participant protections, service documentation systems, emergency response planning, and staffing models
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for personal care services, typically billed in 15-minute units
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability and professional liability insurance
Personal Care Services Policy & Procedure Manual including:
Participant intake, service planning, and ADL/IADL assistance protocols
Safety supervision procedures, emergency preparedness, and critical incident reporting
Participant rights, HIPAA confidentiality, and grievance policies
Staff credentialing, background checks, competency evaluations, and training documentation
Medicaid billing, service tracking, and audit-readiness systems
6. STAFFING REQUIREMENTS
Role: Personal Care Services Program Supervisor
Requirements: Background in nursing, social work, human services, or personal assistance program management preferred; supervisory experience; background screening clearance
Role: Personal Care Aides / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; CPR/First Aid certification preferred; training in personal care assistance, infection control, and participant rights; background clearance
All staff must complete:
ADL/IADL assistance and personal hygiene care training
HIPAA compliance and participant confidentiality training
Emergency response and abuse prevention training
Annual competency evaluations and continuing education updates
7. MEDICAID WAIVER PROGRAMS AND STATE PLAN COVERAGE
Personal Care Services are reimbursable through:
Indiana Medicaid State Plan Personal Care Services
HCBS Waiver Programs:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
In-home personal assistance with ADLs and IADLs
Supervision and safety monitoring to support independent living
Support during community activities, employment, or volunteer participation
Personal care support integrated into daily routines and ISP goals
8. TIMELINE TO LAUNCH
Phase: Business Formation, Policy Development, and Staff Hiring
Timeline: 1–2 months
Phase: Staff Credentialing, Training, and Service Planning Setup
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Personal Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Aging and DDRS
Website: https://www.in.gov/fssa/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA PERSONAL CARE SERVICES PROVIDER
WCG assists personal care agencies, home care providers, and HCBS waiver providers in launching Medicaid-compliant Personal Care Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and compliance setup support
Development of Personal Care Services Policy & Procedure Manual
Staff credentialing templates, intake forms, and daily service logs
Medicaid billing system setup and audit-ready claims management assistance
Website, domain, and professional branding setup
Participant rights protections, emergency planning templates, and quality assurance tools
Partnership development with waiver case managers, hospitals, and community organizations
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN INDIANA
ENHANCING INDEPENDENCE, MOBILITY, AND QUALITY OF LIFE THROUGH CUSTOMIZED EQUIPMENT SOLUTIONS
Adaptive Equipment Services in Indiana support individuals with disabilities, chronic conditions, or functional limitations by providing specialized equipment that improves daily living, mobility, communication, and self-care abilities. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and certain Medicaid State Plan benefits.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid and waiver funding for Adaptive Equipment Services, oversees provider enrollment and reimbursement
Agency: Indiana Bureau of Developmental Disabilities Services (BDDS) and Division of Aging
Role: Authorizes adaptive equipment under specific waiver programs and monitors quality assurance and participant satisfaction
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Adaptive Equipment Services align with participant-centered planning, medical necessity, and HCBS quality standards
2. ADAPTIVE EQUIPMENT SERVICE OVERVIEW
Adaptive Equipment Services include the assessment, selection, purchase, fitting, training, and maintenance of specialized equipment designed to increase, maintain, or improve a participant’s functional capabilities.
Approved providers may deliver:
Mobility aids (e.g., manual and powered wheelchairs, walkers, scooters)
Communication devices (e.g., speech-generating devices, adaptive keyboards)
Environmental control systems (e.g., automated doors, lighting control, adaptive switches)
Self-care aids (e.g., adaptive utensils, dressing devices, transfer equipment)
Specialized positioning equipment (e.g., custom seating, standers, bath chairs)
Sensory aids (e.g., hearing amplification devices, vision aids)
All equipment must be identified as medically necessary or functionally supportive within the participant’s Individualized Service Plan (ISP) or Plan of Care (POC).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Obtain Durable Medical Equipment (DME) supplier registration (if applicable)
Maintain general liability and professional liability insurance
Develop policies addressing equipment assessment, procurement, delivery, training, and maintenance
Ensure staff (e.g., assessors, technicians) meet required training, certification, and background screening standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Adaptive Equipment or DME services under the appropriate waiver programs
Application and Documentation Submission:
Provide Articles of Incorporation, proof of EIN/NPI, DME licensure (if applicable), insurance certificates, staff credentialing records, and service delivery policies
Program Readiness Review:
FSSA (BDDS or Division of Aging) reviews provider readiness including service planning processes, equipment procurement standards, participant protection measures, and billing compliance
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for assessments, equipment purchases, fitting, and participant training services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of DME supplier license (if applicable)
Proof of general liability and professional liability insurance
Adaptive Equipment Services Policy & Procedure Manual including:
Participant intake, assessment, and equipment recommendation procedures
Procurement, installation, fitting, and device usage training protocols
Maintenance, repair, and replacement procedures
Participant rights, HIPAA compliance, and grievance procedures
Staff credentialing, licensure, and competency verification records
Medicaid billing documentation and audit-readiness tracking systems
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Program Director / Supervisor
Requirements: Background in rehabilitation services, occupational therapy, assistive technology, or healthcare management; background screening clearance
Role: Adaptive Equipment Technicians / Fitting Specialists
Requirements: Training in adaptive equipment fitting, participant training, and minor maintenance; background screening clearance
Role: Licensed Clinical Assessors (if conducting medical necessity evaluations)
Requirements: Licensed Occupational Therapist (OT), Physical Therapist (PT), Speech-Language Pathologist (SLP), or Rehabilitation Engineer; background clearance
All staff must complete:
Participant safety and assistive technology usage training
HIPAA compliance and participant rights training
Abuse prevention and incident reporting training
Annual competency evaluations and ongoing continuing education
7. MEDICAID WAIVER PROGRAMS
Adaptive Equipment Services are available under the following Indiana Medicaid programs:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled Waiver (A&D)
Traumatic Brain Injury Waiver (TBI)
Approved providers may deliver:
Adaptive equipment assessments and recommendations
Procurement, customization, and fitting of devices
Participant and caregiver training on proper device use
Equipment maintenance support and replacement assistance
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing (DME if needed), and Compliance Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Service Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adaptive Equipment Services Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA)
Website: https://www.in.gov/fssa/
Indiana Bureau of Developmental Disabilities Services (BDDS)
Website: https://www.in.gov/fssa/ddrs/bureau-of-developmental-disabilities-services/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA ADAPTIVE EQUIPMENT SERVICES PROVIDER
WCG assists adaptive equipment providers, DME suppliers, rehabilitation service agencies, and assistive technology specialists in launching Medicaid-compliant Adaptive Equipment Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and DME compliance assistance
Development of Adaptive Equipment Services Policy & Procedure Manual
Staff credentialing templates, participant intake forms, and equipment tracking systems
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding setup
Participant assessment templates, equipment recommendation forms, and maintenance checklists
Quality assurance programs for equipment delivery tracking, incident reporting, and participant satisfaction surveys
Partnership development with case managers, therapists, and community service organizations
Specialized Therapy
SPECIALIZED THERAPIES SERVICES PROVIDER IN INDIANA
ENHANCING FUNCTIONAL ABILITY, RECOVERY, AND INDEPENDENCE THROUGH TARGETED THERAPEUTIC INTERVENTIONS
Specialized Therapies in Indiana offer habilitative, rehabilitative, and restorative services to individuals with developmental disabilities, brain injuries, physical impairments, or chronic conditions. These therapies are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and the Medicaid State Plan, helping individuals achieve greater independence, skill development, and improved quality of life.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP) and Division of Disability and Rehabilitative Services (DDRS)
Role: Administers Medicaid waiver funding, oversees provider enrollment, and monitors service delivery quality for Specialized Therapies
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring that Medicaid-funded Specialized Therapy Services meet HCBS standards, person-centered planning requirements, and medical necessity rules
2. SPECIALIZED THERAPIES SERVICE OVERVIEW
Specialized Therapies involve professional, therapeutic interventions tailored to address an individual's unique physical, cognitive, or behavioral needs, supporting optimal functional outcomes.
