In the past, Medicaid only paid for long term care services that were provided in an institution, such as nursing facilities and group homes. The waiver program "waives" the requirement of an admission into an institution in order for Medicaid to pay for the needed Home and Community-Based Services (HCBS).
The Office of Medicaid Policy and Planning (OMPP) is responsible for the development and operation of its waiver programs, in agreement with the Division of Aging and the Division of Disability and Rehabilitative Services. Each Division works to create the service definitions and standards for services and providers and then certifies provider applicants in order to provide the waiver services. IPMG provides case management for four of Indiana's waiver services programs:
These waivers are for children and adults with an intellectual disability and assist a person to become involved in the community where he or she lives and works, develop social relationships in the person's home and work communities, develop skills to make decisions about how and where the person wants to live, and be as independent as possible.
These waivers are for children and adults whose needs are primarily medical, and assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.