Resource Guide

Child Care Resource and Referral

Choosing child care is one of the most important decisions families make, but all too often they must rely on word-of-mouth. Local Child Care Resource and Referral agencies help parents take the guesswork out of choosing care by providing:

• Referrals to local child care providers
• Information on state licensing requirements
• Information on availability of child care subsidies

Child Care Resource and Referrals provide guidance by phone, in person and in other ways, such as online forms, that are tailored to each individual family. Child Care Resource and Referrals support families to raise healthy children by:

• Using a two-generational approach, supporting the needs of a family’s adults as well as the children, by navigating a library of resources and curating a selection tailored to each family’s unique needs
• Understanding the delicate balance of family life, particularly for low-income families
• Reaching out to parents with trusted, local information that enables them to make informed choices

Visit www.in.gov/fssa/carefinder and select “Changes to child care resource & referral” to find more information about your local Child Care Resource and Referral agency.

For a map of Child Care Resource and Referral Agencies, visit www.in.gov/fssa/carefinder/files/LCC-RR-Services-Provider-Map.pdf.

Child Care and Development Fund

The Child Care and Development Fund helps low-income families obtain child care so they can work, attend training or continue their education. The purpose of CCDF is to provide low-income families with the financial resources to locate and afford quality child care as well as increase the availability of these programs.

How does someone qualify for the Child Care and Development Fund?

To qualify for the Child Care and Development Fund, applicants must meet certain non-financial and financial requirements. Nonfinancial requirements include state residency, working or going to school, citizenship of the child receiving CCDF assistance and choosing a CCDF-eligible provider. Financial criteria include gross monthly income limits.

How does someone know if a child is eligible to receive Child Care and Development Fund benefits?

• The child receiving services must be a U.S. citizen or qualified alien.
• The child may qualify up to age 13.
• Children with special needs may qualify up to the age of 18 years old.

What are the income limits?

Eligibility for the Child Care and Development Fund is based on the total gross monthly income of the household. Gross monthly income is total income before taxes or any deductions. To be eligible, a family’s income must be at or below 150% of the federal poverty level. Once on the CCDF program, a family’s gross income cannot exceed 85% of the state median income to remain eligible.

For Child Care and Development Fund income limits, visit www.in.gov/fssa/carefinder/child-care-assistance.

Who is a Child Care and Development Fund-eligible provider?

A Child Care and Development Fund-eligible provider is defined as a provider, either licensed or exempt from being licensed by law, who has met all applicable CCDF provider eligibility standards and has completed the application process.

Eligible providers may include:

• Licensed facilities and homes
• Unlicensed registered day care ministries
• Legally license-exempt child care facilities and homes
• Legally license-exempt relative care (grandparent, great grandparent, aunt and/or uncle of the eligible child)
• Legally license-exempt in-home care

How does someone apply for Child Care and Development Fund benefits?

Applicants apply through the online application at Early Ed Connect found at https://earlyedconnect.fssa.in.gov/onlineApp/home. For questions about the application process, applicants can contact the local Child Care and Development Fund eligibility office. A map of eligibility offices and contact information are found at www.in.gov/fssa/carefinder/files/CCDF_Eligibility_Office_Map.pdf.

Who counts in the Child Care and Development Fund applicant’s household (family)?

A Child Care and Development Fund household is one or more custodial adults and children related by blood or law, or other person standing in loco parentis, which means “in place of a parent,” residing in the same CCDF household. Where custodial adults over the age of 18 (other than spouses or biological parents of the children needing services) reside together, each is considered a separate CCDF household. Wards of the local office of the Department of Child Services, foster children on Title IV-E, are the legal responsibility of DCS and not the CCDF household in which the child has been placed.

What is a copayment or copay?

A copayment or “copay” is a weekly fee for child care based on the amount of the Child Care and Development Fund household’s income that exceeds the federal poverty guidelines and the year of CCDF participation. If the household’s countable income exceeds the federal poverty level, the individual will have a copay payable directly to the child care provider.

How does an applicant find a Child Care and Development Fund-eligible provider?

For help finding a Child Care and Development Fund-eligible provider, contact the Brighter Futures Indiana Call Center at 800-299-1627 for a free child care referral, or contact your local Child Care Resource and Referral Agency.

What happens during eligibility determination?

The Child Care and Development Fund eligibility specialist will ask questions about the persons living in the applicant’s home, income and other pertinent information needed to determine eligibility. The applicant will be given or mailed a form listing all needed information to determine eligibility. Applicants will be notified if they are eligible.

First Steps—Early Intervention Services

Mission: To partner with Hoosier families whose young children are experiencing developmental delays and connect them with services that help them promote their child’s development.

Vision: All Indiana families have a strong foundation to advocate for their infants and toddlers so they grow and flourish to their highest potential.

Values: Family-centered, strengths-based, routines-based, relationship-based, holistic, individualized and culturally competent.

Who is eligible for First Steps services?

First Steps early intervention services are for families with children under the age of 3 who are experiencing a developmental delay. A child must exhibit a delay of 25% in one area of development or a 20% delay in two or more areas of development. These areas are:

• Cognitive development
• Communication development
• Physical development (gross motor, fine motor, vision and hearing)
• Social/emotional development
• Adaptive/self-help skills

Or have a diagnosed physical or mental condition that has a high probability of resulting in a developmental delay, such as:

• Chromosomal abnormalities
• Genetic or congenital disorders
• Sensory impairments
• Inborn errors of metabolism
• Disorders reflecting disturbance of the development of the nervous system
• Congenital infections
• Severe attachment disorders
• Disorders secondary to exposure to toxic substances, including fetal alcohol syndrome
• Low birth weight of less than or equal to 1500g

Are there fees associated with being enrolled in the program?

There is never a fee for eligibility evaluation or service coordination. First Steps bills private and public insurance for ongoing services. Depending on family income and insurance coverage, families may be responsible for cost participation fees associated with ongoing services.

To find First Steps local offices, visit www.in.gov/fssa/ddars/bcds/first-steps-offices. Please see the First Steps website, www.in.gov/fssa/ddars/bcds, for the most up-to-date system point of entry contact information.

What services are available through the program?

Early intervention services are specifically designed to support the developmental needs of the child and family. Services are provided within the natural routines and environments of the child and family and involve the primary caregiver. Services that may be offered through the program are:

• Assistive technology
• Audiology
• Developmental therapy
• Nutrition
• Occupational therapy
• Orientation and mobility
• Physical therapy
• Psychology services
• Service coordination
• Social work services
• Speech therapy
• Transportation*
• Vision

*Transportation is offered only when needed to access early intervention services.

How does someone refer a child for First Steps?

Anyone can make a referral to First Steps. To make a referral, select “Get started” on the First Steps home page at www.firststeps.in.gov to see a map and a list of First Steps System Point of Entry offices and agencies. For more information, please call 800-545-7763 or email us at firststepsweb@fssa.in.gov.

Head Start and Early Head Start

Head Start is a federal program that promotes the school readiness of children age 5 and under from low-income families by enhancing their cognitive, social and emotional development. Head Start programs provide a learning environment that supports children’s growth in many areas such as language, literacy and social and emotional development. Head Start emphasizes the role of parents as their child’s first and most important teacher. These programs help build relationships with families that support family well-being and many other important areas.

Early Head Start programs serve infants, toddlers, birth to age 3, and pregnant women and their families who have incomes below the federal poverty level. Early Head Start programs were established in recognition of the mounting evidence that the earliest years matter a great deal to a child’s growth and development.

For more information on Head Start and Early Head Start grantees in your community, please visit www.in.gov/fssa/carefinder/head-start-and-early-head-start.

Who is served by Head Start and Early Head Start?

• Children with disabilities; regardless of income, 10% of a program’s seats are reserved for children with disabilities
• Children from families whose income is below the Federal Poverty Level
• Children from homeless families
• Children from families who receive public assistance such as Temporary Assistance for Needy Families, Supplemental Security Income or Supplemental Nutrition Assistance Program
• Children in foster care, regardless of income
• Early Head Start services are also available for pregnant women with incomes below the Federal Poverty Level

On My Way Pre-K

On My Way Pre-K is Indiana’s first state-funded pre-kindergarten program. On My Way Pre-K provides grants to eligible children for qualified early education services delivered via high-quality providers that are enrolled as approved On My Way Pre-K providers.

How does an applicant know if a child qualifies for an On My Way Pre-K voucher?

To qualify for the On My Way Pre-K voucher, an applicant’s child must be 4 years old, but not yet 5 years old by August 1 of the voucher year and must be entering kindergarten during the following school year. The child must meet eligibility requirements.

What are the income limits?

An eligible child must be an Indiana resident and live in a household with an income below 150% of the federal poverty level. Parents or guardians living in the household must be working, going to school, attending job training or looking for a job. A limited number are vouchers available each year for children who live in households with incomes up to 185% of the federal poverty level. These children must also have:

• A parent or guardian living in the household who is working, going to school, attending job training or looking for a job; OR
• A parent/guardian who receives Social Security Disability Insurance or Supplemental Security Income (also known as SSDI or SSI) benefits.

Visit the On My Way Pre-K federal poverty chart at www.in.gov/fssa/carefinder/on-my-way-pre-k/find-out-if-you-qualify. For additional family sizes, please contact your eligibility office.

What is an On My Way Pre-K provider?

Families receiving a voucher may choose from any approved On My Way Pre-K program enrolled with the Office of Early Childhood and Out-of-School Learning. On My Way Pre-K programs have demonstrated a commitment to high-quality early education and can be found in public and private schools, Head Start centers, licensed centers, licensed child care homes and faith-based registered ministries. All programs must also meet Child Care and Development Fund eligibility requirements.

• Community-based programs, including Head Start, licensed centers, licensed family homes and registered ministries, must be rated at Level 3 or Level 4 on Paths to QUALITY™.
• Public schools including charter schools must be rated Level 3 or Level 4 on Paths to QUALITY™ for Public Schools.
• Private or nonpublic schools must either be rated Level 3 or Level 4 on Paths to QUALITY™ OR must be accredited by a regionally or nationally approved state board of education accrediting body.

How does someone qualify?

All families must meet financial need, residency and age requirements, and be working, attending an education or job training program or looking for work to complete a family application. Families are accepted on a first-come, first-served basis, as long as funds are available. The easy online application allows families to apply and upload documents needed to verify their eligibility. An eligibility specialist then reviews their application and documents for final approval.

