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Managed Care for Medicare/Medicaid Dual-Eligibles in Indiana

Indiana coordinates long-term services and supports for seniors through managed care under the PathWays for Aging program, launched July 1, 2024.

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How Indiana coordinates care for dual-eligibles

Short answer

Indiana restructured how it coordinates Medicare and Medicaid long-term services and supports for seniors on July 1, 2024, when the Indiana PathWays for Aging program launched and split the former Aged & Disabled Waiver into the PathWays Waiver (60+) and Health and Wellness Waiver (under 60).

What PathWays for Aging coordinates

The program is designed to bring managed-care coordination to long-term services and supports for Hoosiers 60 and older, working alongside Medicare rather than replacing it. Because this is a relatively new structure (launched mid-2024), families should confirm current plan details and any further changes directly with FSSA or CICOA rather than relying on older descriptions of Indiana's Aged & Disabled Waiver, which PathWays replaced.

Where to get current, local answers

CICOA Aging & In-Home Solutions provides local PathWays case management for every county this site covers and is the most reliable source for how the program is actually functioning in this metro right now.

Questions families ask

How do I know when it's no longer safe for a parent to live alone?

Look for specific, dated incidents rather than a general impression: a missed medication week, an unreported fall, the stove left on, or a house that has become unsafe rather than merely untidy. Rule out reversible causes first -- a urinary tract infection, medication interaction, or untreated hearing loss can all mimic decline.

What should I do after a parent's first fall?

Treat it as a signal, not an accident -- a first fall is one of the strongest predictors of the next one. Get the cause investigated (medications, vision, inner-ear issues), fix the immediate environment, and ask CICOA Aging & In-Home Solutions about equipment-lending programs.

What should I do right after a dementia diagnosis?

Slow down -- very little has to be decided the first month. Get the specific diagnosis type, since Alzheimer's, vascular dementia, Lewy body and frontotemporal dementia progress differently, and put power of attorney and medical power of attorney paperwork in place now, while capacity is clear.

I live out of state. How do I manage my parent's care from a distance?

Build a plan that survives a bad-weather week when you cannot fly in. Recruit local eyes such as a Meals on Wheels driver or trusted neighbor, get medical power of attorney and HIPAA authorization in place, and establish one local point of contact, such as CICOA or a geriatric care manager.

Which Area Agency on Aging covers Marion County?

CICOA Aging & In-Home Solutions, Indiana's Planning & Service Area 8, covers Marion County and all five surrounding collar counties this site serves. Reach CICOA at 317-254-5465 or its Resource Center at 317-803-6131.

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