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Indiana Structured Family Caregiving

Indiana's Structured Family Caregiving program pays family caregivers a daily stipend through the Pathways for Aging Medicaid waiver to provide in-home care to persons who are aged, blind, or disabled as an alternative to nursing facility placement. The caregiver must live with the care recipient. Spouses may serve as caregivers. The caregiver is allowed to work outside the home but caregiving must be the primary focus. Launched approximately 2024.

Pays family caregivers a tax-free daily stipend for providing in-home care to Medicaid-eligible persons who are aged, blind, or disabled and require a nursing facility level of care. FSSA pays a daily rate to the SFC provider based on approved service plan. Three SFC levels: Level 1 (1-20 hrs/wk), Level 2 (21-40 hrs/wk), Level 3 (41+ hrs/wk). The caregiver receives 50-65% of the Medicaid daily rate. Spouses may serve as caregivers. Foster parents can provide SFC to foster children. The caregiver is allowed to work outside the home. Includes up to 15 days of unskilled respite per calendar year; skilled respite available as separate waiver service. Caregiver coach and nursing staff provide in-person support visits. Available on Health & Wellness, TBI, and PathWays for Aging waivers. Effective July 1, 2024. Cannot receive attendant care, assisted living, or adult family care concurrently.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Care recipient must be at least 18 years old
  • U.S. citizenship or qualified immigrant status required
  • Care recipient must have a qualifying disability or need for assistance
  • Caregiver must live with the care recipient
  • Must be a resident of IN
  • Must be Medicaid-eligible
  • No income test required
  • Must require a nursing facility level of care

Services

Pays family caregivers a tax-free daily stipend for providing in-home care to Medicaid-eligible persons who are aged, blind, or disabled and require a nursing facility level of care. FSSA pays a daily rate to the SFC provider based on approved service plan. Three SFC levels: Level 1 (1-20 hrs/wk), Level 2 (21-40 hrs/wk), Level 3 (41+ hrs/wk). The caregiver receives 50-65% of the Medicaid daily rate. Spouses may serve as caregivers. Foster parents can provide SFC to foster children. The caregiver is allowed to work outside the home. Includes up to 15 days of unskilled respite per calendar year; skilled respite available as separate waiver service. Caregiver coach and nursing staff provide in-person support visits. Available on Health & Wellness, TBI, and PathWays for Aging waivers. Effective July 1, 2024. Cannot receive attendant care, assisted living, or adult family care concurrently.

How to apply

Apply online or find more information at the official program page.

  • medicaid (depends_on): Care recipient must be Medicaid-eligible
  • hcbs-waivers (companion): SFC is available through the Indiana Pathways for Aging waiver