Approved providers may deliver:
Physical therapy (PT): Improving mobility, balance, strength, and physical independence
Occupational therapy (OT): Enhancing self-care, adaptive skills, and environmental interaction
Speech-language pathology (SLP): Addressing communication disorders, cognitive-communication impairments, and swallowing (dysphagia) challenges
Behavioral therapies: Supporting individuals with emotional, social, or behavioral challenges through behavior intervention plans and positive behavior supports
Respiratory therapy (where applicable): Managing chronic respiratory issues and promoting pulmonary health
Therapies must be authorized through the participant’s Individualized Service Plan (ISP) or Plan of Care (POC) based on formal clinical assessments.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Hold active Indiana licensure for each therapy discipline (PT, OT, SLP, Behavioral Therapist as applicable)
Maintain general liability and professional malpractice insurance
Develop policies covering therapy assessment, service delivery, documentation, participant protections, and HIPAA compliance
Ensure all clinical staff meet licensure, background checks, and continuing education requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through Indiana Medicaid Provider Portal for Specialized Therapies under the appropriate waiver programs
Application and Documentation Submission:
Submit Articles of Incorporation, EIN/NPI verification, professional licensure documents, insurance certificates, staff credentialing and training documentation, and operational therapy service policies
Program Readiness Review:
FSSA (DDRS or Aging Division) reviews provider readiness including therapy service planning, participant-centered documentation practices, staff supervision structures, and billing compliance systems
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for therapy evaluations, re-evaluations, treatment sessions, and participant training activities
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Active Indiana Professional Licenses (PT, OT, SLP, Behavioral Therapist)
Proof of general liability and professional malpractice insurance
Specialized Therapies Services Policy & Procedure Manual including:
Participant intake, therapy evaluation, service authorization, and plan of care development
Direct therapy delivery, caregiver training, and participant progress tracking
Emergency preparedness, critical incident reporting, and participant safety procedures
Participant rights, HIPAA confidentiality, and grievance resolution procedures
Staff credentialing, licensure tracking, supervision logs, and annual competency assessments
Medicaid billing, documentation tracking, and audit readiness protocols
6. STAFFING REQUIREMENTS
Role: Clinical Supervisor / Therapy Program Director
Requirements: Licensed PT, OT, SLP, Psychologist, or Behavior Analyst; clinical supervision experience preferred; background screening clearance
Role: Licensed Therapists (PTs, OTs, SLPs, Behavior Analysts)
Requirements: Active Indiana license in respective therapy discipline; background clearance; annual continuing education required
Role: Therapy Assistants (where allowed)
Requirements: Licensed Physical Therapist Assistants (PTAs) or Certified Occupational Therapy Assistants (COTAs); background clearance; must work under licensed therapist supervision
All staff must complete:
Person-centered planning training and HCBS Settings Rule training
Abuse prevention, HIPAA compliance, and confidentiality training
Infection control and emergency response training
Annual professional development and skills competency evaluations
7. MEDICAID WAIVER PROGRAMS
Specialized Therapies are reimbursed through:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Medicaid State Plan services for medically necessary therapy interventions
Approved providers may deliver:
Initial therapy evaluations and re-evaluations
Ongoing direct therapy sessions (PT, OT, SLP, Behavioral)
Adaptive skill training and caregiver education
Transition support following hospital discharge or major life events
8. TIMELINE TO LAUNCH
Phase: Business Formation and Professional Licensing Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Therapy Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing System Setup and Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Office of Medicaid Policy and Planning (OMPP)
Website: https://www.in.gov/fssa/ompp/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA SPECIALIZED THERAPIES PROVIDER
WCG assists therapy practices, rehabilitation agencies, and behavioral health providers in launching Medicaid-compliant Specialized Therapy Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and professional licensing guidance
Development of Specialized Therapies Services Policy & Procedure Manual
Staff credentialing templates, therapy intake forms, treatment plan templates, and progress tracking systems
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding setup
Clinical compliance systems including incident reporting, quality audits, and participant rights protections
Strategic partnership development with case managers, hospitals, outpatient providers, and community-based organizations
Crisis Intervention
CRISIS INTERVENTION SERVICES PROVIDER IN INDIANA
PROVIDING IMMEDIATE SUPPORT TO STABILIZE BEHAVIORAL HEALTH CRISES AND PROMOTE RECOVERY AND SAFETY
Crisis Intervention Services in Indiana offer immediate, short-term interventions to individuals experiencing behavioral health crises, emotional distress, or psychiatric emergencies. These services help stabilize the individual, prevent unnecessary hospitalization or institutionalization, and connect participants to appropriate ongoing supports. Crisis Intervention is authorized under Indiana Medicaid, Home and Community-Based Services (HCBS) Waiver programs, and specialized behavioral health initiatives.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Mental Health and Addiction (DMHA)
Role: Oversees Crisis Intervention provider certification, service quality, funding administration, and participant protections
Agency: Indiana Medicaid (Office of Medicaid Policy and Planning - OMPP)
Role: Administers Medicaid billing for Crisis Intervention Services under State Plan and Waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid Crisis Intervention Services meet quality, participant-centered, and safety requirements under HCBS regulations
2. CRISIS INTERVENTION SERVICE OVERVIEW
Crisis Intervention Services provide immediate, time-limited assistance to participants in crisis to de-escalate behaviors, stabilize mental health symptoms, and prevent unnecessary institutionalization.
Approved providers may deliver:
24/7 crisis response through mobile crisis units, telephone crisis lines, or walk-in crisis centers
Risk assessment, de-escalation, and behavioral stabilization
Safety planning, crisis counseling, and emotional support
Referral and linkage to ongoing treatment, residential crisis services, or psychiatric care if needed
Follow-up services to ensure participant stability post-crisis
All interventions must be documented in a Crisis Intervention Plan and align with the participant’s overall Individualized Service Plan (ISP) or Transition Plan when applicable.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Behavioral Health Provider through the Indiana Medicaid Provider Enrollment Portal
Obtain DMHA certification for Crisis Services (Mobile Crisis Response, Crisis Stabilization Units, or Behavioral Health Crisis Centers)
Maintain professional liability, general liability, and worker’s compensation insurance
Develop policies for crisis assessment, intervention, emergency response, staff safety, and HIPAA compliance
Ensure all crisis response staff meet required background screening, licensure, training, and credentialing requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through Indiana Medicaid Provider Portal for Behavioral Health and Crisis Services
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, facility or mobile unit readiness documents (if applicable), insurance certificates, staff licensure and training records, crisis response protocols, and HIPAA compliance policies
Program Readiness Review:
DMHA reviews readiness including staffing qualifications, emergency preparedness, clinical documentation, participant rights protections, and billing readiness
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for crisis risk assessments, crisis intervention sessions, stabilization supports, and transition planning
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Registration (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
DMHA certification (for Crisis Services providers)
Proof of general liability and professional malpractice insurance
Crisis Intervention Services Policy & Procedure Manual including:
Crisis response procedures, de-escalation techniques, and risk assessment protocols
Participant rights protections, HIPAA compliance, and grievance policies
Critical incident reporting, emergency transfer, and escalation protocols
Staff credentialing, licensure, background checks, and training documentation
Medicaid billing and audit-ready clinical documentation procedures
6. STAFFING REQUIREMENTS
Role: Crisis Services Clinical Director / Supervisor
Requirements: Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Psychologist (PhD/PsyD), or Licensed Psychiatrist (MD/DO); crisis management experience; background clearance
Role: Crisis Intervention Specialists / Mobile Crisis Responders
Requirements: Bachelor’s or Master’s degree in social work, psychology, nursing, counseling, or related field; training in crisis intervention, de-escalation, trauma-informed care, and safety planning; background screening clearance
Role: Peer Recovery Specialists (optional, depending on program model)
Requirements: Certified Recovery Specialist credential preferred; lived experience with mental health recovery; background screening clearance
All staff must complete:
Crisis de-escalation and suicide prevention training (e.g., CPI, QPR)
Trauma-informed care and participant-centered service delivery training
Emergency response and critical incident management training
HIPAA compliance and participant confidentiality training
Annual competency evaluations and continuing education in crisis intervention best practices
7. MEDICAID WAIVER PROGRAMS AND STATE PLAN COVERAGE
Crisis Intervention Services are reimbursed through:
Indiana Medicaid State Plan Behavioral Health Services: Including Mobile Crisis Response and Crisis Stabilization Services
Home and Community-Based Services (HCBS) Waivers: Behavioral supports and emergency interventions under:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Traumatic Brain Injury (TBI) Waiver (for behavioral crises)
Approved providers may deliver:
Crisis response assessments
Mobile crisis intervention and stabilization
Crisis safety planning and referral services
Transition services from crisis to outpatient care
8. TIMELINE TO LAUNCH
Phase: Business Formation, DMHA Certification, and Clinical Readiness Preparation
Timeline: 2–4 months
Phase: Staff Hiring, Credentialing, and Crisis Program Development
Timeline: 2–4 months
Phase: Indiana Medicaid Enrollment and Billing System Setup
Timeline: 60–90 days
Phase: Service Launch, 24/7 Crisis Response Setup, and Community Outreach
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Mental Health and Addiction (DMHA)
Website: https://www.in.gov/fssa/dmha/
Indiana Medicaid — Provider Enrollment Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA CRISIS INTERVENTION SERVICES PROVIDER
WCG assists behavioral health providers, mobile crisis response teams, and crisis stabilization units in launching Medicaid-compliant Crisis Intervention Services across Indiana.
