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I live out of state

Managing a parent's care from somewhere else, without moving them twice.

Quick answer

Managing a parent's care from somewhere else, without moving them twice.

HomeBy SituationI live out of state

Distance makes everything slower. The goal is a setup that does not require you to be there to work.

Short answer

Managing a parent's care from somewhere else, without moving them twice.

What to do, in order

  1. Build a plan that survives a bad-weather week. The test of a setup is whether it holds when you cannot get on a plane and nobody can safely drive to check.
  2. Recruit local eyes. A Meals on Wheels driver at the door several days a week notices things a weekly phone call will not.
  3. Get the paperwork in place early. Medical power of attorney, HIPAA authorisations, and being listed as an authorised contact.
  4. Establish one local point of contact. A geriatric care manager, a trusted neighbour, or an advisor.
  5. Visit at an unhelpful time. Arrive on a weekday evening rather than for a planned weekend.

Questions families ask

What's the difference between Indiana's Residential Care Facility and Comprehensive Care Facility licenses?

A Residential Care Facility (RCF) is Indiana's assisted-living-type license, covering personal care, medication administration and ADL help, not 24-hour skilled nursing. A Comprehensive Care Facility is Indiana's nursing-home license, for residents who need 24-hour licensed nursing care.

What Medicaid waiver pays for assisted living in Indiana?

Indiana's PathWays Waiver, part of the Indiana PathWays for Aging program launched July 1, 2024 for Hoosiers 60 and older, can pay for care services inside a licensed Residential Care Facility that holds a waiver provider agreement. It does not cover room and board -- that runs through a separate program, RCAP.

What is RCAP and how is it different from the PathWays Waiver?

The Residential Care Assistance Program (RCAP) is Indiana's Medicaid-funded room-and-board assistance for RCF residents. It pairs with, but is separate from, the PathWays Waiver, which pays for care services. A facility can hold a PathWays agreement, an RCAP agreement, both, or neither -- ask specifically which apply.

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