The PathWays Waiver for individuals aged 60 and older and the Health and Wellness 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, 2024, through June 30, 2025. The Family and Social Services Administration reached its federally approved capacity for the prior waiver year in April 2024 and implemented a waiting list.
When the new waiver year began on July 1, 2024, FSSA began inviting a group of individuals from the Health and Wellness Waiver and PathWays Waiver waiting lists each month as long as capacity remains. Based on the number of slots, the number of people on the waiting list, and the steps that must be taken, FSSA increased the number of monthly invitations effective October 2024 and will continue to monitor the invitation process.
Individuals are invited each month from the waiting list in the following order:
- 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;
- 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 to identify their original Level of Care assessment date
- After Nov. 11, 2024, the Waiting List Placement Letter, samples below, will include the original LOC assessment date.
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.
Health and Wellness Waiver
- As approved by the federal government, there are 16,127 slots on the Health and Wellness Waiver during the timeframe July 1, 2024, through June 30, 2025.
- Slots must be reserved for individuals who will transition from the Money Follows the Person program during the waiver year.
- As of February 2025, there are 4,322 individuals on the Health and Wellness Waiver Waiting List.
- H&W Waiver Waiting List Invitation Checklist (7/12/2024)
- H&W Waiver Waiting List and Invitation Process (7/12/2024)
- CMS approved H&W Waiver
Priority Status | ||||||
---|---|---|---|---|---|---|
Month | Transition from Nursing Facility | Discharge from Hospital | Transition from CHOICE | Invited Based on Original Level of Care date* | Last Original Level of Care date Invited* | Total Invitations Sent** |
July 2024 | 42 | 16 | 16 | 57 | 131 | |
August 2024 | 6 | 11 | 12 | 102 | 131 | |
September 2024 | 6 | 8 | 5 | 115 | 134 | |
October 2024 | 14 | 13 | 9 | 463 | 499 | |
November 2024 | 135 | 18 | 8 | 339 | 2/13/2024 | 500 |
December 2024 | 51 | 24 | 3 | 339 | 3/22/2024 | 500 |
January 2025 | 19 | 12 | 4 | 465 | 4/18/2024 | 500 |
February 2025 | 13 | 54 | 7 | 537 | 5/10/2024 | 611 |
Total for Waiver Year (July 1, 2024 - June 30, 2025) | 286 | 156 | 64 | 2,417 | 3,006 |
* 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.
PathWays Waiver
- As approved by the federal government, there are 39,842 slots on the PathWays Waiver during the timeframe July 1, 2024, through June 30, 2025.
- Slots must be reserved for individuals who will transition from the Money Follows the Person program as well as transitioning from the Health and Wellness waiver as they turn 60 during the waiver year.
- As of February 2025, there are 6,245 individuals on the PathWays Waiver waiting list. Note: No waiting list exists for the overall PathWays program, only individuals eligible for waiver services under PathWays are placed on the waiting list
- PathWays Waiver Invitation Checklist For those enrolled in PathWays (7/12/2024)
- PathWays Waiver Invitation Checklist for those not in PathWays (7/12/2024)
- PathWays Waiver Waiting List & Invitation Process (7/12/2024)
- CMS approved PathWays Waiver
Priority Status | ||||||
---|---|---|---|---|---|---|
Month | Transition from Nursing Facility | Discharge from Hospital | Transition from CHOICE | Invited Based on Original Level of Care date* | Last Original Level of Care date Invited* | Total Invitations Sent** |
July 2024 | 161 | 19 | 105 | 574 | 859 | |
August 2024 | 13 | 17 | 25 | 819 | 874 | |
September 2024 | 21 | 8 | 10 | 869 | 908 | |
October 2024 | 72 | 34 | 13 | 1,083 | 1,202 | |
November 2024 | 341 | 37 | 22 | 1,100 | 4/1/2024 | 1,500 |
December 2024 | 150 | 41 | 12 | 1,797 | 5/10/2024 | 2,000 |
January 2025 | 87 | 47 | 61 | 2,806 | 7/18/2024 | 3,001 |
February 2025 | 31 | 121 | 11 | 337 | 7/25/2024 | 500 |
Total for Waiver Year (July 1, 2024 - June 30, 2025) | 876 | 324 | 259 | 9,385 | 10,844 |
* 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.
Frequently Asked Questions
- What is my spot on the waiting list? When will I be invited from the waiting list?
- How do I know when I’ve been invited off the waiting list?
- What do I do when I’m invited off the waiting list?
- I applied for the waiver months ago and am still waiting. I’ve heard that others who applied after me have already been invited. Why is this the case?
- What do I need to be eligible for the waiver? What’s the difference between functional eligibility and Medicaid eligibility?
- How are waiver slots counted?
Additional FAQs about joining the Waiting List and the Waiting List invitations are here.
Last updated: 2/12/2025