Scope of Work:
Business registration, DMHA certification assistance, and Medicaid enrollment support
Development of Crisis Intervention Services Policy & Procedure Manual
Staff credentialing templates, crisis assessment forms, de-escalation protocols, and emergency response guides
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding setup
Community crisis service mapping and referral system development
Quality assurance programs for incident tracking, service outcome measurement, and participant satisfaction
Partnership development with hospitals, outpatient clinics, law enforcement, and community agencies
Adult Day Health Services
ADULT DAY HEALTH SERVICES PROVIDER IN INDIANA
SUPPORTING HEALTH, WELLNESS, AND COMMUNITY CONNECTIONS FOR ADULTS THROUGH STRUCTURED DAYTIME CARE
Adult Day Health Services in Indiana provide medically supervised daytime care, personal support, therapeutic activities, and social engagement to adults with disabilities, chronic illnesses, or aging-related needs. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs, helping participants maintain independence, prevent institutionalization, and promote health and social inclusion.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Aging and Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees Adult Day Health Service provider standards, participant protections, quality monitoring, and program administration under Medicaid Waivers
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Adult Day Health Services and manages provider enrollment and billing processes
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Adult Day Health Services meet HCBS Settings Rule, person-centered planning, and quality service delivery standards
2. ADULT DAY HEALTH SERVICE OVERVIEW
Adult Day Health Services offer medically supervised daytime programs focused on maintaining and improving participants' health, functional status, and quality of life through coordinated healthcare and supportive services.
Approved providers may deliver:
Skilled nursing services such as medication administration, vital signs monitoring, and chronic disease management
Personal care assistance with Activities of Daily Living (ADLs) including bathing, grooming, toileting, and eating
Therapy support services such as physical, occupational, and speech therapy maintenance exercises
Therapeutic activities, recreation, and socialization programs to reduce isolation and promote mental well-being
Nutritional services including meals, hydration, and special diet accommodations
Transportation coordination to and from the day health center
Case management and caregiver support services
All services must be based on an individualized plan of care developed collaboratively with the participant, healthcare professionals, and case managers.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Adult Day Service Certification through FSSA if participating in Medicaid-funded services
Maintain general liability, professional liability, and worker’s compensation insurance
Meet local and state health department licensing requirements (if meals and nursing services are provided)
Develop comprehensive policies for healthcare services, participant protection, emergency preparedness, infection control, and service documentation
Ensure staff meet background screening, licensure, certification, and ongoing training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Adult Day Health Services under the Aged & Disabled Waiver or other relevant waivers
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, facility information (floor plans, safety compliance), staff licensure and training documentation, operational policies, and insurance certificates
Program Readiness Review:
FSSA and/or local survey agencies review program readiness including facility safety, service plans, healthcare oversight, staff ratios, and participant protections
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for Adult Day Health Services based on service hours, healthcare supervision, and participant care levels
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility licenses, food service permits (if applicable)
Proof of general liability, professional liability, and worker’s compensation insurance
Adult Day Health Services Policy & Procedure Manual including:
Participant intake, assessment, and individualized service planning procedures
Skilled nursing services, medication administration protocols, and health monitoring procedures
Activity programming, therapy maintenance, and community engagement activities
Infection control, emergency preparedness, fire safety, and disaster response plans
Participant rights protections, HIPAA compliance, and grievance policies
Staff credentialing, licensure, background checks, training records, and competency validations
Medicaid billing, service tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Program Director / Administrator
Requirements: Bachelor’s degree in healthcare, nursing, social work, or related field preferred; administrative experience; background clearance
Role: Registered Nurse (RN) / Health Services Coordinator
Requirements: Active Indiana RN license; clinical supervision and participant health oversight responsibilities
Role: Activity Director / Recreation Specialist
Requirements: Certification or experience in therapeutic recreation, activity coordination, or gerontology preferred
Role: Direct Care Workers / Personal Care Aides
Requirements: High school diploma or GED minimum; CPR/First Aid certification; training in ADL assistance, infection control, and participant safety; background screening clearance
All staff must complete:
Abuse, neglect, and exploitation prevention training
HIPAA confidentiality and participant rights training
Infection control and emergency procedures training
Skills training for dementia care, behavioral health supports, and health-related monitoring
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Adult Day Health Services are available under the following Indiana Medicaid Waivers:
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Structured, medically supervised daytime services
Nursing and personal care assistance
Nutritional services including special diet accommodations
Therapeutic activity programming and socialization support
Caregiver respite and support coordination
8. TIMELINE TO LAUNCH
Phase: Business Formation, Facility Setup, and Compliance Preparation
Timeline: 2–4 months
Phase: Staff Hiring, Credentialing, and Adult Day Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and FSSA Certification/Survey
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adult Day Health Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Aging
Website: https://www.in.gov/fssa/da/
Indiana Medicaid — Provider Enrollment Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA ADULT DAY HEALTH SERVICES PROVIDER
WCG assists adult day health centers, senior service organizations, and community healthcare agencies in launching Medicaid-compliant Adult Day Health Services across Indiana.
Scope of Work:
Business registration, facility setup guidance, Medicaid enrollment, and certification support
Development of Adult Day Health Services Policy & Procedure Manual
Staff credentialing templates, service tracking forms, and healthcare documentation systems
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding setup
Structured program curriculum development, including therapeutic activities and healthcare integration
Quality assurance systems for participant safety monitoring, outcomes tracking, and satisfaction surveys
Strategic partnership development with hospitals, case management agencies, and community organizations
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN INDIANA
ENHANCING INDEPENDENCE, COMMUNICATION, AND MOBILITY THROUGH CUSTOMIZED TECHNOLOGY SOLUTIONS
Assistive Technology Services in Indiana support individuals with disabilities or functional limitations by providing specialized devices, adaptations, and training that enhance their ability to live independently, participate in daily activities, and access community resources. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and certain State Plan benefits.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees authorization, service standards, and quality monitoring for Assistive Technology under Medicaid Waivers
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid waiver funding for Assistive Technology Services and manages provider enrollment and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Assistive Technology Services meet HCBS participant-centered planning, quality assurance, and medical necessity standards
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services include the assessment, customization, acquisition, installation, training, and maintenance of devices that enable individuals to improve or maintain their functional capabilities.
Approved providers may deliver:
Assessments and evaluations to determine assistive technology needs
Selection, procurement, and customization of assistive devices
Installation and environmental modifications related to the technology
Participant and caregiver training on the use and maintenance of devices
Technical support and maintenance to ensure continued functionality
Reassessments and upgrades as participants’ needs evolve
Types of assistive technology may include:
Communication devices (AAC systems)
Mobility aids (powered wheelchairs, walkers)
Environmental controls (smart home technology, adaptive switches)
Sensory aids (hearing, vision, and cognitive assistance tools)
Computer adaptations (alternative input devices, screen readers)
All services must be based on the participant’s Individualized Service Plan (ISP) and must directly support community living, independence, or access to services.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid HCBS Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Obtain Durable Medical Equipment (DME) supplier licensure or certification if applicable (when supplying medical-grade equipment)
Maintain general liability and product liability insurance
Develop policies for participant assessment, device delivery, installation, maintenance, and documentation
Ensure staff meet required training in assistive technology assessment, installation, and participant safety protocols
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through Indiana Medicaid Provider Portal for Assistive Technology Services under applicable waiver programs
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, service delivery policies, and staff credentialing/training documentation
Program Readiness Review:
FSSA (DDRS) reviews provider readiness including device procurement procedures, participant training protocols, health and safety standards, and billing compliance systems
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for assessments, device provision, customization, installation, training, and support services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
DME license (if applicable)
Proof of general liability and product liability insurance
Assistive Technology Services Policy & Procedure Manual including:
Participant intake, assessment, recommendation, and service planning procedures
Device procurement, installation, and participant training protocols
Technical support, maintenance, and replacement procedures
Participant rights protections, HIPAA compliance, and grievance resolution policies
Staff credentialing, training records, and technical competency evaluations
Medicaid billing and audit-ready documentation systems
6. STAFFING REQUIREMENTS
Role: Assistive Technology Program Director / Supervisor
Requirements: Background in occupational therapy, rehabilitation engineering, assistive technology specialization, or related field; background screening clearance
Role: Assistive Technology Specialists / Technicians
Requirements: Training in assistive technology evaluation, device fitting, participant training, and technical maintenance; background screening clearance
Role (if clinical evaluation required): Licensed Assessors (OT, PT, SLP)
Requirements: Active Indiana license in respective discipline; background clearance
All staff must complete:
Assistive technology-specific training and competency testing
Participant safety, emergency response, and abuse prevention training
HIPAA confidentiality and participant rights training
Annual technical competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Assistive Technology Services are available under the following Indiana Medicaid Waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Assistive device evaluations and recommendations
Device procurement, installation, customization, and training
Device maintenance and upgrade services
Participant and caregiver support and technical assistance
8. TIMELINE TO LAUNCH
Phase: Business Formation, DME Licensing (if applicable), and Compliance Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Service Development
Timeline: 1–2 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Assistive Technology Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA ASSISTIVE TECHNOLOGY SERVICES PROVIDER
WCG supports assistive technology providers, rehabilitation specialists, and DME suppliers in launching Medicaid-compliant Assistive Technology Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and DME compliance support (if needed)
Development of Assistive Technology Services Policy & Procedure Manual
Staff credentialing templates, participant assessment forms, device delivery logs, and training templates
Medicaid billing system setup and audit-ready claims management
Website, domain, and branding development
Technical support workflow templates and participant satisfaction tracking systems
Quality assurance systems for service delivery monitoring, documentation audits, and participant feedback
Strategic partnership development with rehabilitation clinics, schools, and community organizations
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN INDIANA
PROMOTING EMOTIONAL WELL-BEING, RECOVERY, AND COMMUNITY PARTICIPATION THROUGH COMPREHENSIVE SUPPORT
Behavioral Health Services in Indiana provide assessment, therapy, crisis intervention, and recovery supports for individuals experiencing mental health conditions, emotional disturbances, or substance use disorders. These services are authorized under Indiana Medicaid State Plan benefits, Home and Community-Based Services (HCBS) Waivers, and other state-funded initiatives to promote stability, resilience, and quality of life.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Mental Health and Addiction (DMHA)
Role: Oversees Behavioral Health Services delivery standards, provider certification, and program quality monitoring
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Behavioral Health Services and manages provider enrollment, claims, and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Behavioral Health Services align with HCBS person-centered planning, quality of care, and clinical effectiveness standards
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services address the emotional, psychological, and substance use needs of participants through person-centered, evidence-based interventions.
