Guide to Becoming a Personal Assistance Services Provider in Indiana 


1.Program Definition and Services 

Personal Assistance Services in Indiana are defined as services that assist individuals with activities of daily living and instrumental activities of daily living. These services include: 

  • Attendant care services 
  • Homemaker services (housekeeping, shopping, laundry, meal planning and preparation) 
  • Companion services (fellowship, care, protection, transportation, letter writing, mail reading, and escort services) 

 

2. Regulations 

The program is governed by Indiana Administrative Code 460 IAC 14-11-6 and Indiana Code § 16-27-4. 

 

3. Licensing or Certification 

A license is required to operate as a Personal Services Agency in Indiana. Certification is required for providers serving Medicaid waiver clients. 

 

4. Responsible State Agency 

The Indiana State Department of Health is responsible for issuing licenses for Personal Services Agencies. The Indiana Family and Social Services Administration (FSSA) is responsible for Medicaid waiver certification. 

 

5. Application Process 

The application process is conducted through the Indiana State Department of Health. Providers must submit the Application for License to Operate a Personal Services Agency (State Form 53391) along with a $250 license fee. 

 

6. Required Documentation

The following documents are required for application: 

  • Completed Application for License to Operate a Personal Services Agency 
  • $250 license fee 
  • Policies and procedures manual 
  • Proof of $250,000/$750,000 in liability insurance 
  • W-9 Form 
  • Certificate of Insurance for workers' compensation 

 

7. Timeline for Approval 

The exact timeline for approval is not specified in the provided information. 

 

8. Pre-Application Process 

Before applying, providers should: 

  • Develop policies and procedures 
  • Obtain necessary insurance coverage 
  • Prepare all required documentation 

 

9. Pre-Application Training 

No specific pre-application training is mentioned by the State. 

 

10. Additional Notes 

  • Family members of individuals shall not be paid for providing personal assistance services, except under specific circumstances. 
  • Providers must be at least 18 years old. 
  • As of March 4, 2025, providers should be aware of any updates or changes to regulations that may have occurred since the last known update in 2024. 
  • Providers serving Medicaid waiver clients must also be certified through the Medicaid Waiver program, which differs from traditional Medicaid certification. 
  • Providers should be prepared to meet competency requirements, which may include passing a standardized competency exam. 

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