How does an applicant apply for an On My Way Pre-K voucher for their child?

• Applicants can go online at https://earlyedconnect.fssa.in.gov/onlineApp/home during the enrollment period each year.
• Visit the local eligibility office located within the county in which the family resides.

Who counts in my household (family) income?

A household is considered one or more custodial adults and children related by blood or law receiving the voucher residing in the same household. Income requirements are waived for foster children of licensed foster parents.

How does someone find an eligible provider?

For help finding an approved On My Way Pre-K-eligible provider, applicants can contact their local Child Care Resource and Referral Agency. Eligible providers are also listed online at www.in.gov/fssa/carefinder/on-my-way-pre-k or www.in.gov/fssa/childcarefinder.

Does an applicant have to be working or have a service need to be eligible?

If families have not received funding prior from CCDF or On My Way Pre-K, then they can meet the service need requirement if they are looking for a job. Also, individuals who are receiving SSI or SSDI may also be eligible. Otherwise, applicants need to be working or attending an educational or job training program to be eligible for an On My Way Pre-K voucher.

How do I find out if my application is accepted?

After all documents have been uploaded to your online application, an eligibility specialist will review everything. They will contact you if they need additional documents and will let you know if you are eligible. On My Way Pre-K eligibility offices are the same as Child Care Development Fund agencies.

Indiana Manpower Placement and Comprehensive Training

Indiana Manpower Placement and Comprehensive Training provides services designed to help recipients of Supplemental Nutrition Assistance Program and Temporary Assistance for Needy Families achieve economic self-sufficiency through:

• Education
• Training
• Job search
• Job placement activities

Indiana Manpower Placement and Comprehensive Training contracts with a service provider to implement job search, job development and placement activities in every county in Indiana. IMPACT services are a component of Indiana’s employment and training programs for SNAP and TANF.

How does someone qualify for Indiana Manpower Placement and Comprehensive Training?

A person may be eligible for Indiana Manpower Placement and Comprehensive Training if they are currently receiving Supplemental Nutrition Assistance Program benefits or applying for and/or receiving Temporary Assistance for Needy Families benefits. The Division of Family Resources local offices in each of Indiana’s 92 counties have the responsibility for determining eligibility for IMPACT services for SNAP and TANF recipients.

How does someone apply for Indiana Manpower Placement and Comprehensive Training?

Indiana Manpower Placement and Comprehensive Training services are dependent upon the client being a recipient of Supplemental Nutrition Assistance Program benefits or an applicant for/recipient of Temporary Assistance for Needy Families benefits. In some circumstances, clients are automatically scheduled for an IMPACT appointment. Individuals who are SNAP recipients may volunteer for IMPACT services at any time by notifying a Division of Family Resources local office in person or via telephone at 800-403-0864.

Randolph-Sheppard Business Enterprise Program

The Indiana Randolph-Sheppard Business Enterprise Program provides entrepreneurial opportunities for individuals receiving Vocational Rehabilitation Services who are legally blind. Blind entrepreneurs manage a wide variety of food service operations including cafeterias, coffee shops, vending machine locations and highway area vending sites. Through this program, individuals who are blind receive training and opportunities to become productive, tax-paying citizens and independent business owners. The Randolph-Sheppard Business Enterprise Program is for individuals who are eligible participants of Vocational Rehabilitation Services and meet a specific set of eligibility criteria.

For more information regarding resources for the Business Enterprise Program, including the eligibility criteria and frequently asked questions, please visit www.in.gov/fssa/ddars/brs/blind-and-visually-impaired/randolph-sheppard-business-enterprise-program or contact the Blind and Visually Impaired Services program manager at 800-545-7763.

Vocational Rehabilitation Services

Indiana Vocational Rehabilitation Service is a program within the Bureau of Rehabilitation Services that helps people with disabilities prepare for, obtain and retain employment. Individuals in the program work closely with a vocational rehabilitation counselor. Through active participation in their rehabilitation, people with disabilities achieve a greater level of independence in their workplace and living environments.

How does someone qualify for Vocational Rehabilitation Services?

An applicant is eligible if all of the following criteria are met:

• They have a physical or mental impairment;
• The physical or mental impairment constitutes or results in a substantial impediment to employment;
• The individual requires vocational rehabilitation services to prepare for, secure, retain, advance in or regain employment consistent with his or her strengths, resources, priorities, concerns, abilities, capabilities, interests and informed choice; and
• The individual can benefit from VR services in terms of an employment outcome.

How are Vocational Rehabilitation Services financed?

There is no charge for Vocational Rehabilitation Services; however, some services require VR to explore other funding options. For some post-secondary expenses, for example, students and their parents/guardians are first required to file a Free Application for Federal Student Aid. Students will use any federal student aid they may be eligible for to help pay for certain costs (e.g., tuition and books).

What are the income/asset/resource limits?

Vocational Rehabilitation Services does not have any income/asset/resource limits.

What services are available?

Vocational Rehabilitation Services may include, but are not limited to, the following:

• Vocational counseling and guidance
• Transition services for students with disabilities to help make the transition from school to work
• Job placement assistance, including supported employment
• Training for a job, including vocational school, college/university and on-the-job training
• Assistive technology, including devices like speech-to-text software
• Physical and mental restoration services
• Rehabilitation technology (e.g., adaptive devices, vehicle modifications)
• Personal assistance services
• Establishing self-employment as an employment outcome

How does someone apply for Vocational Rehabilitation Services?

Applicants should contact or visit a local Vocational Rehabilitation Services office to discuss the application and eligibility process or call Vocational Rehabilitation Services at 800-545-7763. Office locations are provided at www.in.gov/fssa/ddars/find-a-ddars-local-office/vocational-rehabilitation-services-locations.

Applicants may view a short video titled “Working with Indiana Vocational Rehabilitation Services” at https://youtu.be/7-9_WZmlOtA that outlines VR and how to apply.

Pre-employment Transition Services

Vocational Rehabilitation also serves students with disabilities through Pre-Employment Transition Services. A student with a disability is defined as a student in secondary school between the ages of 14 through the school year in which the student becomes 22, who is eligible for, and receiving, special education or related services under Part B of the Individuals with Disabilities Education Act, or is an individual with a disability for purposes of Section 504 of the Rehabilitation Act. These services supplement what the school provides and increase access to career planning, work experience and job readiness training to support seamless movement from high school to employment or post-secondary education and training. Students with disabilities between the ages of 14–22 who are enrolled in post-secondary training may also be eligible to access Pre-ETS.
Pre-ETS includes the following activities:

• Job exploration counseling
• Work-based learning experiences
• Counseling on post-secondary opportunities
• Workplace readiness training
• Instruction in self-advocacy

More information can be found at www.in.gov/fssa/ddars/brs/vocational-rehabilitation-employment/pre-employment-transition-services-forms or by sending an email to fssa.pre-ets@fssa.in.gov.

WorkOne Career Centers

In addition to services provided by FSSA, the Indiana Department of Workforce Development offers a variety of services through our WorkOne Career Centers to Hoosiers looking to get back in the workforce or change jobs. WorkOne Career Center staff can help you find a new or better job, choose a career or access training to get you the skills needed to succeed in today’s economy. Some of the WorkOne Career Center services are listed below. To find your nearest WorkOne Career Center, visit www.in.gov/dwd/workone.

IndianaCareerConnect.com

To find a job that matches your skills and experience, search www.indianacareerconnect.com.

Indiana High School Equivalency

The Indiana High School Equivalency (formerly GED) is an alternative for earning a high school diploma. Workers who have a high school diploma or HSE earn over $10,000 more per year than those who do not.

INDemand Jobs

This tool uses a demand indicator to rank all jobs in Indiana based on future growth and wages. Whether searching for your first job, changing jobs or re-entering the workforce, INDemand Jobs will help direct your career search.

IN Reality

This interactive tool allows Hoosiers to explore career choices based on earning potential. https://hoosierdata.in.gov/inreality/

Indiana Career Explorer

Indiana Career Explorer is an online tool that provides all the resources you will need to explore careers or find a new career and college options.

Workforce Ready Grant

For jobseekers, the Workforce Ready Grant provides free training to Hoosiers for some of the state’s most in-demand, high-paying jobs in rapidly growing industries. Tuition-free certificates can be earned in these sectors: Advanced manufacturing, building and construction, IT and business services, health and life sciences, and transportation and logistics. Enroll now at www.in.gov/dwd/nextleveljobs/workforce-ready-grant.

Veteran Services

Services provided to Hoosier veterans at WorkOne Career Centers include direct job placement, resume, training and interview coaching.

DWD Work-Based Learning and Apprenticeship

DWD Work-Based Learning and Apprenticeship connects Hoosiers to employers by developing, promoting, and supporting Registered Apprenticeship Programs, Certified State Earn and Learn programs, and Certified Pre-Apprenticeship programs in all key economic sectors. These comprehensive, structured, yet flexible, programs include on-the-job training, related instruction, industry certifications and detailed training plans that are high-quality and certified. Quality work-based learning programs address the skills needed for long-term career goals and can include a High School Equivalency or English Language Leaners component. Degree attainment is also available with some programs.

Who is the program for?

DWD Work-Based Learning and Apprenticeship is best suited to work with employers and education providers interested in building comprehensive work-based learning programs to establish and fill their workforce pipeline. Individuals interested in registered apprenticeships or other work-based learning opportunities should contact their local Work One Center and/or visit www.apprenticeship.gov.

How does someone qualify for the program?

Registered apprenticeship and State Earn and Learn programs are approved and/or certified by the U.S. Department of Labor Office of Apprenticeship and DWD based on program development and standards.

How do I apply/enroll in the program?

Employers and education providers should view our website at www.in.gov/dwd/owbla for additional information and email wbl@dwd.in.gov to be connected with a regional director best suited to address your needs.Individuals interested in registered apprenticeships or other work-based learning opportunities should contact their local Work One Center and/or visit www.apprenticeship.gov.

Homeownership programs

The Indiana Housing and Community Development Authority offers programs that assist Hoosiers with making down payments, getting low interest rate loans and offering a tax credit.

Individual Development Account program

Indiana’s Individual Development Account program is a matched saving opportunity. Every dollar a participant saves is matched, at a minimum for $3 for every $1 saved to help them reach their goals, including homeownership, higher education and small-business start-up through matched-savings incentives and financial education. Participants in the program are eligible to receive up to $4,500 in state and federal match funds towards one of the eligible asset goals mentioned above. Qualified participants set savings goals and make regular savings deposits. More information on the Individual Development Account may be found on our website at www.in.gov/ihcda/homeowners-and-renters/matched-savings-opportunities-individual-development-accounts-ida/.

