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Indiana's PathWays Waiver, Explained

The PathWays Waiver pays for care services inside a licensed Residential Care Facility -- not room and board, which runs through RCAP instead.

HomeState RulesIndiana's PathWays Waiver, Explained

What the PathWays Waiver is

Short answer

The PathWays Waiver, part of Indiana PathWays for Aging launched July 1, 2024, pays for care services -- not room and board -- for Hoosiers 60 and older, inside a licensed Residential Care Facility that holds a provider agreement.

Who administers it

The Office of Medicaid Policy and Planning runs the waiver statewide; CICOA Aging & In-Home Solutions handles local case management for Marion, Hamilton, Hendricks, Johnson, Boone and Hancock counties.

What it covers, and what it does not

Covered: personal/attendant care, structured family caregiving, respite, case management, home modifications, and adult day services. Not covered: room and board -- that is the separate Residential Care Assistance Program (RCAP), which must be arranged alongside PathWays, not instead of it.

Waitlist

At the program's July 2024 launch, 9,015 people were on the PathWays waiting list statewide out of 39,842 total slots. Current figures change; confirm today's status with CICOA before assuming a long wait or a short one.

Where to get free help in your area

CICOA Aging & In-Home Solutions, Indiana's Planning & Service Area 8, is the Area Agency on Aging covering every county this site serves — Marion, Hamilton, Hendricks, Johnson, Boone and Hancock — plus Morgan and Shelby. That means there is one regional agency to call regardless of which of these six counties a family is searching from.

CICOA's Resource Center (317-803-6131, or 317-254-5465 main line, 800-432-2422 toll-free) offers information and referral, PathWays Waiver case management, caregiver support programs, home modification help, and Meals on Wheels-type nutrition services — all free of charge.

Start here first. Before paying for a private geriatric care manager, a free call to CICOA's Resource Center will surface benefits and programs a family may not know exist.

Questions families ask

What does a long-term care ombudsman actually do?

An ombudsman advocates for a resident free of charge, and only with the resident's consent. They can attend a care conference with a family but do not license, inspect, or fine a facility -- that is the state health department's job, not the ombudsman's.

Can an ombudsman file a complaint even if my parent doesn't want to?

No. Consent matters: if a parent has capacity and does not want a complaint pursued, that decision stands, even where family disagrees with it. The ombudsman represents the resident's wishes, not the family's.

Is the ombudsman the same as filing a state licensing complaint?

No, they're two different systems. The ombudsman advocates for an individual resident; the Indiana Department of Health investigates regulatory complaints and can take enforcement action against a facility's license. Using one does not preclude using the other.

How do I report suspected abuse or neglect in Indiana?

Call Indiana's statewide Adult Protective Services line at 1-800-992-6978, or file online. Indiana APS is state-run through five regional field teams under FSSA, not county-run, so there is no separate Marion County number to look up.

Is there a different number for a facility-specific licensing complaint versus abuse?

Yes. Adult Protective Services (1-800-992-6978) investigates suspected abuse, neglect or exploitation of an individual. A facility licensing complaint -- about conditions, staffing, or care quality broadly -- goes to the Indiana Department of Health at 1-800-246-8909 or through its online complaint form.

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