The Indiana PathWays for Aging Program: A Core Resource
In July 2024, the Indiana Family and Social Services Administration (FSSA) launched the Indiana PathWays for Aging program, a key development in the state's senior care landscape. This Medicaid managed care program is designed for Hoosiers aged 60 and older who are eligible for Medicaid benefits. It aims to help older adults receive the high-quality services and support they need to live as independently as possible, often in their own homes and communities.
How PathWays Works
Under the PathWays program, eligible seniors select a health plan from three managed care entities (MCEs): Anthem, Humana, or UnitedHealthcare. These MCEs are responsible for coordinating all aspects of the member's care, including standard Medicaid benefits and long-term services and supports (LTSS). A designated care and services coordinator is assigned to each member to help navigate their benefits and ensure their needs are met.
Available Services and Supports
The PathWays program offers a comprehensive range of services for those who meet functional eligibility requirements, helping them remain in a community setting instead of an institution. These services include:
- Adult day services: Providing care and companionship for adults who need supervision during the day.
- Assisted living services: Support for daily activities in a residential setting.
- Attendant care: Assistance with personal care, such as bathing, dressing, and grooming.
- Home modifications: Accessibility and safety upgrades to a person's home.
- Home-delivered meals: Nutritional support for homebound seniors.
- Transportation: Rides to and from medical appointments, pharmacies, and other services.
- Specialized medical equipment: Access to necessary equipment to support independent living.
- Respite care: Temporary relief for primary caregivers.
CICOA Aging & In-Home Solutions: The Local Navigator
For residents of Indianapolis and the surrounding Central Indiana area, CICOA Aging & In-Home Solutions is the designated Area Agency on Aging (AAA) and a crucial point of contact. CICOA helps older adults, people with disabilities, and their caregivers navigate the complex landscape of long-term care services and find the best options available.
The Role of CICOA's Aging & Disability Resource Center (ADRC)
CICOA's ADRC serves as a free resource center where options counselors provide guidance and support. A call to CICOA is often the first step for Indianapolis seniors exploring their options for aging in place. An options counselor can:
- Assess individual needs: They will discuss a person's health, living situation, and daily needs to determine appropriate services.
- Determine eligibility: Counselors help identify eligibility for various public and private programs, including Medicaid and state-funded programs.
- Provide personalized recommendations: Based on the assessment, they outline service options and identify potential funding sources.
- Connect with local resources: CICOA maintains a database of over 4,000 local community resources and makes referrals to service providers.
Exploring Other Key Pathways and Support
While the Indiana PathWays for Aging program is a primary option for eligible seniors on Medicaid, several other pathways exist to support aging in Indianapolis.
The CHOICE Program
The Community and Home Options to Institutional Care for the Elderly and Disabled (CHOICE) program is a state-funded program designed to help seniors remain independent at home. Eligibility is based on age (60+) or disability and a demonstrated risk of losing independence. Services covered under CHOICE can include transportation, homemaker services, and home modifications, and it is accessible through CICOA.
Structured Family Caregiving
Indiana's Structured Family Caregiving program offers a pathway for family members to receive financial support for caring for elderly relatives at home. Caregivers receive tax-free stipends, and the program includes access to a care coach and nursing staff. This is an important resource for families who prefer to provide care within the family unit.
Comparison of Indianapolis Aging Pathways
| Feature | Indiana PathWays for Aging | CHOICE Program | Private Pay Home Care |
|---|---|---|---|
| Eligibility | Medicaid eligible, 60+ (or eligible based on disability), functional need | Age 60+ or disabled, risk of institutionalization, specific financial limits | No eligibility requirements, services paid out-of-pocket |
| Funding Source | Medicaid (state and federal) managed care | State-funded (via FSSA) | Individual/Family funds, long-term care insurance |
| Services Covered | Comprehensive medical & non-medical HCBS (home mods, meals, transport, etc.) | Non-medical HCBS (home mods, meals, transport, etc.) | Varies by provider, often comprehensive, non-medical support |
| Care Coordination | Assigned Managed Care Entity (MCE) coordinator | Case management through Area Agency on Aging (CICOA) | Coordinated directly with the private agency |
| How to Apply | Automatic enrollment for eligibles, or call PathWays Helpline | Contact Area Agency on Aging (CICOA) | Contact local private home care providers |
Eskenazi Health Senior Care
Eskenazi Health offers specialized care for older adults and their families through its Senior Care services. Their Center for Senior Health provides primary care and geriatric consultations for frail seniors, addressing complex needs like dementia, polypharmacy, and depression. The program also includes an in-home primary care service for qualifying homebound residents in Marion County.
Mid-North Shepherd's Center
This faith-based organization provides a supportive environment with a variety of programs for seniors, including lifelong learning, health and wellness initiatives, and social activities. It serves as a community hub for older adults in Indianapolis, promoting active living and social engagement.
Your First Steps to Navigating the Pathways
- Contact CICOA's Aging & Disability Resource Center: This is the most effective starting point. Call their resource center at 317-803-6131 to speak with an options counselor about your or a loved one's needs. Alternatively, visit their website for information: CICOA Aging & In-Home Solutions
- Determine Medicaid Eligibility: If income and assets are limited, check eligibility for Medicaid-funded programs like Indiana PathWays for Aging. CICOA can assist with this process.
- Explore All Options: Understand the different pathways—PathWays, CHOICE, and others—and compare the services and eligibility requirements to find the best fit for the individual's situation and preferences.
- Connect with Specialized Providers: For specific needs, such as dementia care or geriatric-focused medical care, reach out to specialized providers like Eskenazi Health.
Conclusion: Building a Plan for a Secure Future
The pathways for aging in Indianapolis are a multifaceted network of state programs, local Area Agencies, healthcare providers, and community organizations. By understanding the key resources, from the managed care approach of Indiana PathWays for Aging to the local expertise offered by CICOA, seniors and their families can build a comprehensive plan. Taking a proactive approach and leveraging the professional guidance available will empower older adults to age with independence, dignity, and a high quality of life within their community.
