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Traumatic Brain Injury Facility Licensing Program

Program Overview

In 2014, the Indiana General Assembly adopted a statute stating that, before January 1, 2015, the department shall adopt rules that establish a license and provide regulations for a facility that provides specialized treatment and services for traumatic brain injuries.  The ISDH is currently working to develop state rules for traumatic brain injury facilities.  This web page is intended to provide information about traumatic brain injury and development of facility state rules. 

Contact the Program

Indiana State Department of Health
2 North Meridian Street
Indianapolis, IN 46204
(317) 233-7442 [Long Term Care Receptionist]
(317) 233-1325 (ISDH Main Switchboard)

Assistant Commissioner and Special Counsel
Matthew Foster
Consumer Services and Health Care Regulation Commission
Indiana State Department of Health
2 North Meridian Street, 4B
Indianapolis, IN 46204
(317) 233-7289
(317) 233-9691 [Administrative Assistant]
(317) 233-7322 [Fax]

Director of Long Term Care
Brenda Buroker
(317) 234-7340
(317) 233-9691 [Administrative Assistant]
(317) 233-7322 [Fax]

Acronyms and Definitions


• ABI:  Acquired Brain Injury
• CMS:  Centers for Medicare and Medicaid Services
• ICF-IID:  Intermediate Care Facilities for Individuals with Intellectual Disabilities
• ISDH:  Indiana State Department of Health
• TBI:  Traumatic Brain Injury


• Traumatic Brain Injury:  Indiana defines a traumatic brain injury as a trauma that has occurred as a closed- or open-head injury by an external event that results in damage to brain tissue, with or without injury to other body organs. Examples of external agents are mechanical or events that result in interference with vital functions. Traumatic brain injury means a sudden insult or damage to brain function, not of a degenerative or congenital nature. The insult or damage may produce an altered state of consciousness and may result in a decrease in cognitive, behavioral, emotional, or physical functioning resulting in partial or total disability not including birth trauma related injury. [from FSSA Medicaid Waivers at http://www.in.gov/fssa/da/3476.htm

Laws and Regulations

State Laws and Rules

Indiana Traumatic Brain Injury Licensing Statute

HEA Enrolled Act 1358 (2014)

Indiana Medicaid Traumatic Brain Injury Waiver Program (FSSA)

Examples of Licensing Rules from Other States

Federal Laws and Regulations for ICF-IID

Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID)

42 CFR 483, Part I (see 483.400)
State Operations Manual, Appendix J
State Operations Manual, Appendix Q



Brain Injury Association of America

Brain Injury Association of Indiana 

Commission on Accreditation of Rehabilitative Facilities (CARF) 

National Council of State Legislatures (NCSL):  State laws on traumatic brain injury 2009 – 2014

National Institute of Neurological Disorders and Stroke, National Institute of Health:  Traumatic brain injury information page 

Federal Government

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

National Center for Health Statistics (NCHS)

Occupational Safety and Health Administration (OSHA)

U.S. Department of Health and Human Services (HHS)

Resources and Information on Traumatic Brain Injury

Brain Injury Services in Indiana Study Group:  Presentation to Indiana General Assembly Health Finance Commission – August 2011

Indiana Protection and Advocacy Services:  Protection and Advocacy for Traumatic Brain Injury Brochure

Rutgers Center for State Health Policy.  Issue Brief:  A Survey of Medicaid Brain Injury Programs

TBI Webinars (FSSA)