Approved providers may deliver:
Behavioral health assessments and diagnostic evaluations
Individual, group, and family therapy sessions
Psychiatric services, including medication management
Mobile crisis intervention and stabilization services
Community-based recovery support and skills training
Behavior support planning and positive behavioral interventions
Substance use disorder treatment, including outpatient and recovery services
Trauma-informed care services for individuals with complex needs
All services must align with the participant’s Individualized Treatment Plan (ITP) and comply with Medicaid, HCBS, and DMHA standards.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain certification as a Community Mental Health Center (CMHC), Behavioral Health Clinic, or Specialized Behavioral Health Provider through DMHA if applicable
Enroll as a Medicaid Behavioral Health Services Provider through the Indiana Medicaid Provider Enrollment Portal
Maintain professional liability, malpractice, and general liability insurance
Develop policies for behavioral health assessment, treatment planning, service delivery, documentation, participant rights, and emergency response
Ensure clinical staff meet licensure, credentialing, and ongoing training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Behavioral Health Services
Application and Documentation Submission:
Submit Articles of Incorporation, EIN/NPI confirmation, DMHA certification (if required), insurance certificates, operational policies, and staff licensure records
Program Readiness Review:
DMHA and/or OMPP reviews clinical service models, supervision structures, emergency procedures, participant rights protections, and documentation systems
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for therapy services, psychiatric services, mobile crisis response, skills training, and behavioral supports
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
DMHA Behavioral Health Provider Certification (if applicable)
Proof of general liability, malpractice, and professional insurance
Behavioral Health Services Policy & Procedure Manual including:
Participant intake, assessment, and individualized treatment planning procedures
Crisis intervention and emergency response protocols
Therapy session documentation standards and clinical progress monitoring
Participant rights protections, HIPAA compliance, and grievance resolution procedures
Staff credentialing, licensure verification, and ongoing supervision documentation
Medicaid billing and audit-ready clinical documentation practices
6. STAFFING REQUIREMENTS
Role: Clinical Director / Behavioral Health Program Supervisor
Requirements: Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC), Licensed Psychologist (PhD/PsyD), or Licensed Psychiatrist (MD/DO); clinical supervision experience; background clearance
Role: Behavioral Health Clinicians (LCSWs, LMHCs, LMFTs, Psychologists, Psychiatrists)
Requirements: Active Indiana license in discipline; CPR/First Aid certification preferred; background screening clearance
Role: Behavioral Health Support Specialists / Peer Recovery Coaches
Requirements: Certification in peer recovery or behavioral health support preferred; background screening clearance
All staff must complete:
Trauma-informed care, crisis response, and de-escalation training
HIPAA compliance and participant confidentiality training
Abuse prevention, emergency response, and safety training
Annual continuing education and clinical competency reassessments
7. MEDICAID WAIVER PROGRAMS AND STATE PLAN COVERAGE
Behavioral Health Services are reimbursable through:
Indiana Medicaid State Plan Behavioral Health Services
HCBS Waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver (limited behavior support services)
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Behavioral health therapy and counseling
Psychiatric evaluation and medication management
Mobile crisis intervention and stabilization
Behavior support planning and skills development
Recovery support and relapse prevention services
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing/Certification, and Compliance Setup
Timeline: 2–4 months
Phase: Staff Hiring, Credentialing, and Behavioral Health Program Development
Timeline: 2–4 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Behavioral Health Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Mental Health and Addiction (DMHA)
Website: https://www.in.gov/fssa/dmha/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA BEHAVIORAL HEALTH SERVICES PROVIDER
WCG assists behavioral health agencies, therapy practices, and mobile crisis response providers in launching Medicaid-compliant Behavioral Health Services across Indiana.
Scope of Work:
Business registration, DMHA certification (if needed), and Medicaid enrollment guidance
Development of Behavioral Health Services Policy & Procedure Manual
Staff credentialing templates, assessment and treatment plan forms, and session documentation templates
Medicaid billing system setup and audit-ready claims management support
Website, domain, and professional branding development
Clinical documentation compliance systems for emergency response, incident reporting, and outcome tracking
Quality assurance systems for service monitoring, participant satisfaction, and clinical effectiveness
Partnership development with hospitals, crisis centers, schools, and outpatient providers
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN INDIANA
ENHANCING SAFETY, ACCESSIBILITY, AND INDEPENDENCE THROUGH STRUCTURAL ADAPTATIONS
Home Modification Services in Indiana help individuals with disabilities, chronic conditions, or age-related limitations live more safely and independently in their homes. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and include physical adaptations that support Activities of Daily Living (ADLs), reduce the risk of institutionalization, and improve functional access within the home.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS) and Division of Aging
Role: Oversees authorization, service delivery standards, and quality monitoring for Home Modifications under Medicaid waivers
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Home Modification Services and manages provider enrollment, billing, and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Home Modification Services align with HCBS standards, medical necessity requirements, and participant-centered care principles
2. HOME MODIFICATION SERVICE OVERVIEW
Home Modification Services include physical adaptations to a participant’s primary residence that are necessary to ensure their health, welfare, and ability to function safely and independently at home.
Approved providers may deliver:
Installation of wheelchair ramps, stair lifts, or vertical platform lifts
Widening of doorways and hallways to accommodate mobility devices
Installation of grab bars, handrails, and transfer poles
Bathroom modifications including roll-in showers, raised toilets, and accessible sinks
Kitchen modifications for accessibility (e.g., lowered countertops, accessible cabinetry)
Flooring changes to reduce fall risk or allow for easier mobility
Voice-activated or remote-controlled home accessibility equipment
All modifications must be based on an individualized assessment, included in the participant’s Individualized Service Plan (ISP), and supported by documentation of medical or functional necessity.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Maintain contractor licensure, bonding, and insurance according to Indiana state and local building codes
Obtain lead-safe certification or ADA construction certification if applicable
Maintain general liability and product liability insurance
Develop policies for home assessment, project approvals, participant safety, and documentation
Ensure all subcontractors or vendors meet licensing and credentialing requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Home Modification Services
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, contractor licenses, sample bids, and home modification service policies
Program Readiness Review:
FSSA reviews provider readiness, including documentation practices, construction standards, safety procedures, and participant rights protections
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to deliver Home Modification Services and bill for assessments, labor, materials, and installation under waiver guidelines
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Contractor license and building permit documentation
Proof of general liability, product liability, and bonding insurance
Home Modification Services Policy & Procedure Manual including:
Participant intake, home assessment, and bid/approval process
ADA and code-compliant construction standards
Health and safety monitoring during installation
Participant rights, HIPAA confidentiality, and grievance policies
Staff and subcontractor credentialing and training documentation
Medicaid billing, project cost tracking, and audit readiness systems
6. STAFFING REQUIREMENTS
Role: Home Modification Program Manager
Requirements: Experience in residential construction, ADA compliance, or occupational therapy/environmental access; background clearance
Role: Licensed Contractors / Subcontractors
Requirements: Active Indiana contractor license; experience in accessibility modifications; background clearance
Role (Optional): Occupational Therapist / Assistive Technology Consultant
Requirements: State license; responsible for assessing participant needs and recommending appropriate modifications
All staff and subcontractors must complete:
Participant rights, safety, and HIPAA confidentiality training
OSHA-compliant construction safety training
ADA guidelines training (where applicable)
Annual continuing education (for evaluators or consultants)
7. MEDICAID WAIVER PROGRAMS
Home Modification Services are available under the following Indiana Medicaid waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Accessibility-related structural modifications
Installation of adaptive equipment integrated into the home
Home safety enhancements directly related to participant needs
Ongoing repair or minor updates to maintain functionality (per waiver rules)
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing, and Compliance Setup
Timeline: 1–2 months
Phase: Staff/Subcontractor Recruitment, Credentialing, and Safety Program Setup
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Provider Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing System Setup and Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA HOME MODIFICATION SERVICES PROVIDER
WCG supports contractors, DME companies, and community accessibility specialists in launching Medicaid-compliant Home Modification Services across Indiana.