Who is the program for?

The Individual Development Account program is for Hoosiers with low-to-moderate income.

How does someone qualify for the program?

To qualify for the Individual Development Account program, applicants must meet income and eligibility requirements.

How does someone apply/enroll in the program?

To apply/enroll in the Individual Development Account program, contact the program administrator for your county, as noted here: www.in.gov/ihcda/homeowners-and-renters/matched-savings-opportunities-individual-development-accounts-ida.

The Milk Bank

What is the outpatient program at The Milk Bank?

The Milk Bank, a nonprofit, provides pasteurized donor human milk to NICUs and has an outpatient program to help families address medical needs or bridge small gaps in breastfeeding for babies at home. There are many reasons a baby might need access to safe human milk. Learn more about pasteurized donor human milk from The Milk Bank at www.themilkbank.org/request-milk-families.

How do I get financial assistance for pasteurized donor human milk?

If a baby has a medical need, your family may qualify for financial assistance. The Milk Bank can bill Medicaid for purchase of pasteurized donor human milk when the patient has Medicaid and a pre-authorized medical need for donor milk. The Milk Bank is enrolled with five managed care entities: Anthem, CareSource, MDwise, Managed Health Services and United Healthcare.

Begin the recipient intake form online at www.themilkbank.org/recipient-app or call 317-536-1670 and ask to speak to an outpatient specialist if your need is urgent.

How do I get free breastfeeding and bereavement support?

The Milk Bank provides additional free wraparound services to support breastfeeding and a bereavement program to support parents who have suffered a pregnancy or infant loss. Learn more about The Milk Bank at www.themilkbank.org.

Older Americans Act programs

The Older Americans Act provides community-based services and opportunities for older individuals and their families. Older Americans Act programs generally only require that recipients be over the age of 60.

Supplemental Nutrition Assistance Program

The Supplemental Nutrition Assistance Program, previously known as “food stamps,” provides food assistance to low-income individuals. It is a federal aid program administered by the Food and Nutrition Service of the U.S. Department of Agriculture; however, benefits are distributed at the state level. SNAP helps low-income individuals and families buy the food they need for good health. Interested parties apply for benefits by completing a state application form online, in-person or via mail. Benefits are provided on an electronic card that is used like a debit card and accepted at most grocery stores.

How does someone qualify for the Supplemental Nutrition Assistance Program?

To qualify for the Supplemental Nutrition Assistance Program, applicants must meet certain nonfinancial and financial requirements. Nonfinancial criteria include state residency and citizenship status. Financial criteria include income and asset limits.

What are the income limits?

The Supplemental Nutrition Assistance Program has two income limits, gross income and net income. Gross income is total income before taxes or deductions. Net income is determined by subtracting certain allowable deductions from the gross income. For specific dollar figures, see the chart of monthly income limits and maximum monthly allotments on www.in.gov/fssa/dfr/snap-food-assistance/income.

What are the asset/resource limits?

The asset/resource limits are $5,000 per household for most households. Assets include bank accounts, cash, real estate, personal property, vehicles, etc. The household’s home and surrounding lot, household goods, personal belongings and life insurance policies are not counted as assets in determining SNAP eligibility.

What can a participant buy with Supplemental Nutrition Assistance Program benefits?

Supplemental Nutrition Assistance Program benefits can be used like cash to buy food items at any store, supermarket or co-op approved by the USDA. Items that can be purchased with SNAP are determined by the USDA, not the state of Indiana. SNAP can be used to purchase any foods meant for human consumption, as well as seeds and plants that produce food.

Will Supplemental Nutrition Assistance Program benefits provide all of an applicant’s household’s food needs?

Supplemental Nutrition Assistance Program benefits are not intended to purchase all of a household’s meals for the month. The assistance group’s budget is compared against the Thrifty Food Plan to determine the final benefit amount. Assistance groups do not necessarily qualify for the maximum SNAP benefit for their group size. Benefits are intended to supplement the household’s other income to help purchase healthy meals during the month. Eligible households are issued SNAP monthly based on the Thrifty Food Plan, which is a model diet plan established by the National Academy of Sciences and supported by the U.S. Department of Agriculture.

How does someone apply for or manage their current SNAP benefits?

• Applicants can apply online at https://fssabenefits.in.gov.
• Applicants can call 800-403-0864 or fax 888-436-9199.
• Applicants can visit a local Division of Family Resources office or find a local DFR office at www.in.gov/fssa/dfr/ebt-hoosier-works-card/find-my-local-dfr-office.

How long does it take to get benefits?

The Division of Family Resources office has 30 days to make a decision on an applicant’s case. However, if the person meets certain criteria, they may be determined to be eligible for expedited service, which means a decision will be made on the application within seven days of applying.

Can a recipient get expedited Supplemental Nutrition Assistance Program benefits today?

When an application is turned in, it is reviewed for expedited service. It is important for applicants to complete the expedited questions on the application so that they can be considered for this service.

To qualify for expedited benefits an applicant must:

• Have less than $150 in gross monthly income and liquid resources (cash/checking/savings) of $100 or less in the month of the application.
• Have monthly rent/mortgage and utilities that cost more than the applicant’s gross monthly income and liquid resources.
• If applicants qualify for expedited benefits, they will receive them by the seventh day after applying. Benefits are NEVER received the same day as the application.

What does an applicant have to provide when they apply?

Applicants will be asked to provide their name, address and signature. At the interview, the dates of birth and Social Security numbers for all persons living in their household must be provided. In addition, they will need to verify the income received by each household member. There may also be other information requested depending on each household’s specific situation.

What happens at the interview appointment?

The worker will ask questions about the persons living in the home, income, resources and other information needed to determine eligibility. Applicants will be given or mailed a form listing all needed information with a deadline date. They must get the information to the local office or document center before the deadline date. They will be mailed a notice regarding eligibility after the case has been processed and eligibility has been determined. The notice lists appeal rights should the applicant disagree with the decision.

Can someone receive Supplemental Nutrition Assistance Program benefits if they are getting unemployment?

Yes. Individuals who receive unemployment benefits may still qualify for Supplemental Nutrition Assistance Program benefits.

Can someone receive Supplemental Nutrition Assistance Program benefits if they receive Supplemental Security Income, disability related Medicaid or other disability or insurance benefits?

Yes, if the applicant’s income is within the established guidelines. Applicants must pass a net income test to qualify for Supplemental Nutrition Assistance Program benefits.

Can applicants get Supplemental Nutrition Assistance Program benefits if they have a felony drug conviction?

As of Jan. 1, 2020, individuals who have been convicted of a drug felony may be eligible for SNAP if they meet certain conditions. Individuals who are compliant with post-conviction supervision (such as probation or parole) or who are no longer subject to supervision and are not in violation of supervision may be eligible for SNAP if all other eligibility factors are met.

How does someone spend Supplemental Nutrition Assistance Program benefits?

Once it is determined that applicants are eligible for Supplemental Nutrition Assistance Program benefits, a “Hoosier Works” card is sent to the mailing address provided. Applicants should normally receive the card within three to five days. If an applicant has previously received SNAP benefits under their name, they will not be mailed a new Hoosier Works card. The benefits will be put on the old card. If the old card is lost or damaged, applicants will need to call 877-768-5098 to obtain a new card. The card is utilized like a debit card.

Breast and Cervical Cancer Program

The Indiana Breast and Cervical Cancer Program is the Hoosier implementation of the National Breast and Cervical Cancer Early Detection Program. The BCCP provides access to breast and cervical cancer screenings, diagnostic testing and treatment for underserved and underinsured women who qualify for services.

The NBCCEDP functions through cooperative agreements with the Centers for Disease Control and Prevention and state and territorial health departments, tribes and organizations. The BCCP receives funds from both the NBCCEDP and from the state of Indiana.

Through the BCCP, female Indiana residents may qualify for free breast and cervical cancer screenings and diagnostic tests. The BCCP is capable of qualifying women diagnosed with breast and cervical cancer for health coverage through Indiana Medicaid through its Option 3. The coverage remains active during cancer treatment and terminates at its conclusion.

Federal Health Insurance Marketplace

If a person’s income is too high to qualify for Medicaid or the Healthy Indiana Plan, they may be able to find health insurance through the federal Health Insurance Marketplace. Depending on income and household size, they may qualify for a tax credit that can help pay the cost of the health insurance. You may use the preliminary screening tool found at the bottom of the Health Care Reform page to get info on whether a person’s income may qualify them for Medicaid or Marketplace coverage.

Applicants may receive more information about the federal Health Insurance Marketplace by:

• Calling 800-318-2596
• Visiting www.healthcare.gov

Healthy Indiana Plan

The Healthy Indiana Plan is an affordable health insurance program from the state of Indiana for uninsured adult Hoosiers. The Healthy Indiana Plan pays for medical expenses and provides incentives for members to be more health conscious. The Healthy Indiana Plan provides coverage for qualified low-income Hoosiers ages 19 to 64, who are interested in participating in a low-cost, consumer-driven health care program.

The Healthy Indiana Plan uses a proven, consumer-driven approach that was pioneered in Indiana. The program continues to build upon the framework and successes of the original Healthy Indiana Plan that started in 2008.

The Healthy Indiana Plan has two coverage options, HIP Plus and HIP Basic.

HIP Plus

The preferred plan selection for all members is HIP Plus, which offers the best value for members. HIP Plus has comprehensive benefits including vision, dental and chiropractic services. The member pays an affordable monthly POWER Account contribution based on income. The amount is between $1 and $20 per month. There is no copayment required for receiving services with one exception: using the emergency room where there is no true emergency.

HIP Basic

HIP Basic is the fallback option for members with household income less than or equal to 100% of the federal poverty level who do not make their POWER Account contributions. The benefits are reduced. The essential health benefits are covered but not vision, dental or chiropractic services. The member is also required to make a copayment each time they receive a health care service, such as going to the doctor, filling a prescription or staying in the hospital. These payments may range from $4 to $8 per doctor visit or prescription filled and may be as high as $75 per hospital stay. HIP Basic can be much more expensive than HIP Plus.

How does someone qualify for the Healthy Indiana Plan?

To qualify for the Healthy Indiana Plan, applicants must be between the ages of 19–64 and meet the eligibility requirements at www.in.gov/fssa/hip/am-i-eligible.

