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Indiana Structured Family Caregiving

Indiana's Structured Family Caregiving program pays family caregivers a daily stipend through Indiana Medicaid HCBS waivers to provide in-home care to eligible waiver recipients 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 waiver recipients who 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. Recipient age rules vary by waiver, and FSSA guidance covers eligible children and individuals under age 18 rather than a universal age-18 recipient floor.

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

Eligibility

  • U.S. citizenship or qualified immigrant status required
  • Care recipient must have a qualifying disability
  • Must live with care recipient

Services

Pays family caregivers a tax-free daily stipend for providing in-home care to Medicaid-eligible waiver recipients who 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. Recipient age rules vary by waiver, and FSSA guidance covers eligible children and individuals under age 18 rather than a universal age-18 recipient floor.

How to apply

Use the official program page for application details: official program page.

  • medicaid (depends_on): Care recipient must be Medicaid-eligible
  • hcbs-waivers (companion): SFC is available through Indiana HCBS waivers including Health & Wellness, TBI, and PathWays for Aging