Scope of Work:
Business registration, contractor licensing, and Medicaid enrollment guidance
Development of Home Modification Services Policy & Procedure Manual
Staff/subcontractor credentialing templates, project tracking forms, and bid documentation tools
Medicaid billing system setup and audit-ready documentation systems
Website, domain, and professional branding support
Environmental accessibility checklist templates and approval workflows
Quality assurance systems for compliance tracking, safety monitoring, and participant feedback
Partnership development with waiver case managers, rehab therapists, and housing agencies
Nursing Services
NURSING SERVICES PROVIDER IN INDIANA
DELIVERING SKILLED, MEDICALLY NECESSARY CARE TO SUPPORT HEALTH, SAFETY, AND COMMUNITY INDEPENDENCE
Nursing Services in Indiana provide skilled care to individuals with complex medical conditions, disabilities, or recovery needs. These services help maintain participants’ health and safety in home and community-based settings, avoiding unnecessary hospitalization or institutionalization. Nursing Services are reimbursable under Indiana Medicaid State Plan and Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Nursing Services and manages provider enrollment, claims, and reimbursement
Agency: Indiana State Department of Health (ISDH)
Role: Licenses Home Health Agencies (HHAs), enforces nursing regulations, and oversees facility and provider compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Nursing Services meet HCBS requirements, participant-centered standards, and Conditions of Participation (CoPs)
2. NURSING SERVICE OVERVIEW
Nursing Services deliver skilled interventions under a physician’s order to support participants with medical conditions requiring ongoing clinical oversight.
Approved providers may deliver:
Intermittent or continuous skilled nursing care (by RN or LPN)
Medication administration, injections, and IV therapy
Wound care and tracheostomy management
Ventilator and enteral feeding tube support
Catheter care and bowel program management
Chronic disease management (e.g., diabetes, epilepsy, hypertension)
Health monitoring, education, and coordination of medical services
Emergency medical response and post-acute care follow-up
All services must be documented in the participant’s Plan of Care (POC) and approved through Medicaid authorization protocols.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Home Health Agency License through the Indiana State Department of Health (ISDH)
Apply for CMS certification if serving Medicare beneficiaries
Enroll as a Medicaid provider through Indiana Medicaid Provider Enrollment Portal
Maintain general liability, professional liability, and malpractice insurance
Develop clinical policies for skilled care delivery, participant protection, emergency response, and infection control
Ensure nursing staff meet licensure, background screening, and annual training requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Application and Licensure:
Submit application for ISDH Home Health Agency licensure
Prepare operational policies, staff training documentation, and facility compliance plans
Undergo ISDH survey for license issuance
Medicaid & Medicare Enrollment:
Enroll via Indiana Medicaid Portal and, if applicable, CMS PECOS
Provide required documents: EIN/NPI, licenses, proof of insurance, policies, staffing plan
Billing Readiness:
Set up billing infrastructure to handle hourly/unit billing for RN/LPN services and required documentation
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
ISDH Home Health Agency License
CMS Provider Number (if billing Medicare)
Proof of general, professional, and malpractice insurance
Nursing Services Policy & Procedure Manual including:
Participant assessment, intake, and Plan of Care procedures
Skilled care documentation protocols
Emergency preparedness and infection control measures
HIPAA compliance, participant rights, and grievance policies
Staff credentialing, licensure, and competency tracking
Medicaid billing and audit-ready clinical records
6. STAFFING REQUIREMENTS
Role: Director of Nursing (DON)
Requirements: Active Indiana RN license; supervisory and home health experience; background clearance
Role: Registered Nurses (RNs)
Requirements: Active Indiana RN license; CPR certification; clinical competency verification
Role: Licensed Practical Nurses (LPNs)
Requirements: Active Indiana LPN license; works under RN supervision; background screening clearance
Role (optional): Certified Home Health Aides (HHAs)
Requirements: State-approved training program completion; background clearance
All clinical staff must complete:
HIPAA, abuse prevention, and confidentiality training
Infection control, emergency procedures, and participant safety protocols
Annual clinical evaluations and ongoing continuing education
7. MEDICAID WAIVER PROGRAMS AND STATE PLAN COVERAGE
Nursing Services are reimbursable through:
Indiana Medicaid State Plan Home Health Services
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW) — limited skilled nursing services
Approved providers may deliver:
Hourly skilled RN/LPN care
Complex condition monitoring and chronic care management
Medical intervention training for caregivers
Coordination with physicians and interdisciplinary care teams
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing, and Policy Development
Timeline: 2–4 months
Phase: Staff Hiring, Credentialing, and Compliance Program Setup
Timeline: 2–3 months
Phase: ISDH Survey, Medicaid Enrollment, and CMS Certification (if applicable)
Timeline: 60–90 days
Phase: Billing System Configuration and Nursing Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana State Department of Health (ISDH) — Home Health Licensing
Website: https://www.in.gov/health/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA NURSING SERVICES PROVIDER
WCG supports nursing agencies, home health providers, and skilled care businesses in launching Medicaid- and Medicare-compliant Nursing Services in Indiana.
Scope of Work:
Business registration, ISDH licensing, and CMS/Medicaid enrollment guidance
Development of Nursing Services Policy & Procedure Manual
Staff credentialing templates, care planning forms, and clinical documentation systems
Medicaid billing system setup and audit-ready claims management
Website, domain, and branding development
Infection control, incident reporting, and clinical QA program setup
Strategic partnership building with hospitals, discharge planners, and waiver case managers
Community Integration
COMMUNITY INTEGRATION SERVICES PROVIDER IN INDIANA
PROMOTING INDEPENDENCE, SOCIAL CONNECTIONS, AND PARTICIPANT-DRIVEN COMMUNITY PARTICIPATION
Community Integration Services in Indiana help individuals with disabilities or long-term support needs develop skills, engage in meaningful activities, and connect with their communities. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs, supporting greater independence, social inclusion, and quality of life.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS) and Division of Aging
Role: Oversees Community Integration provider enrollment, service authorizations, quality monitoring, and participant protections under HCBS Waivers
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Community Integration Services and manages provider enrollment, reimbursement, and claims processing
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Community Integration Services comply with the HCBS Settings Rule, person-centered planning standards, and quality requirements
2. COMMUNITY INTEGRATION SERVICE OVERVIEW
Community Integration Services focus on helping participants gain, retain, or improve self-help, socialization, and adaptive skills necessary to live and participate actively in their community.
