Helping Indiana Families Navigate PathWays for Aging and Structured Family Caregiving
Indiana Medicaid pays family caregivers two ways: Attendant Care, where an adult child, sibling, other relative, or friend provides hands-on daily care — and Structured Family Caregiving, where a live-in caregiver (in some cases even a spouse) is paid a daily rate through an approved agency. We help you check if you qualify, get on the waiver list the right way, and match you with a Medicaid-approved Indiana agency — free to families.
Two Ways to Get Started
Structured Family Caregiving pays a caregiver who lives in the same home — a relative, a friend, and in some cases even a spouse — a daily rate through an approved SFC provider agency, with training, coaching visits, and respite built in. The caregiver must live with the person receiving care, and eligibility is determined during enrollment.
Attendant Care pays for hands-on help with daily activities by the hour. An adult child, sibling, grandchild, other relative, or friend can be the caregiver — employed through a Medicaid-enrolled agency, or under participant direction where the family manages a registered attendant. Prefer a professional? The agency provides one.
Eligibility
Final eligibility is determined by FSSA — we help you check in seconds.
Under Attendant Care, an adult child, sibling, grandchild, other relative, or friend can be the paid caregiver — employed through a Medicaid-enrolled agency or under participant direction with a registered attendant. A spouse cannot be the Attendant Care worker (outside a narrow extraordinary-care allowance for intensive nursing needs), but a spouse who lives with the person receiving care may be paid through Structured Family Caregiving, where the caregiver is compensated by the approved SFC provider agency. Eligibility for any caregiver is determined by the program during enrollment.
What's Covered
Why Families Use Us
We're not an agency — we're the free service that gets your family to the right Medicaid-approved agency, faster.
You never pay us a cent. We're paid a flat marketing fee by the partner agency — never by you, and never tied to enrollment.
We connect you with a licensed, Medicaid-approved provider agency that serves your area and handles enrollment and caregiver setup.
Our team helps you check eligibility for Indiana's PathWays for Aging and points you to the right next step — at no cost.
How It Works
Three easy steps to get your family the care they need.
Take our free eligibility check or call us to see if you qualify through Indiana's PathWays for Aging.
We connect you with a Medicaid-approved home care agency in your area that handles enrollment, paperwork, and caregiver setup.
Once approved, your chosen caregiver is paid through Medicaid — and your loved one gets care at home.
The Program
Funded by Medicaid through FSSA — helping families care for loved ones at home.
We help eligible Indiana families connect with a Medicaid-approved provider agency.
Eligible families pay nothing out of pocket for enrollment help.
Approved caregivers — including qualifying family members — are paid through the Indiana Medicaid program.
Source: Indiana Family and Social Services Administration (FSSA), PathWays for Aging.
Already Enrolled?
If you already have Indiana Medicaid coverage and are receiving services, call for a free consult to see if switching to a different partner agency is right for you.
Call (219) 419-3300We help Indiana families understand the PathWays for Aging, check eligibility, and connect with a Medicaid-approved home care provider agency in their area. The provider agency we match you with handles enrollment paperwork, caregiver onboarding, and ongoing program support.
The Home Care Agency is an enrollment matching service. We are not a Medicaid provider agency. We connect eligible Indiana families with licensed Medicaid-approved provider agencies that deliver care. This service is free to families.
Questions
Program Guide
Indiana pays family caregivers through two Medicaid home- and community-based waivers, both run under the Family and Social Services Administration. Indiana PathWays for Aging serves Hoosiers 60 and older through three managed-care health plans — Anthem, Humana Healthy Horizons, and UnitedHealthcare Community Plan — with a Service Coordinator from the plan. The Health and Wellness Waiver (formerly the Aged and Disabled Waiver) serves people under 60 through the Bureau of Disabilities Services alongside traditional Medicaid, with a case manager.
Both waivers cover the same two family-caregiver services: Attendant Care and Structured Family Caregiving. They exist so that people who would otherwise qualify for nursing-facility care can be cared for at home instead — often by someone they already know and trust.
The person receiving care must be an Indiana resident, have (or qualify for) Indiana Medicaid for the aged, blind, or disabled, and need a nursing-facility level of care — confirmed first by a free telephone screening with the local Area Agency on Aging, and later by an in-person assessment. Medicare alone does not qualify.
Financial eligibility is determined by the Medicaid program — not by us, and not by any agency. Income above the limit is not automatically disqualifying: Indiana allows a Qualified Income Trust, often called a Miller trust, and the state publishes free instructions and a template. Applications run through the FSSA Benefits Portal, by phone, or at the local Division of Family Resources office — and you can apply while on the waiver waiting list.
Attendant Care pays hourly for hands-on help with daily activities. An adult child, sibling, grandchild, other relative, or friend can be the caregiver — employed through a Medicaid-enrolled agency, or under participant direction, where the attendant registers with the state, the family directs the care, and a fiscal agent runs payroll. Since July 2024 a spouse cannot be the Attendant Care worker, and a spouse or parent of a minor can never be paid under participant direction; a narrow extraordinary-care allowance (effective December 31, 2025) covers intensive nursing needs through the standard approval process.
Structured Family Caregiving is the live-in path — and the realistic route for spouses. The caregiver must live in the same home as the person receiving care; the state pays a daily rate to an approved SFC provider agency, which shares it with the caregiver. Since July 2024, Indiana expressly includes a spouse among the caregivers SFC may compensate, along with other relatives and live-in nonfamily caregivers. The package includes caregiver training, quarterly visits from a Caregiver Coach or nurse, and up to fifteen days a year of built-in respite. A person receives SFC or Attendant Care, not both at once — the right fit is worked out in the person-centered plan.
Enrollment starts with the local Area Agency on Aging: a telephone level-of-care screening, then placement on the waiver waiting list. Here is the honest part — both waivers keep a statewide list, and Indiana has been inviting people monthly since July 2025. People transitioning from a nursing facility or hospital receive priority invitations; everyone else is invited in order of their original screening date. That makes the first step matter: completing the free AAA screening sets your place, and the Medicaid application can proceed while you wait. When the invitation arrives, an options counselor schedules the in-person assessment, and services begin once both Medicaid and the waiver are approved.
Our free service helps you take each step in the right order, then matches you with a Medicaid-approved Indiana agency that welcomes family caregivers — for Attendant Care or Structured Family Caregiving — and supports you after services start. We are a matching service; the provider agency employs or compensates the caregiver and delivers the care.
Program facts on this page last reviewed October 21, 2026. Program rules change — eligibility is always determined by the state program.
Related guide: Can a spouse be paid to be a caregiver? Medicaid rules, state by state
No cost, no obligation — check Indiana's PathWays for Aging today.
Call (219) 419-3300