Indiana Implements Moratorium on Home- and Community-Based Services

Home Health

INDIANAPOLIS—The Indiana Health Coverage Programs (IHCP) has received approval from the Centers for Medicare & Medicaid
Services (CMS) to implement a statewide provider certification and enrollment moratorium on home- and community-
based services (HCBS) 1915(c) waiver providers. 

This moratorium will encompass services falling under the Indiana PathWays for Aging (PathWays), Health and Wellness (H&W), Traumatic Brain Injury (TBI), Community Integration and Habilitation (CIH) and Family Supports (FS) waivers. The effective date for the moratorium is Aug. 1, 2026. This moratorium will be in place for an initial period of six months. The IHCP said it may continue to extend the moratorium in six-month increments.

The moratorium is designed to mitigate fraud, waste and abuse, according to Indiana Health Coverage Programs (IHCP).

IHCP is Indiana’s Medicaid program, which provides coverage through fee-for service and managed care delivery systems.

The following 1915 (c) waiver services are subject to the moratorium:

  • Adult family care
  • Attendant care
  • Behavior management (H&W and PathWays)
  • Behavior management/behavior program and counseling (TBI, CIH and FS)
  • Caregiver coaching
  • Day habilitation
  • Extended services
  • Facility-based support
  • Family and caregiver training
  • Home and Community Assistance
  • Home-Delivered Meals
  • Music Therapy
  • Participant Assistance and Care
  • Personal Emergency Response System
  • Recreational Therapy
  • Rent and Food for Unrelated Live-In Caregiver
  • Residential-Based Habilitation
  • Residential Habilitation and Support – Daily and Hourly
  • Respite (FS and CIH)
  • Respite Care Services (PathWays, H&W and TBI)
  • Structured Family Caregiving
  • Transportation
  • Wellness Coordination
  • Workplace Assistance

Applications for waiver certification for H&W, PathWays and TBI waivers currently under review in the Office of Medicaid Policy and Planning (OMPP) HCBS Certification Portal will be processed. Any applications currently awaiting review or new applications will be expired. Expired applicants may reapply after the moratorium has been lifted.

Certification applications for CIH and FS waivers currently under review will be expired, and providers will be allowed to reapply after the moratorium has been lifted. Applications that are in provisional approval status will be held until the moratorium period ends.

All screening requirements for IHCP enrollment must be completed prior to Aug. 1, 2026, to be enrolled during the moratorium period. Any open enrollment applications that have not completed screening requirements prior to Aug. 1, 2026, will be denied and applicants may reapply after the moratorium has been lifted. The moratorium will prevent certification and enrollment for certain waiver services as well as changes of ownership, adding counties and adding services subject to the moratorium for existing HCBS agencies.

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