Indiana
Adult Day Service and Family Care
No One Left Outside provides source-based information. The issuing agency or plan decides eligibility, acceptance and availability.
- Name
- Adult Day Service and Family Care
PathWays Health Plan Comparison - Captured 2026-11-03; Reviewed 2026-11-03
- Program
- Indiana PathWays for Aging
Indiana PathWays for Aging: PathWays Health Plan Comparison - Captured 2026-11-03; Reviewed 2026-11-03
- Benefit type
- Home and Community-Based Supports Benefits
PathWays Health Plan Comparison - Captured 2026-11-03; Reviewed 2026-11-03
- What it covers
- Adult Day Services are community-based group programs designed to meet the needs of
individuals who need structured, social integration through comprehensive and nonresidential
programs. The service plan will identify the need through the person-centered assessment (PCA)
process and evident through the assessment tool. The purpose for Adult Day Services is to
provide health, social, recreational, supervision, support services and personal car e. Meals,
specifically, and as appropriate, breakfast, lunch, and nutritious snacks are required. Participants
attend Adult Day Services on a planned basis. The three levels of Adult Day Services are Basic,
Enhanced and Intensive.
OMPP HCBS: Indiana PathWays for Aging Waiver - Captured 2026-11-03; Reviewed 2026-11-03
- Adult Family Care is a comprehensive service in which a participant resides with an unrelated caregiver.
The participant and up to three other participants (who also have physical and/or cognitive disabilities and
are not members of the provider’s or primary caregiver’s family) reside in a home that is owned, rented or
managed by the Adult Family Care provider.
There are three service levels of Adult Family Care each with a unique rate. The applicable rate is
determined through completion of the Adult Family Care/Structured Family Caregiving Level of Service
Assessment (AFC/SFC LOS Assessment). Case managers complete this assessment at least annually to
accurately reflect the relative support need of the individual. The AFC/SFC LOS Score determines the
reimbursement rate to be utilized in the participant’s next service plan.
The breakdown is as follows:
• Level 1 – AFC/SFC LOS Assessment Score of 0–35
• Level 2 – AFC/SFC LOS Assessment Score of 36–60
• Level 3 – AFC/SFC LOS Assessment Score of 61+
Adult Family Care is designed to provide options for alternatives to long-term care for individuals who
meet nursing facility level of care and whose needs can be met in a home -like environment.
OMPP HCBS: Indiana PathWays for Aging Waiver - Captured 2026-11-03; Reviewed 2026-11-03
- Who can get it
Home and Community-Based Supports Benefits The following services apply only to individuals eligible for home- and community-based services provided through the PathWays waiver.
Official source - Captured 2026-11-03; Reviewed 2026-11-03
- What you need to do
- Not listed yet. Call to confirm.
Checked source - Captured 2026-11-03
- How to start
- Not listed yet. Call to confirm.
Checked source - Captured 2026-11-03
- How to use it
- Not listed yet. Call to confirm.
Checked source - Captured 2026-11-03
- Limits
- Not listed yet. Call to confirm.
Checked source - Captured 2026-11-03
- What is not covered
- Not listed yet. Call to confirm.
Checked source - Captured 2026-11-03
- When it applies
- Not listed yet. Call to confirm.
Checked source - Captured 2026-11-03
- How to apply
- Open official application route
Indiana Medicaid for Members: Health Plan Comparisons - Captured 2026-10-24; Reviewed 2026-11-03
- Who to contact
- 800-832-4643
Indiana PathWays for Aging: PathWays Health Plan Comparison - Captured 2026-11-03; Reviewed 2026-11-03