What are the responsibilities of a Healthy Indiana Plan member?

In the Healthy Indiana Plan program, the first $2,500 of medical expenses for covered benefits are paid with a special savings account called a Personal Wellness and Responsibility Account. The state will pay most of this amount, but each member is also required to make a monthly contribution toward their health coverage into their POWER Account. The member contribution is based on income and will be between $1 and $20, but may be higher for members that smoke. The minimum contribution is $1 per month.

Managing the POWER Account and seeking preventive care can reduce the member’s future costs. If the applicant’s annual health care expenses are less than $2,500 per year, they may reduce the monthly payment for the next year. Members can also have their monthly payment reduced even more if they complete preventive health services. If their annual health care expenses are more than $2,500, the first $2,500 is covered by their POWER Account, and additional health services are fully covered at no additional cost to the members.

What are the Healthy Indiana Plan health plans?

There are three managed care entities (health plans) that manage the benefits and POWER Accounts of Healthy Indiana Plan members. They are Anthem Blue Cross and Blue Shield, CareSource Indiana and Managed Health Services.

What are the benefits of HIP Plus?

The HIP Plus program provides comprehensive benefits including vision, dental and chiropractic services for a low, predictable monthly cost. With HIP Plus, members won’t have to pay every time they visit a doctor or fill a prescription. HIP Plus allows members to make a monthly contribution to their POWER Account based on their income. If both the member and spouse are enrolled in HIP Plus, the monthly contribution amount will be split between the two. The only other cost for health care in HIP Plus is a payment of $8 if members visit the emergency room when they do not have an emergency health condition.

Can the member receive help paying for the required contribution?

Yes, in the Healthy Indiana Plan, third parties such as employers, nonprofits and friends or family can contribute any amount up to the full contribution amount. In addition, the health plans may implement a rewards program that allows members to “earn” additional dollars in their POWER Accounts. Total contributions may not exceed the members’ required contribution to their POWER Accounts.

How does someone find a provider? Can they keep the same doctor?

Healthy Indiana Plan members should call their health plan (Anthem, CareSource or MHS) or go online to research which providers are in that health plan’s network. Members can also call 877-GET-HIP-9 and ask.

Members new to HIP will want to make sure they choose a health plan that includes their doctor. They can call 877-GET-HIP-9 to discuss options.

Hoosier Care Connect

Hoosier Care Connect is a coordinated care program primarily serving Hoosiers age 60 and younger, or with blindness or a disability who live in the community and are not eligible for Medicare or for home- and community-based waiver services. Children who are wards of the state, are in the Adoption Assistance Program, as well as those who are current and former foster children can opt into Hoosier Care Connect rather than receive traditional Medicaid. In Hoosier Care Connect, a person enrolls with a health plan that provides most of their Medicaid-covered benefits. A health plan, also called a managed care entity, is a group of doctors, pharmacies and hospitals that work together to help an individual get the health services they need.

What is covered by Hoosier Care Connect?

Hoosier Care Connect provides standard benefits including coverage for medical expenses such as doctor visits, hospital care, therapies, medications, prescriptions and medical equipment. The benefits also include preventative care, such as regular check-ups, and mental health and substance abuse treatment. Hoosier Care Connect also has benefits for members with certain health care conditions like heart disease, asthma, diabetes or a disabling condition. Various health plans may offer additional services.
Services that do not need a doctor’s referral:

• Dental care
• Podiatry care (foot care)
• Chiropractic care
• Vision/eye care (except surgery)
• Mental health services
• Substance abuse services
• Transportation services

If members need any other special service or need to see another type of medical professional, they need to talk with their doctor to get a referral. Some services will require their doctor or other specialty provider to request prior authorization before the service can be delivered. It is up to the provider to request the prior authorization.

How does someone choose a health plan and a health care provider?

When applicants enroll in Hoosier Care Connect, they will select a health plan. Each health plan has a network of health care providers including primary care doctors, specialists, home health providers, pharmacies, therapists, etc.

It is important for applicants to know which health plans their doctor or doctors participate in. For most health care services, applicants must use the health care providers who are in their health plan.

The health plan choices are:

• Anthem
• Managed Health Services
• United Healthcare

How do applicants know if they are eligible?

The Eligibility Guide is a resource tool that can provide eligibility information to assist individuals in knowing if they are more likely or less likely to qualify for any Medicaid benefits. It is not a final determination. The only way to know eligibility is to apply.

Hoosier Healthwise

Hoosier Healthwise is the state of Indiana’s health care program for children and some pregnant women with low income. Based on family income, children up to age 19 may be eligible for coverage. Hoosier Healthwise covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, family planning and transportation to medical appointments at little or no cost to the member or the member’s family.

How does someone qualify for Hoosier Healthwise?

To qualify for Hoosier Healthwise, applicants must meet the following eligibility criteria:

Income/Household Size

Income limits are adjusted to account for the number of household members. Types of income include earned (example: wages from a job), unearned income (example: Social Security Disability payments) and countable income (e.g., taxable income plus certain Social Security Income and lump sum income. Supplemental Security Income, veterans benefits and child support are not counted). Visit the “Am I Eligible” guide at  (first click “Members”) for current income limits.

Age

Eligibility criteria can be based on age. Certain programs are designed for people in specific age groups.

How do applicants know if they are eligible?

The Eligibility Guide is a resource tool that can provide eligibility information to assist individuals in understanding if they are more likely or less likely to qualify for any Medicaid benefits. It is not a final determination. The only way to know eligibility is to apply.

What is covered by Hoosier Healthwise?

Hoosier Healthwise provides standard benefits including coverage for medical expenses such as doctor visits, hospital care, therapies, medications, prescriptions and medical equipment. The benefits also include preventive care, such as well-baby and well-child care and regular check-ups, and mental health and substance abuse treatment. Hoosier Healthwise also has benefits for children with special health care needs like asthma or diabetes. Various health plans may offer additional services.

How does someone choose a health plan and a health care provider?

When applicants enroll in Hoosier Healthwise, they will select a health plan. Each health plan has a network of health care providers including primary care doctors, specialists, home health care providers, pharmacies, therapists etc. It is important for applicants to know which health plans their doctor or doctors participate in. For most health care services, applicants must use the health care providers who are in their health plan. Members may choose or will be assigned a primary medical provider to manage their health care.

The health plan choices are:

• Anthem
• CareSource
• Managed Health Services

Services that do not need a doctor’s referral:

• Dental care
• Podiatry care (foot care)
• Chiropractic care
• Vision/eye care (except surgery)
• Mental health services
• Substance abuse services
• Transportation services
• Family planning services
• Immunizations

If members need any other special service or need to see another type of medical professional, they need to talk with their doctor to get a referral. Some services will require their doctor or other specialty provider to request a prior authorization before the service can be delivered. It is up to the provider to request the prior authorization.

HoosierRx

Indiana’s state pharmaceutical assistance program, HoosierRx, can help pay the monthly Part D premium, up to $70 per month, for members enrolled in a Medicare Part D plan working with HoosierRx.

Who qualifies for HoosierRx?

To qualify for the HoosierRx program, an individual must be an Indiana resident, 65 years old or older, have a yearly income of $23,475 or less for a single person, or $31,725 or less for a married couple living together.

How does someone apply for HoosierRx?

A person who thinks they meet the eligibility requirements above should call a HoosierRx representative at 866-267-4679 or visit the HoosierRx website at www.in.gov/medicaid/members/member-programs/hoosierrx/.

Companies offering prescription drug plans working with HoosierRx include:

• AARP/United Healthcare
• CIGNA
• SilverScript
• WellCare

Medicare Savings Program

The Medicare Savings Program is a Medicaid program that helps support Medicare out-of-pocket expenses for individuals. There are different categories within the Medicare Savings Program, and benefits vary. All categories offer payment for Medicare Part B premiums, and the most generous category also covers Medicare Part A and B deductibles, copayments and coinsurance for eligible beneficiaries. For more information, call toll-free at 800-452-4800.

Adult Protective Services

The Adult Protective Services program was established to receive and investigate reports regarding adults within the state of Indiana who may be endangered and, as appropriate, to coordinate a proper response to protect endangered adults who are victims of abuse, neglect or exploitation. APS field investigators operate out of the offices of county prosecutors throughout the state. If the APS unit has reason to believe that an individual who is 18 years or older is an endangered adult, the unit shall investigate the complaint or cause the complaint to be investigated by law enforcement or other agency and make a determination as to whether the individual reported is an endangered adult.

Who is considered an endangered adult?

An endangered adult is defined as an individual who is:

• At least 18 years old
• Incapacitated by any of the following:
  • Mental illness
  • Developmental/Intellectual disability
  • Dementia
  • Habitual drunkenness
  • Excessive drug use
  • Other physical or mental incapacity preventing the person from managing or directing the management of his or her property or providing or directing the provision of self care; and
• Harmed or threatened with harm as a result of any of the following:
  • Battery
  • Neglect
  • Exploitation of the individual’s personal services or property

What is battery, neglect or exploitation?

Indiana is a mandatory report state, meaning everyone is required by law to report cases of suspected neglect, battery or exploitation of an endangered adult to an APS unit or law enforcement. All reports are secured and kept confidential.

• Battery: Knowingly or intentionally touching a person in a rude, insolent or angry manner; or in a rude, insolent or angry manner placing any bodily fluid or waste on another person.
• Neglect/Self-Neglect: The intentional withholding of essential care or service or the inability of an individual to care for himself or herself; abandonment and confinement of an individual is also considered neglect.
• Exploitation: The intentional misuse of a person’s property, person or services for financial gain; includes, but is not limited to, sexual misuse as well as the use of the endangered adult’s labor without pay.

What should I do if I suspect an adult is endangered?

All persons are required by law to report all cases of suspected battery, neglect or exploitation of a vulnerable adult. A report may be made by calling 211, calling the nearest APS office or law enforcement agency or by submitting an online report.

Local offices and contact information can be found on www.in.gov/fssa/ddars/bba/adult-protective-services/aps-region-map.

Centers for Independent Living

Independent Living philosophy emphasizes consumer control, the idea that people with disabilities are the best experts on their own needs, having crucial and valuable perspective to contribute and deserving of equal opportunity to decide how to live, work and take part in their communities, particularly in reference to services that powerfully affect their day-to-day lives and access to independence. Centers for Independent Living are consumer-controlled, cross-disability, nonresidential, private, nonprofit agencies that are designed and operated within local communities by individuals with disabilities. Each center is unique but operates under the same five core services.

