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HCBS Waiver Waiting List Information

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:

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

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

Health and Wellness 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 2024685115 134
October 202414139463 499
November 20241351883392/13/2024500
December 2024512433393/22/2024500
January 2025191244654/18/2024500
February 2025135475375/10/2024611
Total for Waiver Year
(July 1, 2024 - June 30, 2025)
286156642,417 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

  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 202421810869 908
October 20247234131,083 1,202
November 202434137221,1004/1/20241,500
December 202415041121,7975/10/20242,000
January 20258747612,8067/18/20243,001
February 202531121113377/25/2024500
Total for Waiver Year
(July 1, 2024 - June 30, 2025)
8763242599,385 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

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

Last updated: 2/12/2025