HCBS Waiver Resources

Overview

Home and community based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses. Participation in this program has allowed for Indiana to create the Family Support Waiver (FSW) and the Community Integration and Habilitation Waiver (CIH).

Individuals must meet HCBS waiver eligibility and Medicaid eligibility guidelines in order to be eligible for a Medicaid HCBS waiver. To be eligible individuals must:

  • Be diagnosed as having an intellectual disability prior to the age of 22
  • Reside in or transitioning into an HCBS-compliant setting (non-institutionalized)
  • Have income no greater than 300% of maximum Supplemental Security Income (SSI) amount (parental income for children under 18 years of age is disregarded)
  • Meet “ICF/IID level of care”

For More information go to in.gov HCBS Waiver info

Step 1

To apply, first, go to/contact your local Bureau of Developmental Disabilities Services (BDDS) District Office. There are 8 BDDS District Offices throughout the State. It is helpful to apply as soon as you identify a need for waiver services. Ensure to ask for clarification regarding appropriate diagnosis and local resources to aid you in submitting the application.

The BDDS offices information for districts Torres Behavioral Health provides services in:

District 2 (Kosciusko, Tipton, & Wabash)

401 E Colfax Ave, Suite 270, South Bend, IN 46617-2737

PH# (574) 232-1412     Toll Free# (877) 218-3059

District 3 (Adams, Allen, Dekalb, Huntington, LaGrange, Noble, Steuben, Wells, & Whitley)

201 E. Rudisill Blvd, Suite 300, Fort Wayne, IN 46806-1756

 PH# (260) 423-2571     Toll Free# (877) 218-3061

District 5 (Hamilton, Hancock, & Marion)

2620 Kessler Blvd. E. Dr., Suite 105, Indianapolis, IN 46220-2890

PH# (317) 205-0101        Toll Free# (877) 218-3530

District 6 (Blackford, Delaware, Grant, Henry, Jay, & Madison)

201 E. Charles St., Suite 130, Muncie, IN 47305-2434

PH# (765) 288-6516     Toll Free# (877) 218-3531

To apply for BDDS services there are two options available; which can be found at Beginning with BDDS

You can find additional BDDS forms at BDDS Forms

Step 2

You will need to provide your local BDDS office the confirmation of diagnosis (completed by your physician or the doctor who provided the diagnosis) found at this link.

 

Confirmation of Diagnosis

Step 3

You must apply for Medicaid.

You can learn more about applying for Medicaid by going to the Apply for Medicaid webpage.

 

You must also complete the application for BDDS services.

You can learn more about and complete the application for BDDS services by going to the BDDS Gateway webpage.

Step 4

The application process typically takes about nine months* from start to finish. Once you’ve been notified by the State of Indiana that you have been approved for waiver services, the BDDS office will then send you a picklist of case management companies. You’ll choose one of these companies to aid you in selecting your service providers.

 

About a month before your expected approval, contact TBH to explore if behavior management is right for you or your loved one.

Contact Torres Behavioral Health

 

 

*The length of time to be approved to begin services can vary. 

Step 5

Available Waiver Services

Eligible individuals may receive authorized waiver services in conjunction with Traditional Medicaid. Authorized waiver services may include:

  • Adult Day Services
  • Behavioral Support Services
  • Case Management
  • Community-Based Habilitation- Group
  • Community-Based Habilitation- Individual
  • Extended Services
  • Facility-Based Habilitation-Group
  • Facility-Based Habilitation-Individual
  • Facility-Based Support Services
  • Family & Caregiver Training
  • Intensive Behavioral Support
  • Music Therapy
  • Occupational Therapy
  • Participant Assistance and Care
  • Personal Emergency Response System
  • Physical Therapy
  • Prevocational Services
  • Psychological Therapy
  • Recreational Therapy
  • Respite
  • Specialized Medical Equipment & Supplies
  • Speech/ Language Therapy
  • Transportation Services
  • Workplace Assistance

The specific services that meet the needs of the individual member are identified by the member’s case manager. These services are submitted by the state agency for approval and are listed on the member’s Plan of Care (POC)/Notice of Action (NOA).