Core services include:

• Peer support
• Information and referral
• Individual and systems advocacy
• Independent living skills training
• Services that facilitate transition from nursing homes and other institutions to the community, provide assistance to those at risk of entering institutions and facilitate transition of youth to postsecondary life

Centers for Independent Living agencies may be found at www.in.gov/fssa/ddars/files/Independent_Living_Centers_Map.pdf.

Community and Home Options to Institutional Care for the Elderly and Disabled

The Community and Home Options to Institutional Care for the Elderly and Disabled program is administered through Indiana’s 15 Area Agencies on Aging (serving 16 planning and service areas). The CHOICE program provides home- and community-based services to assist individuals in maintaining their independence in their own homes or communities for as long as is safely possible.

How does one qualify for the Community and Home Options to Institutional Care for the Elderly and Disabled program?

Community and Home Options to Institutional Care for the Elderly and Disabled applicants must be at least 60 years of age or be any age and have a disability due to a mental or physical impairment. Applicants must also be found to be at risk of losing their independence, usually indicated by difficulties with activities of daily living, such as bathing, dressing, walking, transferring or medications set-ups, etc.

Community and Home Options to Institutional Care for the Elderly and Disabled funds may not be used if other funding such as Medicare or Medicaid is available to meet the individual’s needs.

What are the income limits?

There are no income limits for the Community and Home Options to Institutional Care for the Elderly and Disabled program. However, there is a cost-sharing formula, and applicants with higher incomes may be asked to pay for a portion of their services.

What are the asset/resource limits?

An individual may not have assets that exceed $250,000. In determining assets, an additional $20,000 in countable assets will be excluded from the total. There is a cost-sharing formula based on countable assets and individuals may be asked to pay for a portion of their services.

The resource standard for a single individual is $2,000 and for a married couple it is $3,000. However, for certain married couples, if one spouse is receiving a home- and community-based services waiver and the other spouse is not and continues to live in the community, then spousal impoverishment provisions apply in which there are additional resource protections for the community spouse.

How does someone apply for the Community and Home Options to Institutional Care for the Elderly and Disabled program?

If you are interested in learning more about the Community and Home Options to Institutional Care for the Elderly and Disabled program, contact your local INconnect Alliance member at 800-713-9023. A complete listing of INconnect Alliance members is available on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members or you can visit the INconnect Alliance website at www.in.gov/fssa/inconnectalliance.

What services are available?

Services available under the Community and Home Options to Institutional Care for the Elderly and Disabled program include:

• Adult day services
• Attendant care
• Case management
• Environmental modification
• Handy chore
• Homemaker
• Home-delivered meals
• Home health aide
• Personal emergency response systems
• Pest control
• Respite
• Skilled nursing
• Specialized medical equipment
• Transportation
• Vehicle modifications

Community Integration and Habilitation waiver

The Community Integration and Habilitation waiver helps children and adults with intellectual and developmental disabilities live successfully in their home. This is one of four waivers administered by the Bureau of Disabilities Services.

How does someone qualify for the Community Integration and Habilitation waiver?

To qualify, a child or adult must have been diagnosed with an intellectual disability, developmental disability or related condition prior to the age of 22 years and the condition must be expected to continue indefinitely.

The individual must exhibit substantial functional limitations in at least three of the six major life areas. Those areas include self-care, learning, self-direction, capacity for independent living, understanding and use of language, and mobility. In addition, the individual must also meet priority criteria. Those priority criteria are as follows:

1. Death of a primary caregiver;
2. The primary caregiver is at least 80 years of age;
3. There is evidence of abuse or neglect in the current institutional or home placement; and/or
4. There is evidence of other health and safety risks, as determined by the division director of the Division of Disability, Aging and Rehabilitative Services, where other available services through:
   • the Medicaid program and other federal, state and local public programs; and
   • supports that families and communities provide; are insufficient to address the other health and safety risks, as determined by the division director of the Division of Disability Aging and Rehabilitative Services.

How does someone apply for a Community Integration and Habilitation waiver?

An individual or his/her guardian may apply for the Community Integration and Habilitation waiver by contacting their local Bureau of Disabilities Services office for an application packet. A complete list and contact information for the district offices is available on www.in.gov/fssa/ddars/bds/bureau-of-disabilities-services.

What services are available on the Community Integration and Habilitation waiver?

• Adult day services
• Behavioral support services
• Benefits counseling
• Career exploration and planning
• Case management
• Community transition
• Day habilitation
• Extended services
• Family and caregiver training
• Home modifications and assessments
• Music therapy
• Occupational therapy (age 21 and over)
• Personal emergency response system
• Physical therapy (age 21 and over)
• Prevocational services
• Psychological therapy (age 21 and over)
• Recreational therapy
• Remote supports
• Rent and food for unrelated live-in caregiver
• Residential habilitation and support
• Respite
• Specialized medical equipment and supplies
• Speech/language therapy (age 21 and over)
• Structured family caregiving
• Transportation
• Wellness coordination
• Workplace assistance

Deaf and Hard of Hearing Services

Deaf and Hard of Hearing Services is a program within the Bureau of Rehabilitation Services. DHHS provides advocacy and resources to deaf and hard of hearing Hoosiers. They oversee the grant funding of the Increasing Independence Program for case management services. DHHS provides assistance, consultation and education on resources to individuals and their families regarding the needs and rights of individuals who are deaf or hard of hearing, as defined in the Americans with Disabilities Act and various other laws. Case managers who are fluent in American Sign Language provide community support services to individuals who are deaf or hard of hearing to ensure improved independence. DHHS staff also provide community outreach, education and advocacy throughout the state to organizations and state agencies, including the Department of Corrections and ILEA Police Academy. DHHS manages the Indiana Interpreters Certification program, tracks interpreter Continuing Education Units and the interpreter grievance process. DHHS coordinates and schedules ADA accommodations for Vocational Rehabilitation participants and manages the state employee discount hearing aid program.

For more information about Deaf and Hard of Hearing Services, interested parties can email dhhshelp@fssa.in.gov or write to the address below:

Deaf and Hard of Hearing Services
402 W. Washington St., MS 23
IGCS – W453
Indianapolis, IN 46204

Family Caregiver Program

The Family Caregiver Program, part of the Older Americans Act, acknowledges and encourages the role caregivers play in the nation’s home- and community-based services system. These services are provided through Indiana’s 15 Area Agencies on Aging. These 15 Area Agencies on Aging (serving 16 planning and service areas) comprise the INconnect Alliance. The Family Caregiver Program can provide services to individuals caring for loved ones 60 years of age and older or to older relatives (not parents) age 55 and older caring for a child or older relatives (including parents) age 55 and older caring for an individual with a disability between the ages of 18 and 59. Additionally, the program can support adult family members or other informal caregivers age 18 and older providing care to individuals of any age with Alzheimer’s disease and related disorders. However, funding is extremely limited, so services are not always available in every area of the state to cover all service options for eligible individuals who are in need of assistance.

What are the income limits?

There are no income limits for the Family Caregiver Program. Participants are asked to make voluntary contributions, as they are able.

What are the asset/resource limits?

There are no asset/resource limits for the Family Caregiver Program. Participants are asked to make voluntary contributions as they are able.

What services are available?

Services available under the Family Caregiver Program include:

• Caregiver counseling/caregiver training/caregiver support groups
• Respite
• Supplemental services
• Caregiver care management/caregiver information and assistance/caregiver public information

How does someone apply for the Family Caregiver program?

If you are interested in learning more about the Family Caregiver program, contact your local INconnect member at 800-713-9023. A complete listing of INconnect Alliance members is available on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members or you can visit the INconnect Alliance website at www.in.gov/fssa/inconnectalliance.

Family Supports waiver

The Family Supports waiver helps children and adults with intellectual and developmental disabilities live successfully in their home. This is one of four waivers administered by the Bureau of Disabilities Services.

What are the eligibility criteria for the Family Supports waiver and how does someone apply?

To qualify, a child or adult must have been diagnosed with an intellectual disability, developmental disability, or related condition prior to the age of 22 years, and the condition must be expected to continue indefinitely.

The individual must meet level of care. Level of care is determined by assessing six major life areas. Those areas include self-care, learning, self-direction, capacity for independent living, understanding and use of language, and mobility. The individual must exhibit substantial functional limitations in at least three of the six major life areas.

An individual or his/her guardian may apply for the Family Supports waiver by contacting their local Bureau of Disabilities Services office for an application packet. A list of the local BDS offices can be found on www.in.gov/fssa/ddars/bds/bureau-of-disabilities-services.

What happens after the packet and application are turned in?

An intake specialist from the applicant’s local Bureau of Disabilities Services office will contact him or her to schedule a time to complete the preliminary level of care.

When will waiver services begin?

It is the policy of the Bureau of Disabilities Services that individuals may be placed on a single statewide waiting list after applying for waiver services and meeting Level of Care criteria. Individuals will be targeted in the order they applied for services, from the oldest date of application to the newest.

The following criteria allow individuals to be prioritized for the Family Supports waiver:

1. Adults ages 18 through 24 who have aged out of, graduated from or have permanently separated from their school setting
2. A child of an active member or veteran of the armed forces of the United States or the National Guard
3. Individuals receiving services under Indiana’s Health and Wellness Waiver who no longer meet nursing facility level of care.

What services are available through the Family Supports waiver?

The Family Supports waiver is administered by the Bureau of Disabilities Services and provides services to individuals with developmental disabilities that are designed to enable them to live as independently as possible in their home or community setting appropriate to their needs.

Available services include:

• Adult day services
• Behavioral support services
• Benefits counseling
• Career exploration and planning
• Case management
• Day habilitation
• Extended services
• Family and caregiver training
• Home modifications and assessments
• Music therapy
• Occupational therapy (age 21 and over)
• Participant assistance and care
• Personal emergency response system
• Physical therapy (age 21 and over)
• Prevocational services
• Psychological therapy (age 21 and over)
• Recreational therapy
• Respite
• Remote supports
• Specialized medical equipment and supplies
• Speech/language therapy (age 21 and over)
• Transportation
• Workplace assistance

Health and Wellness waiver

The Health and Wellness waiver provides an alternative to nursing facility admission for adults and persons of all ages with a disability. The waiver is designed to provide services for people who would otherwise require care in a nursing facility. Waiver services can be used to help people remain in their own homes, as well as help people living in nursing facilities return to community settings such as their own homes, apartments, assisted living or adult family care settings.This is one of four waivers administered by the Bureau of Disabilities Services.