Approved providers may deliver:
Individualized community-based activities based on the participant’s interests, needs, and goals
Support for accessing recreational, educational, volunteer, civic, cultural, and employment-related opportunities
Skill development for independent community navigation (e.g., using public transportation, accessing libraries, grocery stores)
Self-advocacy training to help participants express preferences and make choices
Assistance with building and maintaining relationships outside the home or service setting
Safety training for navigating various community environments
All services must be goal-driven, based on the participant’s Individualized Support Plan (ISP), and promote community inclusion rather than center-based or segregated activities.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid HCBS Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Meet FSSA DDRS service-specific standards for Community Integration
Maintain general liability insurance and professional liability insurance
Develop comprehensive policies for participant safety, community activity planning, staff training, emergency response, and documentation
Ensure all direct support staff meet background screening, health screening, and competency training requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through Indiana Medicaid Provider Portal for Community Integration Services under the appropriate waivers
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, staff credentialing documentation, and operational service delivery policies
Program Readiness Review:
FSSA (DDRS) conducts readiness review including service activity plans, staff training documentation, safety procedures, participant rights protections, and billing protocols
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for community-based integration supports, typically billed hourly
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Community Integration Services Policy & Procedure Manual including:
Participant intake, assessment, goal setting, and service planning protocols
Community activity safety planning, supervision protocols, and travel policies
Emergency response and critical incident reporting procedures
Participant rights, HIPAA confidentiality, and grievance procedures
Staff credentialing, background checks, training records, and competency assessments
Medicaid billing, service tracking, and documentation audit systems
6. STAFFING REQUIREMENTS
Role: Program Director / Community Integration Supervisor
Requirements: Bachelor’s degree in human services, education, or a related field preferred; background screening clearance; community-based service experience preferred
Role: Community Integration Specialists / Direct Support Professionals (DSPs)
Requirements: High school diploma or GED minimum; training in community navigation, participant safety, and self-advocacy facilitation; background screening clearance
All staff must complete:
HCBS Settings Rule and person-centered planning training
HIPAA compliance, abuse prevention, and participant rights training
Community safety, transportation, and emergency response training
Annual continuing education and competency reassessments
7. MEDICAID WAIVER PROGRAMS
Community Integration Services are available under the following Indiana Medicaid Waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Approved providers may deliver:
Community outings aligned with participants’ personal interests and employment goals
Volunteer and educational support participation
Individual or small group community integration activities
Self-advocacy skill development and peer interaction opportunities
8. TIMELINE TO LAUNCH
Phase: Business Formation, Compliance Preparation, and Staffing Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Service Planning Development
Timeline: 1–2 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Community Integration Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS)
Website: https://www.in.gov/fssa/ddrs/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA COMMUNITY INTEGRATION SERVICES PROVIDER
WCG supports day service agencies, employment support providers, and community-based organizations in launching Medicaid-compliant Community Integration Services across Indiana.
Scope of Work:
Business registration, Medicaid enrollment, and waiver compliance guidance
Development of Community Integration Services Policy & Procedure Manual
Staff credentialing templates, participant intake forms, and community activity tracking systems
Medicaid billing system setup and audit-ready claims management
Website, domain, and branding setup
Person-centered goal planning templates and community mapping tools
Quality assurance systems for service tracking, satisfaction surveys, and rights protections
Partnership development with schools, vocational programs, and community agencies
Homemaker Services
HOMEMAKER SERVICES PROVIDER IN INDIANA
ASSISTING INDIVIDUALS IN MAINTAINING A CLEAN, SAFE, AND HEALTHY HOME ENVIRONMENT
Homemaker Services in Indiana provide non-medical support to individuals who are unable to manage household tasks independently due to disability, chronic illness, or age-related challenges. These services are authorized under Indiana’s Medicaid Home and Community-Based Services (HCBS) waiver programs and help participants maintain their independence and community living.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Aging and Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees waiver program administration, provider enrollment, service authorizations, and quality monitoring
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Homemaker Services, manages provider enrollment, reimbursement, and billing processes
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Homemaker Services meet HCBS Settings Rule requirements and person-centered planning standards
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services support participants with routine household tasks necessary to maintain a clean, sanitary, and safe living environment.
Approved providers may deliver:
Light housekeeping (dusting, sweeping, mopping, vacuuming, trash disposal)
Laundry (washing, drying, folding, putting away clothes)
Meal preparation (basic meals following dietary needs)
Household organization to ensure safety (e.g., minimizing fall risks)
Shopping assistance for groceries and household supplies (if authorized)
Errands directly related to home maintenance (if authorized)
All tasks must be outlined in the participant’s Individualized Support Plan (ISP) and tied to promoting independent living.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through Indiana’s Medicaid Provider Enrollment Portal
Maintain general liability and professional liability insurance
Develop participant-centered operational policies covering homemaking tasks, emergency response, participant rights, and incident reporting
Ensure all staff meet background check requirements and complete necessary training in household assistance and participant safety
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through Indiana Medicaid’s Provider Portal
Application and Documentation Submission:
Submit Articles of Incorporation, EIN/NPI verification, proof of insurance, policies and procedures, and staff credentialing documentation
Program Readiness Review:
FSSA reviews provider readiness including documentation systems, participant protection measures, and service delivery procedures
Approval & Medicaid Enrollment:
Upon approval, configure billing codes for Homemaker Services based on authorized units of service (typically billed hourly)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general liability and professional liability insurance
Homemaker Services Policy & Procedure Manual including:
Participant intake, service authorization, and task planning procedures
Cleaning and sanitation task protocols
Emergency preparedness and critical incident reporting procedures
HIPAA confidentiality, participant rights, and grievance handling procedures
Staff credentialing, background checks, and training records
Medicaid billing, task documentation, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Homemaker Services Program Manager / Supervisor
Requirements: Experience in human services, residential services, or non-medical support programs preferred; background clearance
Role: Homemaker Aides / Direct Support Workers
Requirements: High school diploma or GED preferred; training in infection control, home safety, and basic household management; background screening clearance
All staff must complete:
HIPAA compliance and participant confidentiality training
Abuse prevention, emergency response, and participant rights training
Annual competency evaluations and continuing education in homemaker support best practices
7. MEDICAID WAIVER PROGRAMS
Homemaker Services are authorized under the following Indiana Medicaid waiver programs:
Aged and Disabled (A&D) Waiver
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW) (in limited cases)
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
In-home housekeeping tasks
Basic meal preparation and laundry support
Environmental safety support services
Limited errands directly related to maintaining a clean, healthy living environment
8. TIMELINE TO LAUNCH
Phase: Business Formation, Credentialing, and Policy Development
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Provider Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Homemaker Services Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Aging and DDRS
Website: https://www.in.gov/fssa/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA HOMEMAKER SERVICES PROVIDER
WCG supports personal assistance agencies, senior services organizations, and non-medical home support companies in launching Medicaid-compliant Homemaker Services across Indiana.
Scope of Work:
Business registration and Medicaid provider enrollment
Policy & Procedure Manual development for Homemaker Services
Staff credentialing templates and service tracking forms
Medicaid billing system setup and audit-ready documentation support
Website, domain, and professional branding development
Quality assurance systems for service monitoring, documentation audits, and participant feedback
Partnership development with waiver case managers, housing authorities, and support coordination agencies
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN INDIANA
COORDINATING INDIVIDUALIZED SUPPORTS TO PROMOTE HEALTH, COMMUNITY ACCESS, AND QUALITY OF LIFE
Case Management Services in Indiana provide comprehensive coordination of services and supports for individuals receiving long-term care under Medicaid. These services help participants navigate resources, ensure service quality, and promote independence. Case Management is authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and certain State Plan programs.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Disability and Rehabilitative Services (DDRS) and Division of Aging
Role: Oversees Case Management Services under HCBS waiver programs, including provider enrollment, service monitoring, and participant protections
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid reimbursement for Case Management Services and manages provider enrollment and claims processing
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Case Management meets HCBS Settings Rule, person-centered planning, and conflict-free care coordination requirements
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management Services assist participants in accessing medical, behavioral, social, educational, and community resources. Case managers work closely with individuals and their support networks to develop and monitor person-centered service plans.
Approved providers may deliver:
Comprehensive assessments of needs, risks, and strengths
Development of the Individualized Support Plan (ISP) or Person-Centered Service Plan (PCSP)
Coordination of waiver and non-waiver services (e.g., housing, employment, education)
Ongoing monitoring to ensure service quality and effectiveness
Advocacy for participant rights and support in making informed decisions
Transition support (e.g., from institutional care to home/community settings)
All services must be conflict-free, meaning providers cannot deliver direct waiver services to participants they case manage.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Case Management provider through the Indiana Medicaid Provider Enrollment Portal
Ensure conflict-free status by not providing other HCBS waiver services to the same participants
Maintain general and professional liability insurance
Develop policies for assessments, service planning, participant monitoring, documentation, and emergency response
Ensure all staff meet educational and training standards required for Medicaid case management
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application via Indiana Medicaid Provider Portal for HCBS Case Management Services
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, conflict-free attestation, staff credentials, insurance certificates, and operational policy documents
Program Readiness Review:
FSSA reviews provider qualifications, conflict-of-interest safeguards, documentation systems, staff training, and participant protections
Approval & Medicaid Enrollment:
Upon approval, providers receive authorization to bill Medicaid for assessments, service plan development, monitoring visits, and coordination services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Conflict-Free Case Management attestation
Case Management Policy & Procedure Manual including:
Intake, comprehensive assessment, and person-centered planning procedures
Risk mitigation, service authorization, and emergency response protocols
Ongoing service monitoring and documentation standards
Participant rights, HIPAA compliance, and grievance resolution procedures
Staff credentialing, training, and supervision records
Medicaid billing and audit-ready service documentation protocols
6. STAFFING REQUIREMENTS
Role: Case Management Supervisor / Program Director
Requirements: Bachelor’s or Master’s degree in social work, psychology, nursing, education, or a related human services field; experience in supervision and waiver services; background screening clearance
Role: Case Managers / Support Coordinators
Requirements: Bachelor’s degree in human services or related field; completion of person-centered planning training; experience working with people with disabilities or aging populations preferred; background screening clearance
All staff must complete:
HCBS Settings Rule and person-centered service planning training
Conflict-free case management training
Abuse prevention, emergency procedures, and participant safety training
HIPAA compliance and confidentiality training
Annual continuing education and competency reassessments
7. MEDICAID WAIVER PROGRAMS
Case Management Services are available under the following Indiana Medicaid Waivers:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Initial and ongoing comprehensive assessments
ISP development, updates, and documentation
Coordination of waiver and community-based services
Ongoing participant support and monitoring visits
Crisis planning and transition services
8. TIMELINE TO LAUNCH
Phase: Business Formation, Conflict-Free Compliance, and Program Setup
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Policy Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Case Management Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — DDRS & Division of Aging
Website: https://www.in.gov/fssa/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA CASE MANAGEMENT SERVICES PROVIDER
WCG supports human service agencies, support coordination firms, and conflict-free case management providers in launching Medicaid-compliant Case Management Services across Indiana.
