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Managed Care for Medicare/Medicaid Dual-Eligibles in Indiana

Indiana coordinates long-term services and supports for seniors through managed care under the PathWays for Aging program, launched July 1, 2024.

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How Indiana coordinates care for dual-eligibles

Short answer

Indiana restructured how it coordinates Medicare and Medicaid long-term services and supports for seniors on July 1, 2024, when the Indiana PathWays for Aging program launched and split the former Aged & Disabled Waiver into the PathWays Waiver (60+) and Health and Wellness Waiver (under 60).

What PathWays for Aging coordinates

The program is designed to bring managed-care coordination to long-term services and supports for Hoosiers 60 and older, working alongside Medicare rather than replacing it. Because this is a relatively new structure (launched mid-2024), families should confirm current plan details and any further changes directly with FSSA or CICOA rather than relying on older descriptions of Indiana's Aged & Disabled Waiver, which PathWays replaced.

Where to get current, local answers

CICOA Aging & In-Home Solutions provides local PathWays case management for every county this site covers and is the most reliable source for how the program is actually functioning in this metro right now.

Questions families ask

Is Indiana's Medicaid expansion (HIP) the same as long-term care Medicaid for seniors?

No. The Healthy Indiana Plan (HIP), Indiana's ACA expansion effective February 1, 2015, covers adults 19-64 based on income. Long-term-care Medicaid for seniors uses a separate, non-MAGI aged/blind/disabled eligibility pathway with different asset and income rules. The two are frequently and incorrectly conflated.

Is there a waitlist for Indiana's PathWays Waiver?

Yes, historically. At the program's July 2024 launch, 9,015 people were on the PathWays waiting list statewide out of 39,842 total slots. Current waitlist figures change; confirm today's status with CICOA Aging & In-Home Solutions, the Area Agency on Aging serving this region.

What is Indiana's Medicaid Estate Recovery Program?

Indiana's Medicaid Estate Recovery Program (MERP) recovers amounts Medicaid paid on a recipient's behalf after age 55, from probate and certain non-probate assets. As of July 1, 2025, the state has 9 months after death to file a claim, and recovery does not proceed while a spouse survives or a child is under 21, blind, or disabled.

What does assisted living cost in Indianapolis?

The CareScout Cost of Care Survey publishes a statewide Indiana median only -- $5,639 a month for a private one-bedroom in 2025 -- not an Indianapolis-specific figure. Local pricing likely differs from the state median in either direction; ask each community for its current rate.

What does memory care cost in Indiana?

There is no published memory-care median for Indiana or any other state -- CareScout does not survey it as a category. Any memory-care price you see quoted online is an estimate or an extrapolation, not a sourced figure. Get quotes in writing from each community instead.

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