How does someone qualify for the Health and Wellness waiver program?

To qualify for the Health and Wellness waiver, applicants must qualify for full-coverage Medicaid and have needs that would otherwise require nursing facility level of care.

What are the income limits?

Applicants should refer to current Medicaid income limits. However, a special income limit is applied to Health and Wellness waiver recipients when Medicaid eligibility is determined.

Financial eligibility:

• 300% of Supplemental Security Income;
• Parental income and resources disregarded for children under 18; and
• Spousal impoverishment protections similar to those for nursing homes

Visit the “Am I Eligible” guide at www.in.gov/medicaid (click on “Members” first) for current income limits.

What are the asset/resource limits?

The resource standard is $2,000 for a single individual and $3,000 for a married couple. However, for certain married couples, if one spouse is receiving a home- and community-based services waiver and the other spouse is not and continues to live in the community, then spousal impoverishment provisions apply in which there are additional resource protections for the community spouse.

How does someone apply for the Health and Wellness waiver?

If you are interested in learning more about the Health and Wellness waiver, contact your local INconnect Alliance member at 800-713-9023. A complete listing of INconnect Alliance members is also available on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members or you can visit the INconnect Alliance website at www.in.gov/fssa/inconnectalliance.

What services are available?

Case management services are provided to every Health and Wellness waiver recipient. Other services available under the Health and Wellness waiver include:

• Adult day services
• Adult family care
• Assisted living
• Attendant care
• Benefits counseling
• Caregiver coaching
• Community transition
• Extended employment services
• Home-delivered meals
• Home and community assistance service
• Home modifications and assessments
• Integrated health care coordination
• Nutritional supplements
• Personal emergency response systems
• Pest control
• Skilled respite
• Specialized medical equipment
• Structured family care
• Transportation
• Vehicle modifications

INconnect Alliance

The INconnect Alliance is a statewide network of 15 Area Agencies on Aging (serving 16 planning and service areas). Currently, Aging and Disability Resource Centers are housed at the Area Agencies on Aging. Alliance members receive thousands of calls from Hoosiers seeking information and support for themselves or loved ones. They provide information or referral to other resources; they assess needs and match individuals with community resources, and they are the entry point for Indiana’s programs of long-term services and supports for persons who are elderly or who have physical disabilities. The goal of the INconnect Alliance is to connect persons to resources, supports and services that allow them to remain as independent as possible within their homes and communities. For more information about the INconnect Alliance, visit www.in.gov/fssa/inconnectalliance or call 800-713-9023.

INconnect Alliance members

FSSA’s Division of Aging established the INconnect Alliance, a statewide network of 15 Area Agencies on Aging (serving 16 planning and service areas). Information about the INconnect Alliance can be found on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members.

Indiana Long-Term Care Ombudsman

The Indiana Long-Term Care Ombudsman Program advocates for residents of long-term care facilities, including nursing homes and licensed assisted living facilities. Our primary purpose is to promote and protect the rights guaranteed to LTC residents under federal and state laws.

We carry out this mission through a statewide system of certified ombudsmen. The Office of the State LTC Ombudsman provides training, certification and program oversight for staff and volunteer ombudsmen who visit facilities throughout the state to support residents and help ensure their rights are respected.

Ombudsman services are free, confidential and resident-directed, meaning residents guide the work and ombudsmen act only with the resident’s consent..

What does a long-term care ombudsman do?

Certified LTC ombudsmen are trained to receive complaints and support residents in resolving concerns related to quality of care, dignity, respect, privacy, transfers and discharges, abuse, and other aspects of resident rights.

Your ombudsman will:

• Help you understand your rights so you can make informed decisions
• Support you in speaking up about your needs and preferences
• Provide information and guidance on self-advocacy
• Assist in resolving concerns about your quality of care and quality of life
• Work with you—and others, with your permission—to address concerns
• Advocate with you and, when requested, on your behalf

Who can contact the long-term care ombudsman?

• Residents of nursing homes and licensed assisted living facilities
• Family members and friends of residents
• Facility administrators and staff
• Anyone concerned about the welfare of a resident
• Members of the community

People contact the LTC Ombudsman Program for many reasons, including:

• Care concerns—call lights not answered, medication issues, hygiene concerns, retaliation and more
• Rights concerns—privacy issues, dignity concerns, poor staff interactions, emotional or verbal abuse
• Transfers and discharge concerns—improper discharge, lack of notice or refusal to readmit

Residents’ rights

Moving into a LTC facility does not diminish a person’s rights. Residents retain all the rights of a private citizen and, under federal and state law, gain additional rights that support their ability to direct their own care and daily life. Residents have many rights, including the following:

• To refuse treatment
• To have their records kept confidential
• To maintain privacy in their care and daily life
• To manage and control their own finances
• To be free from abuse, neglect, and exploitation
• To be free from chemical and physical restraints
• To express concerns without fear of retaliation
• To be informed of and exercise their rights related to admission, transfer, discharge, including the right to appeal
• To communicate freely with persons of their choice

How to file a complaint

If you or someone you care about lives in a nursing home or a licensed residential care facility (assisted living), you can raise concerns about quality of care or quality of life.

You may choose to:

• Speak directly with facility staff or leadership
• File a written grievance with the facility
• Share concerns through a resident council or family council
• Call the Indiana Department of Health complaint line at 800-246-8909
• Contact the LTC Ombudsman Program at 800-622-4484, email LongTermCareOmbudsman@ombudsman.in.gov or visit www.in.gov/ombudsman/long-term-care-ombudsman/how-to-file-a-complaint

If you decide to file a complaint with the LTC Ombudsman Program, you can expect the following:

• Your information is kept confidential;
• You may choose to remain anonymous;
• Your complaint will be reviewed within two to three business days;
• If you provide contact information, an ombudsman may contact you for additional details;
• An ombudsman will seek to communicate directly with the resident, consistent with our resident-directed approach; and
• With the resident’s consent, an ombudsman will work to address and help resolve their concerns.

Information to include when contacting us:

• Name of the resident
• Your name and contact information (if you choose to provide it)
• Name and location of the facility
• Details about the nature of your concern

Indiana PathWays for Aging

Indiana PathWays for Aging is a program for Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits. With PathWays, older Hoosiers can pick a health plan. And that plan will help them to get the services and support they need to live as independently as possible. Hoosiers in the program may qualify for support like transportation to their doctor’s office, help in making meals, or they may qualify for home health visits or going to an adult day center. There are many other services and support available. It all depends on what the senior is qualified to receive.

What are the PathWays health plans?

The PathWays health plans are Anthem, Humana and United Healthcare.

Who can be in PathWays?

PathWays is for individuals who are 60 years of age and older and are eligible for Medicaid based on age, blindness or disability. Individuals can also be those in a nursing facility and those who are receiving long-term services and supports in a home- or community-based setting. Individuals in PathWays may also have Medicare at the same time.

Where do you apply for PathWays?

You can first apply for Medicaid online, print an application, have an application mailed to you via the FSSA Benefits Portal at https://fssabenefits.in.gov or contact an Indiana navigator at https://in.accessgov.com/idoi/Forms/Page/idoi/find-a-navigator. If you are a current Indiana Medicaid member, you must call 877-284-9294 to select a PathWays plan.

Are there income and asset limits for PathWays?

Yes, there is a standard program income and asset limit. If applying for HCBS or Nursing Facility waiver, there are special income and asset limits.

Visit the “Am I Eligible” guide at www.in.gov/medicaid (click on “Members” first) for current income limits.

Money Follows the Person

The Money Follows the Person program is funded through a grant from the U.S. Centers for Medicare and Medicaid Services. The MFP program was developed to help states move individuals from institutional settings to home- and community-based settings. Indiana was approved for the MFP program in 2007. Since then, Indiana has focused on assisting eligible persons to leave institutional care by providing services for individuals to live safely in their communities.

How does someone qualify for Money Follows the Person?

An applicant must be living in an institution to be eligible for Indiana’s Money Follows the Person program. To apply, a person must meet specific institutional placement criteria. The criteria vary depending on the qualifying institution in which the person is currently residing. The applicant must be a resident of a qualifying institution for at least 60 consecutive days. In addition to the placement requirements, a person wishing to participate in Indiana’s MFP program must also meet all of the following conditions:

• They must have needs that can be met safely through services available in the community.
• They must be an Indiana Medicaid-eligible recipient for at least one day prior to discharge from the institution and remain eligible throughout the 365 days of MFP eligibility.
• They must meet the minimum requirements for a funding source that is currently partnering with Indiana’s MFP program (e.g., Health and Wellness waiver, Traumatic Brain Injury Medicaid waiver).

What are the income limits?

Applicants should refer to current Medicaid income limits. However, a Special Income Limit is applied to Money Follows the Person recipients when Medicaid eligibility is determined.
Visit the “Am I Eligible?” guide at www.in.gov/medicaid (click “Members” first) for current income limits.

What are the asset/resource limits?

The resource standard for a single individual is $2,000 and for a married couple it is $3,000. However, for certain married couples, if one spouse is receiving a home- and community-based services waiver and the other spouse is not and continues to live in the community, then spousal impoverishment provisions apply in which there are additional resource protections for the community spouse.

What services are available?

Case management services and transition services are provided to every Money Follows the Person recipient. Other available services vary based on those provided by the partner program to which the individual will transfer at the end of his or her 365 days in the MFP program.

How does someone apply for the Money Follows the Person program?

Applicants can apply through their local INconnect Alliance member (a complete listing of INconnect Alliance members is available on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members).

Older Americans Act programs

The Older Americans Act provides community-based services and opportunities for older individuals and their families. Supportive services and senior center programs are provided through Indiana’s Area Agencies on Aging. These 15 Area Agencies on Aging (serving 16 planning and service areas) comprise the INconnect Alliance.

How does someone qualify for Older Americans Act programs?

Older Americans Act programs generally require only that recipients be over the age of 60. However, funding is extremely limited, so services are not always available to cover all service options for eligible individuals in need of assistance.

What are the income limits?

There are no income limits for Older Americans Act programs. Participants are asked to make voluntary contributions as they are able.

What are the asset/resource limits?

There are no asset/resource limits for Older Americans Act programs. Participants are asked to make voluntary contributions as they are able.
How does someone apply for Older Americans Act programs?