Scope of Work:
Business registration, conflict-free provider compliance setup, and Medicaid enrollment support
Development of Case Management Services Policy & Procedure Manual
Staff credentialing templates, participant assessment tools, and service plan documentation systems
Medicaid billing system setup and audit-ready service tracking support
Website, domain, and professional branding setup
Quality assurance programs for documentation audits, satisfaction surveys, and participant rights protections
Strategic partnership development with waiver case managers, medical providers, and social service agencies
Transportation Assistance
TRANSPORTATION SERVICES PROVIDER IN INDIANA
ENABLING ACCESS TO HEALTHCARE, EMPLOYMENT, AND COMMUNITY LIFE THROUGH SAFE, RELIABLE NON-EMERGENCY TRANSPORTATION
Transportation Services in Indiana support individuals who are unable to drive or use conventional public transportation due to disabilities, chronic conditions, or aging-related challenges. These services are authorized under Indiana Medicaid State Plan and Home and Community-Based Services (HCBS) Waiver programs and help ensure access to medical appointments, work, day programs, and community participation.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Non-Emergency Medical Transportation (NEMT) and waiver-funded transportation services; oversees provider enrollment and reimbursement
Agency: Indiana Division of Disability and Rehabilitative Services (DDRS) and Division of Aging
Role: Authorizes and monitors transportation services under HCBS Waivers
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Transportation Services meet HCBS requirements and support person-centered care and community integration
2. TRANSPORTATION SERVICE OVERVIEW
Transportation Services provide non-emergency rides for eligible individuals to and from Medicaid-approved destinations. These rides may support medical care, employment, education, community participation, or day programs.
Approved providers may deliver:
Non-Medical Transportation (waiver-funded): To adult day services, supported employment, volunteer activities, social and recreational outings
Non-Emergency Medical Transportation (State Plan): To Medicaid-covered medical appointments, therapy, pharmacy visits, or evaluations
Individual or group rides based on participant needs
Wheelchair-accessible vehicle transport for participants with mobility impairments
Curb-to-curb or door-to-door service depending on level of need
All services must align with the participant’s Individualized Support Plan (ISP) or service authorization and comply with Medicaid transportation requirements.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Transportation Provider through the Indiana Medicaid Provider Enrollment Portal
Obtain any required transportation or for-hire licenses (if operating specialty vehicles)
Maintain vehicle liability, general liability, and commercial auto insurance
Ensure vehicles meet Indiana Department of Transportation (IDOT) and ADA accessibility requirements
Develop transportation policies for safety, maintenance, emergency response, and participant protections
Ensure drivers meet background checks, drug testing, and training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Portal for either:
Waiver Transportation Services, or
NEMT Broker credentialing (via Southeastrans or other broker, if under State Plan)
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, insurance certificates, vehicle registration and inspection documents, driver credentialing documentation, and transportation service policies
Program Readiness Review:
FSSA or broker reviews provider qualifications, safety standards, staff credentials, and documentation processes
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for mileage- or trip-based transportation under waiver codes or broker-managed NEMT codes
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License
IRS EIN confirmation
NPI confirmation
Proof of general liability, commercial auto, and vehicle insurance
Vehicle inspection and maintenance logs
Transportation Services Policy & Procedure Manual including:
Trip scheduling and dispatch procedures
Vehicle cleaning, maintenance, and emergency response protocols
ADA compliance, loading/unloading protocols, and driver-passenger interaction rules
Participant rights, HIPAA compliance, and incident reporting procedures
Driver credentialing, license verification, and ongoing training logs
Medicaid billing documentation and trip verification logs
6. STAFFING REQUIREMENTS
Role: Transportation Program Manager / Supervisor
Requirements: Experience in transportation logistics or health-related transport preferred; background clearance
Role: Drivers / Transportation Specialists
Requirements: Valid Indiana driver’s license; clean driving record; CPR/First Aid certification preferred; defensive driving and wheelchair securement training required; background screening and drug testing clearance
All staff must complete:
HIPAA and participant confidentiality training
Abuse prevention and emergency procedures training
Defensive driving and ADA vehicle operation training
Annual driving record checks and vehicle safety refreshers
7. MEDICAID WAIVER PROGRAMS AND STATE PLAN COVERAGE
Transportation Services are reimbursable through:
HCBS Waiver Programs:
Community Integration and Habilitation (CIH) Waiver
Family Supports Waiver (FSW)
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Indiana Medicaid State Plan:
Non-Emergency Medical Transportation (broker-managed)
Approved providers may deliver:
Waiver-authorized community integration transport
Daily roundtrip transportation to adult day services or supported employment
Rides to medical appointments under State Plan coverage
8. TIMELINE TO LAUNCH
Phase: Business Formation, Vehicle Acquisition, and Safety Policy Development
Timeline: 1–2 months
Phase: Driver Hiring, Credentialing, and Training
Timeline: 1–2 months
Phase: Medicaid Enrollment / Broker Credentialing and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP)
Website: https://www.in.gov/fssa/ompp/
Southeastrans (NEMT Broker)
Website: https://southeastrans.com/indiana/
Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA TRANSPORTATION SERVICES PROVIDER
WCG assists transportation companies, home care agencies, and NEMT providers in launching Medicaid-compliant Transportation Services across Indiana.
Scope of Work:
Business registration, Medicaid and broker enrollment, and licensing guidance
Development of Transportation Services Policy & Procedure Manual
Staff credentialing templates, trip logs, route planning systems, and emergency protocols
Medicaid billing system setup and claims management assistance
Website, domain, and professional branding development
ADA compliance templates and vehicle inspection checklists
Quality assurance systems for service tracking, driver monitoring, and satisfaction surveys
Referral development with waiver providers, case managers, and hospitals
Home Health Services
HOME HEALTH CARE SERVICES PROVIDER IN INDIANA
DELIVERING SKILLED NURSING, THERAPY, AND PERSONAL CARE SERVICES TO SUPPORT HEALTH AND INDEPENDENCE AT HOME
Home Health Care Services in Indiana offer skilled nursing, therapy, and personal care support to individuals managing chronic illnesses, recovering from surgery, or living with disabilities, helping them maintain health and independence within their homes. These services are authorized under Indiana Medicaid, Medicare, and Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid State Plan and HCBS Waiver funding for Home Health Care Services and oversees provider enrollment and reimbursement
Agency: Indiana State Department of Health (ISDH)
Role: Licenses Home Health Agencies (HHAs), conducts facility surveys, ensures compliance with health, safety, and quality standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicare- and Medicaid-certified Home Health Agencies meet federal Conditions of Participation (CoPs) and participant-centered care standards
2. HOME HEALTH CARE SERVICE OVERVIEW
Home Health Care Services provide intermittent skilled healthcare and personal care services delivered under a physician’s order and an individualized Plan of Care (POC).
Approved providers may deliver:
Skilled nursing care (e.g., wound care, medication administration, chronic disease management)
Physical therapy, occupational therapy, and speech-language pathology services
Medical social services and health education
Home health aide services for assistance with Activities of Daily Living (ADLs) like bathing, dressing, grooming, and mobility
Post-acute recovery care following hospital discharge
Health condition monitoring and caregiver support
All services must be based on assessed medical necessity and documented in the participant’s Plan of Care (POC).
