Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
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Daily scheduling
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In Indiana, the income limit is $2,982/month and the asset limit is $2,000 single. Indiana uses a Special Income Level of $2,982 a month (300% of the SSI benefit, effective January 1, 2026) for nursing home care, PACE and certain home and community-based waivers. Applicants whose countable income is over that level must set up a Miller trust; income placed in the trust is not counted for the income test but is counted toward the person's share of the cost of care. The resource limit is $2,000 for a single applicant, and spousal impoverishment rules apply for married couples. Home equity above $752,000 makes an applicant ineligible for long-term care services.
| Program | Indiana Medicaid long-term care: Indiana PathWays for Aging (managed LTSS for 60+), Health & Wellness Waiver, PACE and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (Special Income Level) |
| How income is counted | special income limit (300% SSI) |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Indiana Medicaid waivers that pay for home care.
How to apply in Indiana (Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning; Division of Family Resources determines eligibility)
Authorizations
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Operations
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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