HCBS Medicaid Waiver Waiting List Information

The PathWays Medicaid Waiver for individuals aged 60 and older and the Health and Wellness Medicaid Waiver for individuals 59 and younger provide home and community-based services to eligible Hoosiers who meet nursing facility level of care and Medicaid eligibility requirements.

As approved by the federal government, 55,969 total slots are available between the two waivers during the timeframe July 1, 2025 through June 30, 2026. The Family and Social Services Administration reached its federally approved capacity in April 2024 and implemented a waiting list.

FSSA will begin inviting individuals in July 2025 from the Health and Wellness and PathWays Medicaid Waiver waiting lists each month as long as capacity remains.

FSSA must hold slots in reserve during the waiver year for individuals to access the waiver as based on the approved waiver application. The reserved slots will reduce throughout the waiver year as individuals who meet the criteria are given a slot to move forward. A table below each waiver information identifies the categories and slots held in reserve.

As capacity remains on the waiver, Individuals are invited each month from the waiting list in the following order:

1. Those transitioning from Nursing Facilities, CHOICE, and Discharge from Hospital receive first priority of targeted waiver invitations each month, per the waivers approved by the Centers for Medicare and Medicaid Services, regardless of the date they were assessed for nursing facility level of care;
2. Individuals on the waiting list without a priority status receive the remaining targeted waiver invitations based on the original level of care assessment date.
   • Individuals can contact their local AAA or MCE to identify their Level of Care assessment date. Individuals can also find their level of Care assessment date on the Online HCBS Waitlist Dashboard
   • The Waiting List Placement Letter, samples below, will include the Level of Care assessment date.
     • Health and Wellness Waiting List Placement Letter Sample
     • PathWays Waiver Waiting List Placement Letter Sample

Individuals invited to proceed from the waiting list will receive a letter, samples below, with further details on next steps.

• Health and Wellness Waiting List Invitation Letter Sample
• PathWays Waiver Waiting List Invitation Letter Sample

The information below shows the number of individuals invited each month from the waiting list followed by FAQs.

Individuals and families may confirm placement on the Health and Wellness, PathWays, and Family Supports Waivers on the Online HCBS Waitlist Dashboard. A guide to the dashboard can be found here.

*Effective July 1, 2025, the Health & Wellness (H&W) and PathWays Medicaid waivers have a designated reserved waiver capacity for individuals residing in assisted living who meet the defined criteria. For more information, please review the procedure and referral form.

• Assisted Living Reserve Capacity Procedure
• Assisted Living Reserve Capacity Referral Form

Health and Wellness Medicaid Waiver

• During the timeframe July 1, 2024 through June 30, 2025
  • 16,127 slots were allotted in the Health and Wellness Medicaid Waiver
  • 15,066 slots were actively filled
  • 3,717 invitations were issued
  • 1,060 invitations remain open
• As approved by the federal government, there were 16,127 slots on the Health and Wellness Medicaid Waiver during the timeframe July 1, 2025 through June 30, 2026.
• As of June 2025, there were 5,470 individuals on the Health and Wellness Medicaid Waiver Waiting List.
• Timeframe July 1, 2025, through June 30,2026
  • As approved by the federal government, there are 16,127 slots on the Health and Wellness Medicaid Waiver during the timeframe July 1, 2025, through June 30, 2026.
  • As of November 2025, there were 5,611 individuals on the Health and Wellness Medicaid Waiver Waiting List.
• H&W Waiver Waiting List Invitation Checklist (7/12/2024)
• CMS approved Health and Wellness Medicaid Waiver

^{* Original Level of Care date for the waiver equates to the Date of Application
** Total invitations sent each month were increased to 500 in October 2024. These include slots planned for release plus the slots that were declined or otherwise not utilized in prior months.}

Reserve Capacity – As of November 2025

PathWays Medicaid Waiver

• During the timeframe July 1, 2024 through June 30, 2025
  • 39,842 slots were allotted in the PathWays Medicaid Waiver
  • 35,258 slots were actively filled
  • 14,438 invitations were issued
  • 3,785 invitations remain open
• As of June 2025, there were 7,895 individuals on the PathWays Medicaid Waiver waiting list. Note: No waiting list exists for the overall Indiana for PathWays Aging program, only individuals eligible for waiver services under PathWays are placed on the waiting list.
• Timeframe July 1, 2025, through June 30, 2026
  • As approved by the federal government, there are 39,842 slots on the PathWays Medicaid Waiver during the timeframe July 1, 2025 through June 30, 2026.
  • As of November 2025, there are 9,188 individuals on the PathWays Medicaid Waiver Waiting List.
• PathWays Medicaid Waiver Invitation Checklist for those enrolled in PathWays for Aging (7/12/2024)
• PathWays Medicaid Waiver Invitation Checklist for those not in PathWays for Aging (7/12/2024)
• CMS approved PathWays Medicaid Waiver

^{* Original Level of Care date for the waiver equates to the Date of Application
** Total invitations sent each month were increased to 3,000 in January 2025. These include slots planned for release plus the slots that were declined or otherwise not utilized in prior months.}

Reserve Capacity – As of November 2025

To confirm placement on the waiting list and to verify the accuracy of the individual’s contact information visit the HCBS Waitlist Dashboard.  A guide to the dashboard can be found here.

Additional FAQs about joining the Waiting List and the Waiting List invitations are here.

Last updated: 11/19/2025