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Apply for and obtain Home Health Agency License through the Indiana State Department of Health (ISDH)
Obtain Medicare Certification through CMS (if serving Medicare beneficiaries)
Enroll as a Medicaid provider through the Indiana Medicaid Provider Enrollment Portal
Maintain general liability, professional liability, and malpractice insurance
Develop comprehensive policies for skilled services delivery, participant protections, emergency response, infection control, and documentation
Ensure clinical staff meet licensure, credentialing, background check, and ongoing training requirements
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Application and Pre-Licensure Preparation:
Submit Home Health Agency license application to ISDH with detailed policies, staffing plans, and facility readiness documents
Licensure and Certification Surveys:
ISDH conducts pre-licensure survey; CMS certification survey follows for agencies seeking Medicare/Medicaid certification
Medicaid and Medicare Enrollment:
Following successful licensure and certification, complete enrollment via Indiana Medicaid Provider Portal and CMS PECOS (Medicare)
Billing Setup:
Configure claims management systems for Medicaid and Medicare billing, including HCPCS and CPT codes for skilled services
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Registration (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
ISDH-issued Home Health Agency License
Medicare Provider Number (if applicable)
Proof of general liability, malpractice, and professional insurance
Home Health Services Policy & Procedure Manual including:
Intake, referral, and care plan development protocols
Skilled nursing, therapy, and aide service documentation standards
HIPAA compliance, participant rights, and grievance procedures
Infection control, emergency preparedness, and critical incident reporting
Staff credentialing, licensure verification, competency evaluations
Medicaid/Medicare billing and audit-readiness procedures
6. STAFFING REQUIREMENTS
Role: Home Health Administrator
Requirements: Background in healthcare administration; experience with home health management preferred; background clearance
Role: Director of Nursing (DON)
Requirements: Active Indiana Registered Nurse (RN) license; supervisory experience; background clearance
Role: Registered Nurses (RNs) and Licensed Practical Nurses (LPNs)
Requirements: Active Indiana nursing licenses; CPR certification; clinical competency assessments
Role: Therapists (Physical Therapists, Occupational Therapists, Speech-Language Pathologists)
Requirements: Active Indiana licensure in discipline; background clearance
Role: Home Health Aides (HHAs)
Requirements: Completion of state-approved HHA training and competency evaluation; background screening clearance
All staff must complete:
HIPAA compliance and participant confidentiality training
Infection control, emergency preparedness, and abuse prevention training
Skills competency evaluations and annual continuing education
7. MEDICAID WAIVER PROGRAMS AND STATE PLAN COVERAGE
Home Health Care Services are reimbursed through:
Indiana Medicaid State Plan Home Health Benefit: Skilled nursing, therapy, and home health aide services for medically necessary care
Aged and Disabled Waiver (A&D): Home health aide and nursing services to support community living
Traumatic Brain Injury Waiver (TBI): Nursing and therapy services as part of comprehensive rehabilitation supports
Approved providers may deliver:
Intermittent skilled nursing care
Physical, occupational, and speech therapy
Personal care services by home health aides
Post-acute recovery support services
8. TIMELINE TO LAUNCH
Phase: Business Formation, Licensing, and Policy Development
Timeline: 2–4 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 3–6 months
Phase: ISDH Licensure Inspection and CMS Certification
Timeline: 3–6 months
Phase: Medicaid and Medicare Enrollment and Billing Setup
Timeline: 30–60 days
9. CONTACT INFORMATION
Indiana State Department of Health (ISDH) — Home Health Agency Licensing
Website: https://www.in.gov/health/
Indiana Family and Social Services Administration (FSSA)
Website: https://www.in.gov/fssa/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA HOME HEALTH CARE SERVICES PROVIDER
WCG assists home health agencies, therapy providers, and nursing care organizations in launching Medicaid- and Medicare-compliant Home Health Care Services across Indiana.
Scope of Work:
Business registration, ISDH licensure application, and Medicare/Medicaid enrollment support
Development of Home Health Care Services Policy & Procedure Manual
Staff credentialing templates, care plan templates, and clinical documentation systems
Medicaid and Medicare billing system setup and claims management support
Website, domain, and professional branding development
Clinical compliance programs for infection control, emergency preparedness, and incident reporting
Quality assurance systems for service delivery monitoring and participant satisfaction
Strategic partnership development with hospitals, discharge planners, and community organizations
Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN INDIANA
PROMOTING HEALTH, INDEPENDENCE, AND WELLNESS THROUGH HOME-DELIVERED AND CONGREGATE MEALS
Meal and Nutrition Services in Indiana support individuals who are elderly, disabled, or managing chronic health conditions by providing access to nutritious meals and nutrition education. These services help maintain participants' health, prevent malnutrition, and support independent living in the community. Meal and Nutrition Services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs and state-funded aging programs.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Aging
Role: Oversees state- and federally-funded nutrition programs, sets meal standards, and monitors provider compliance for older adults and individuals with disabilities
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid waiver funding for Meal and Nutrition Services and manages provider enrollment and reimbursement
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Meal and Nutrition Services meet HCBS standards for participant-centered, high-quality service delivery
2. MEAL AND NUTRITION SERVICE OVERVIEW
Meal and Nutrition Services provide nutritious, balanced meals and nutrition education to participants who may have difficulty preparing meals independently due to health, disability, or aging.
Approved providers may deliver:
Home-delivered meals: Fresh, frozen, or shelf-stable meals delivered directly to the participant's home
Congregate meals: Meals served in group settings such as senior centers, community centers, or adult day programs
Special diet meals: Meals customized to meet medical dietary needs (e.g., diabetic, renal, cardiac diets)
Nutrition education: Counseling and classes to promote healthy eating habits, chronic disease management, and food safety
All services must align with the participant’s Individualized Service Plan (ISP) or Waiver Service Plan.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid Waiver provider through the Indiana Medicaid Provider Enrollment Portal
Obtain necessary food service permits (e.g., food establishment permits through local health departments)
Maintain general liability and product liability insurance
Comply with Indiana State Department of Health (ISDH) food safety standards
Develop policies for meal preparation, delivery logistics, participant safety, food handling, and documentation
Ensure all food preparation staff meet ServSafe or equivalent food safety training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through Indiana Medicaid Provider Portal for Meal and Nutrition Services under HCBS Waiver programs
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI verification, food safety certifications, liability insurance certificates, operational policies, and staff credentialing documentation
Program Readiness Review:
FSSA and local Area Agencies on Aging (AAAs) may review provider readiness including kitchen operations, menu compliance with dietary guidelines, and delivery procedures
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for meal delivery, congregate meal service, and nutrition education activities
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business Registration (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Food service permits and kitchen inspection reports
Proof of general liability and product liability insurance
Meal and Nutrition Services Policy & Procedure Manual including:
Participant intake, eligibility verification, and service scheduling procedures
Meal preparation, portion control, diet-specific menu development, and food safety standards
Delivery route planning and meal temperature control protocols
Emergency preparedness, backup meal plans, and disaster response strategies
Participant rights, HIPAA compliance, and grievance procedures
Staff credentialing, background checks, food handler certifications, and training logs
Medicaid billing, service tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Program Director / Nutrition Services Manager
Requirements: Bachelor’s degree in nutrition, dietetics, public health, or related field preferred; experience managing food service programs; background clearance
Role: Registered Dietitian (RD) (if providing medical nutrition therapy)
Requirements: Active Indiana dietitian license; background clearance
Role: Food Preparation and Delivery Staff
Requirements: Food Handler Certification (e.g., ServSafe); background screening clearance; training in safe food preparation, infection control, and participant interaction
All staff must complete:
Food safety and sanitation training
HIPAA compliance and participant confidentiality training
Elder abuse prevention and mandatory reporting training
Emergency procedures and infection control training
Annual continuing education and competency evaluations
7. MEDICAID WAIVER PROGRAMS
Meal and Nutrition Services are available under the following Indiana Medicaid programs:
Aged and Disabled Waiver (A&D)
Traumatic Brain Injury Waiver (TBI)
Approved providers may deliver:
Home-delivered meals (daily or multiple deliveries per week)
Congregate meals at certified group dining sites
Specialized diet meals per medical plan
Nutrition education classes or individual counseling sessions
8. TIMELINE TO LAUNCH
Phase: Business Formation, Food Safety Compliance, and Licensing
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and Service Authorization Readiness
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Aging
Website: https://www.in.gov/fssa/da/
Indiana Office of Medicaid Policy and Planning (OMPP)
Website: https://www.in.gov/fssa/ompp/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA MEAL AND NUTRITION SERVICES PROVIDER
WCG assists nutrition service agencies, home-delivered meal providers, and community-based organizations in launching Medicaid-compliant Meal and Nutrition Services across Indiana.
Scope of Work:
Business registration, food service licensing, and Medicaid enrollment support
Development of Meal and Nutrition Services Policy & Procedure Manual
Staff credentialing templates, meal tracking systems, and dietary compliance forms
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding assistance
Menu development guidance, special diet compliance templates, and emergency meal planning tools
Quality assurance systems for food safety inspections, participant satisfaction surveys, and service delivery monitoring
Partnership development with Area Agencies on Aging, hospitals, and community service organizations
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.