If you are interested in learning more about the Older Americans Act programs, contact your local INconnect Alliance member at 800-713-9023. A complete listing of INconnect Alliance members is available on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members or you can visit the INconnect Alliance website at www.in.gov/fssa/inconnectalliance.

What services are available?

Services available under the Older Americans Act include:

• Adult day services
• Attendant care
• Caregiver support services
• Case management
• Congregate meals
• Environmental modifications
• Health promotion—evidence-based or non-evidence based
• Homemaker
• Home-delivered meals
• Information and assistance
• Legal assistance
• Personal emergency response systems
• Respite
• Specialized medical equipment
• Transportation
• Vehicle modifications

Older Independent Blind program

The Indiana Older Independent Blind program expands independent living services for people who are age 55 and older and have a severe visual impairment. Through a grant from the U.S. Department of Education’s Independent Living Services for Older Individuals Who Are Blind program, the Bureau of Rehabilitation Services and Blind and Visually Impaired Services partner with statewide community programs to administer a wide array of services for older individuals who are blind or visually impaired. Services may include assistance in correcting or modifying visual disabilities, to include providing optical vision aids, in-home training, orientation and mobility training, Braille instruction, adaptive skills training, information and referral, peer counseling and other appropriate services designed to assist the individual with daily living activities.

For a list of Older Independent Blind community programs by county of coverage and additional information about the Older Independent Blind program, please visit the program website at www.in.gov/fssa/ddars/brs/blind-and-visually-impaired/older-independent-blind-program or contact the Blind and Visually Impaired Services program manager at 877-241-8144.

Older Independent Blind community programs and a list of counties they serve:

accessABILITY—Counties: Bartholomew, Boone, Brown, Crawford, Hamilton, Hancock, Hendricks, Jackson, Johnson, Lawrence, Marion, Monroe, Morgan, Orange, Shelby, Washington

Bosma Enterprises—Counties: All Indiana counties

Future Choices, Inc.—Counties: Blackford, Delaware, Grant, Howard, Madison, Randolph, Tipton, Jay

Independent Living Center of Eastern Indiana—Counties: Dearborn, Decatur, Fayette, Franklin, Henry, Jefferson, Jennings, Ohio, Ripley, Rush, Scott, Switzerland, Union, Wayne

League for the Blind and Disabled, Inc.—Counties: Adam, Allen, DeKalb, Elkhart, Huntington, Kosciusko, LaGrange, LaPorte, Marshall, Noble, St. Joseph, Steuben, Wells, Whitley

The WILL Center—Counties: Clay, Owen, Parke, Putnam, Vermillion, Vigo

Supervised Group Living

Supervised Group Living, also known as “group homes,” is a residential option available to eligible individuals with intellectual or developmental disabilities. Typically, there are five to eight individuals in one SGL setting. The setting and services provided in a Supervised Group Living placement can vary depending on the individual’s age, support needs and interests.

What are the eligibility criteria for group home placement?

To qualify for SGL placement, an individual must have been diagnosed with an intellectual disability, developmental disability, or related condition prior to the age of 22 years and the condition must be expected to continue indefinitely.

The individual must meet level of care criteria. Level of care is determined by assessing six major life areas. Those areas include self-care, learning, self-direction, capacity for independent living, understanding and use of language, and mobility. The individual must exhibit substantial functional limitations in at least three of the six areas. An individual may NOT receive home- and community-based waiver services while in SGL placement.

How does someone apply?

An individual should contact their local Bureau of Disabilities Services District Office. The district offices can provide the application and provide assistance in finding additional services the individual may be eligible to receive.

A list of the local BDS district offices can be found on www.in.gov/fssa/ddars/bds/bureau-of-disabilities-services.

First Steps—Early Intervention Services

First Steps is the state’s early intervention program. The First Steps program ensures that all Indiana families with infants and toddlers birth through third birthday experiencing developmental delays or disabilities have access to early intervention services. Please go to www.in.gov/fssa/ddars/bcds for more information about First Steps.

Adult Mental Health Habilitation

Adult Mental Health Habilitation is a program designed to help Hoosiers with serious mental illness maintain or sustain skills to live successfully in their communities.

What is Adult Mental Health Habilitation?

The Adult Mental Health Habilitation program is an option for consumers with long-term behavioral health needs who may benefit more from a habilitative approach to treatment rather than a traditional rehabilitative approach. Habilitative services help people maintain or sustain their current level of functioning. Rehabilitative services help people regain a level of functioning that they once had but lost.

AMHH is designed for people who have attempted to regain a prior level of functioning and have been unsuccessful. AMHH services are designed to help these individuals maintain or sustain their current functioning level in order to prevent further regression. AMHH is intended to help people acquire, retain and/or improve the self-help, socialization and adaptive skills necessary to reside successfully in a community setting.

What are Adult Mental Health Habilitation services?

The Adult Mental Health Habilitation program consists of eight services, which are similar to what consumers receive from their behavioral health providers:

• Adult day services
• Home- and community-based habilitation and support
• Respite care
• Therapy and behavioral support services
• Addiction counseling
• Supported community engagement services
• Care coordination
• Medication training and support

Individuals will work with their case manager to develop treatment goals and then choose from the array of services based on their individual needs to help meet specific behavioral health and community living goals. Individuals receive a predetermined amount of service units to fulfill the combination of these services for the period of time they are enrolled in the Adult Mental Health Habilitation program. This is also referred to as the “package period.”

What will change if I choose Adult Mental Health Habilitation?

The Adult Mental Health Habilitation program is a package of specialized services to help meet the habilitative goals of consumers with long-term behavioral health needs. The services are similar to other programs that offer skills training, therapy, medication support, case management and other services. However, they are specialized in their design to help individuals maintain and sustain their current level of functioning in an attempt to avoid a reduction in functioning level. AMHH services also provide training and support for family members, friends and other unpaid caregivers.

To be eligible, individuals must:

• Be at least 19 years of age
• Have an Adult Needs and Strengths Assessment of three or higher
• Be enrolled in an eligible Medicaid program
• Have a qualifying mental health diagnosis
• Live in a community-based setting

Individuals currently receiving services through a community mental health center can ask their provider for additional information. Individuals who are not currently involved with a CMHC but think they may qualify may contact their local community mental health center or visit the Certified Community Behavioral Health Clinics / Individuals Receiving Services page.

Behavioral and Primary Healthcare Coordination

The Behavioral and Primary Healthcare Coordination program consists of the coordination of services to manage the healthcare needs of eligible recipients. This includes logistical support, advocacy and linkage to assist individuals in navigating the health care system. It also incorporates activities that help recipients gain access to needed physical and behavioral health services.

How does someone qualify for Behavioral and Primary Healthcare Coordination services?

The Behavioral and Primary Healthcare Coordination program is intended to assist in the coordination of mental health and primary health needs of the individual. An individual may qualify for the BPHC program if the individual has an eligible BPHC diagnosis and needs help managing his or her health care. To be eligible for BPHC, applicants must be age 19 or older and have a monthly income no higher than 300% of the federal poverty level. If there are children or other qualifying dependents in the individual’s household, an individual’s income may be higher.

What are the income limits?

An individual must have countable income no higher than 300% of the federal poverty level. Determination of financial eligibility is conducted by the Division of Family Resources.

What are the asset/resource limits?

There are no asset/resource limits.

Where does someone go to apply for Behavioral and Primary Healthcare Coordination?

Interested individuals can apply for Behavioral and Primary Healthcare Coordination at any community mental health center that has been approved by the Division of Mental Health and Addiction.

How does someone apply for Behavioral and Primary Healthcare Coordination?

The community mental health center will meet with the applicant to complete the Behavioral and Primary Healthcare Coordination application. They will ask questions about the applicant’s physical and behavioral health and enter the information provided. Once clinically approved, the application must be approved by the Division of Family Resources. Once all components of the application have been reviewed, the applicant will then receive a letter stating if qualification was met for the program. This letter will give instructions on what rights exist if they do not qualify. For any further questions, applicants may contact the Division of Mental Health and Addiction at 317-232-7800 or bphcservice@fssa.in.gov.

Child Mental Health Wraparound

The Child Mental Health Wraparound program is designed to support children and youth facing serious mental health or behavioral challenges while keeping them connected to their communities. The wraparound approach, brings together a caring team of family, friends, community members and professionals to provide personalized support that addresses each child’s unique needs. Together, CMHW creates an individualized care plan that builds on the participant’s strengths, resources and talents, ensuring they get the help they need. The goal is to empower families and provide helpful tools so participants can thrive in their homes, schools and communities.

Download the Child Mental Health Wraparound overview guide.

How does someone qualify for Child Mental Health Wraparound services?

Applicants must meet financial and behavioral health guidelines in order to be enrolled in the Child Mental Health Wraparound program. When an applicant completes an Indiana Application for Health Coverage, the Division of Family Resources will determine if they qualify for health coverage. The Division of Mental Health and Addiction will determine if the behavioral health criteria have been met.

1915(i) Child Mental Health Wraparound exclusionary criteria

A youth with any of the criteria below will not qualify for Child Mental Health Wraparound services:

• Primary Substance Use Disorder
• Pervasive Developmental Disorder (Autism Spectrum Disorder)
• Primary Attention Deficit Hyperactivity Disorder
• Imminent risk of harm to self or others. Any youth identified as not able to feasibly receive intensive community-based services without compromising his/her safety, or the safety of others, will be referred to a facility capable of providing the level of intervention or care needed to keep the youth safe.
• Youth that resides in an institutional or otherwise home- and community-based services noncompliant setting
• Individual with an intellectual disability/disabilities
• Dual diagnosis of serious emotional disturbances and intellectual disability

What are the current eligibility requirements?

The table below shows the current eligibility requirements for the CMHW program. All of these criteria must be met:

How does someone apply for Child Mental Health Wraparound?

To apply for this program, please call 211 and ask for a “wraparound referral.” You can also complete the referral form on your own. After the referral is made someone will contact you within a few days to begin the process and assist you in applying for the program. If you have any questions about the program or the application process, please email them to DMHAyouthservices@fssa.in.gov.

Community Mental Health Centers

If you are looking for assistance for a mental health or addiction issue, there are providers available in every county. Providers can be accessed for children, youth, adults and seniors through a network of community mental health centers.

To locate a CMHC near you, go to www.in.gov/fssa/dmha/find-a-local-service-provider.

