How to apply for Indiana PathWays for Aging Waiver — Medicaid HCBS for Seniors 60+

Who it's for

PathWays for Aging is Indiana's marquee Medicaid HCBS (Home and Community-Based Services) program for residents age 60+ at nursing-home level of care — it replaced the Aged & Disabled (A&D) Waiver on July 1, 2024 and is delivered through managed care (managed long-term services and supports). Services include personal care, home-delivered meals, adult day services, transportation, home modifications, attendant care, and respite. Income limit up to $2,982/month (300% of the SSI federal benefit rate), $2,000 resource limit, PLUS a nursing-home level-of-care need. Apply through your local Area Agency on Aging or call the INconnect Alliance at 1-800-713-9023.

What you'll need

• Proof of age 60+
• Proof of Indiana residency
• Proof of all household income and resources
• Nursing-home level-of-care assessment (completed by the AAA)
• Medicare card if enrolled

Where to apply

What to say when you call

"Hello, I'm calling to ask about Indiana PathWays for Aging Waiver — Medicaid HCBS for Seniors 60+. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of age 60+, proof of Indiana residency, proof of all household income and resources — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Step by step

1. Gather proof of age, proof that you live in Indiana, proof of all household income and resources, and your Medicare card if you are enrolled.
2. Apply online or call the INconnect Alliance at 1-800-713-9023 to start an application through your local Area Agency on Aging.
3. Complete the nursing-home level-of-care assessment with the Area Agency on Aging.
4. Provide any requested documents and details so your Medicaid eligibility and care needs can be reviewed.
5. Watch for notices about next steps and managed long-term services and supports, since this program is delivered through managed care.

What to expect: After you apply, the Area Agency on Aging will review your information and complete the level-of-care assessment. You must qualify for Medicaid and need nursing-home level of care to be approved. Processing times can vary, so ask for an estimate when you apply. If approved, coverage is renewed every year.

Renewals

annual