Indiana Pregnancy Promise Program

The Indiana Pregnancy Promise Program is a free, voluntary program for pregnant Medicaid members who use opioids or have used opioids in the past. The goals of the Pregnancy Promise Program are for participants to:

• Enter prenatal care
• Access opioid treatment needed to achieve sustained recovery
• Receive ongoing support and follow-up care for the mother and infant during and after pregnancy
• Provide hope and set a strong foundation for the future

Why is the Indiana Pregnancy Promise Program important?

• Opioid use disorder during pregnancy is increasing in Indiana and nationwide
• Treatment of opioid use disorder during pregnancy has a high rate of success
• Treating opioid use during pregnancy reduces the risks of harmful effects to mothers and infants

Who can participate?

The Pregnancy Promise Program is available to pregnant individuals in the state of Indiana. To be eligible, participants must meet the following criteria:

• Pregnant or within 90 days of the end of pregnancy
• Identify as having current or previous opioid use
• Be eligible for or receive Medicaid health coverage

To make a referral for yourself or someone you know, visit www.in.gov/fssa/promise, email PregnancyPromise@fssa.in.gov, call 317-234-5336 or call toll-free 888-467-2717.

Indiana State Psychiatric Hospital Network

Indiana’s State Psychiatric Hospitals serve adults with mental illness (including adults who have co-occurring mental health and addiction issues, who are deaf or hearing impaired, and who have forensic involvement), and children and adolescents with serious emotional disturbances.

The state psychiatric hospitals are accredited by the Joint Commission. To maintain JC accreditation, all hospitals are required to participate in the National Research Institute Performance Measurement System, which provides a framework within which the state psychiatric hospitals can identify and implement consistent measures of performance and outcomes.

Individuals are admitted to a state hospital only after screening by a Community Mental Health Center responsible for providing case management to the individual in both the hospital and community. CMHCs facilitate an individual’s transition from the hospital back to the community or other appropriate setting. Involuntary commitment may be sought through the CMHC by a friend, relative or law enforcement representative. No one is denied admission because of a lack of financial resources.

Facilities

• Evansville Psychiatric Children's Center
• Evansville State Hospital
• Logansport State Hospital
• NeuroDiagnostic Institute
• Madison State Hospital
• Richmond State Hospital

Problem Gambling / Gambling Disorder

What is problem gambling / gambling disorder?

A variety of terms is used to describe gambling issues and addiction. To provide consistency, DMHA will use the following terms when addressing specific gambling criteria:

• The term “problem gambling” is used when referring to prevention, education and/or awareness activities.
• The term “gambling disorder” is used when referring to gambling addiction and/or treatment services. Similar to an alcohol or drug addiction, a gambling addiction is a progressive disorder that can have negative implications for the addicted individual’s health, family, finances and career.

Do you or someone you know have a problem with gambling? For a confidential referral, call 800-994-8448.

Problem Gambling / Gambling Disorder Resources in Indiana

There are currently 16 Division of Mental Health and Addiction-endorsed gambling disorder treatment providers throughout Indiana. For additional information about Problem Gambling Disorders or to find a listing of service providers, visit www.in.gov/fssa/dmha/addiction-services/problem-gambling.

Emergency Rental Assistance

Indiana will be receiving emergency rental assistance funding as part of the federal COVID-19 Relief Bill. This program helps eligible households impacted by the COVID-19 pandemic by providing rental assistance and other services designed to improve housing stability. Information will be made available on www.indianahousingnow.org. Funding for this program is limited and availability of this program is subject to change at any time. Please check the website for current information about the program.

Healthy Homes Resource Program

The Healthy Homes Resource Program is a partnership between the Indiana Housing and Community Development Authority and the Indiana State Department of Health, who are leading the state of Indiana’s effort to remediate health and safety hazards in targeted households throughout the state.

If any of these hazards apply to your home, you may be eligible for assistance:

• Radon
• Lead-based paint
• Damp and mold growth
• Electrical hazards
• Accessibility
• Structural
• Carbon monoxide and fuel combustion products
• Pests and refuse

To learn more about the program, please visit www.in.gov/ihcda/homeowners-and-renters/healthy-homes-resource-program.

Homeownership programs

The Indiana Housing and Community Development Authority is proud to make the process of buying a home a reality for thousands of Hoosier families. We offer programs that assist Hoosiers with making down payments, getting low interest rate loans and offering a tax credit. In every county across Indiana, there are lenders on hand to help with all the programs we offer. An overview of the current programs may be found at www.in.gov/ihcda/homebuyers/.

Who is the program for?

Residents of Indiana who are seeking to purchase a home.

How does someone qualify for the program?

Basic program guidelines may be found at www.in.gov/ihcda/homeowners-and-renters.

How does someone apply/enroll in the program?

Contact a participating lender to begin the process: https://online.ihcda.in.gov/AuthorityOnline/participatinglenders/participatinglenders.aspx.

Housing Choice Vouchers

Housing Choice Vouchers (formerly known as Section 8) provide eligible households vouchers to help pay the rent on privately owned homes of their choosing.

A family receiving a voucher must pay at least 30% of its monthly adjusted gross income for rent and utilities. The vouchers are generally administered and can by applied for through local public housing authorities. The Indiana Housing and Community Development Authority is one of many independent public housing agencies in the state that provide vouchers. Housing Choice Vouchers are not ideal for immediate or emergency housing needs due to potentially long waitlists. Individuals are encouraged to apply for multiple waitlists. IHCDA serves portions of 81 counties that are not served by other PHAs (such as the Indianapolis Housing Authority and the Gary Housing Authority.)

The U.S. Department of Housing and Urban Development website lists each PHA in the state: www.hud.gov/contactus/public-housing-contacts.

This website explains IHCDA’s program and service area: www.in.gov/ihcda/homeowners-and-renters/section-8-housing-choice-vouchers-hcv/.

Other affordable housing options can be found at www.indianahousingnow.org.

Indiana Foreclosure Prevention Network

Struggling to pay your mortgage? The Indiana Foreclosure Prevention Network provides free foreclosure prevention counseling to Hoosiers facing foreclosure. We will work with you and your lender to find a solution to your financial situation. Don’t hesitate. Call 877-GET-HOPE today or visit www.877gethope.org.

Low-Income Home Energy Assistance Program

The Low-Income Home Energy Assistance Program assists low-income families with the cost of their home energy. The program serves low-income households subject to an energy burden. EAP is available for winter assistance beginning the first week of November through May of each year. To apply for EAP, contact the Local Service Provider in your area.

A complete listing of participating providers is available online at www.in.gov/ihcda/homeowners-and-renters/low-income-home-energy-assistance-program-liheap.

Neighborhood Assistance Program

The Neighborhood Assistance Program offers up to $2.5 million in state tax credits each state fiscal year for distribution to nonprofit organizations across Indiana. An application is released annually for organizations to apply for credits and participate in the program. Organizations who meet eligibility and reporting requirements may be eligible to receive credits.

Residential Care Assistance Program

The Residential Care Assistance Program provides residential financial assistance to eligible individuals residing in Indiana Department of Health licensed residential care facilities and county homes that have an approved RCAP contract with the Division of Aging. RCAP provides assistance for residents who cannot live in their homes because of age, mental illness or physical disability, but who do not need the level of care provided in a licensed nursing facility. Services include room, board and laundry with minimal administrative direction as well as care coordination provided on behalf of eligible individuals at an approved per diem rate established by the Division of Aging.

How does someone qualify for the Residential Care Assistance Program?

An applicant must be:

• At least 65 years of age, or blind or disabled or diagnosed with a serious mental illness
  • Aged: Must be 65 years of age or older
  • Blind: The degree of blindness is determined by the Indiana Family and Social Services Administration medical review team based on a visual exam; the client also must be at least 18 years of age
  • Disabled: Disability is determined by the Indiana Family and Social Services Administration medical review team based upon social and medical information; the client also must be at least 18 years of age
• A current Medicaid recipient
• Currently residing in a Residential Care Assistance Program facility

What are the income limits?

Applicant’s gross monthly income cannot exceed $1,501.06 if residing in a licensed Residential Care Assistance Program facility. Applicant’s gross monthly income cannot exceed $1,125.41 if residing in a county home.

What are the asset/resource limits?

The asset limits are $2,000 for an individual and $3,000 if living with a spouse.

How does someone apply for the Residential Care Assistance Program?

If you are interested in learning more about the program, contact your local INconnect Alliance member at 800-713-9023. A complete listing of INconnect Alliance members is available on www.in.gov/fssa/inconnectalliance/aboutlocations-of-alliance-members or you can visit the INconnect Alliance website at www.in.gov/fssa/inconnectalliance.

The Residential Care Assistance Program facility assists the applicant in completing the RCAP application. However, the applicant’s family, guardian or advocate may assist in completion of the application. Complete the RCAP application and provide supporting documentation as indicated in the application. All documentation must be submitted at the same time as the application or the application will be denied by the Division of Family Resources.

Only one application per email can be sent to the Division of Family Resources in order for the application to be considered. Completed applications must be emailed to fssa.apps4rcap@fssa.in.gov. Incomplete applications will not be processed.

Applications can be obtained on the Bureau of Better Aging website at www.in.gov/fssa/ddars/bba/provider-resources/residential-care-assistance-program.

How does someone find a Residential Care Assistance Program provider?

Contact the RCAP director at  or visit the Bureau of Better Aging website at www.in.gov/fssa/ddars/bba for a list of facilities that are approved Residential Care Assistance Program providers.

Community and Home Options to Institutional Care for the Elderly and Disabled

The Community and Home Options to Institutional Care for the Elderly and Disabled program provides home- and community-based services to assist individuals in maintaining their independence in their own home or community for as long as is safely possible. More details about services available under this program are found on www.in.gov/fssa/ddars/bba/community-and-home-options-to-institutional-care-for-the-elderly-and-disabled.

Health and Wellness waiver

The Health and Wellness waiver provides an alternative to nursing facility admission for adults and persons of all ages with a disability. The waiver is designed to provide services for people who would otherwise require care in a nursing facility. More details about services available under this program are found on www.in.gov/medicaid/members/home-and-community-based-services/aged-and-disabled-waiver.

Older Americans Act programs

The Older Americans Act provides community-based services and opportunities for older individuals and their families. Older Americans Act programs generally only require that recipients be over the age of 60. More details about services available under this program are found on www.in.gov/fssa/ddars/bba/older-americans-act-family-caregiver-support.