Getting paid to care for a family member in Indiana
Yes.
In Indiana, a family member can be paid to give care through Structured Family Caregiving (SFC) and Attendant Care. A spouse can be paid through Structured Family Caregiving (SFC).
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Structured family caregiving
Structured Family Caregiving (SFC)
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Who qualifies
People on the PathWays or Health and Wellness waiver who have a caregiver living in the home with them. SFC pays that caregiver for providing daily care and support. The caregiver gets training from the SFC provider agency, and a caregiver coach (or nurse) makes home visits.
Since July 1, 2025, the state pays the SFC provider agency a daily rate by level: $77.54 (Level 1), $99.71 (Level 2) or $133.44 (Level 3). The agency must use at least 60% of the daily rate for caregiver stipends and for the person providing the direct service.
The caregiver coach and nurse supervision costs, including training and transportation, and any respite costs also count toward the 60%, so the caregiver's own stipend can be less than 60% of the rate.
PathWays is for people 60 or older on full-coverage Medicaid in an aged, blind or disabled category, though some groups are excluded. Members who meet functional eligibility (needing help with at least three activities of daily living, such as eating, dressing or toileting, or being unable to care for themselves medically) can get home and community-based services. Attendant care is one of those services.
Yes.
Yes. On the PathWays and Health and Wellness waivers, relatives of an adult, including a parent or stepparent who is not the guardian, can provide approved hours of attendant care.
Yes.
Yes, up to 40 hours a week. A legal guardian of an adult, including a parent who is the guardian, can provide up to 40 hours of attendant care per week per guardian. Other attendant staff can provide any additional authorized hours.
Since July 1, 2025, the state pays attendant care agencies $34.36 an hour. Agencies must use at least 70% of that hourly rate for compensation for the person providing the direct service.
That 70% can include wages, benefits and other employee-related expenses, which the bulletin says include mileage, administrative and overhead costs, training and supervision.
If you are not on Medicaid yet, apply online, by a printed application or by mail through the FSSA Benefits Portal, or contact an Indiana Navigator. If you are a PathWays member who wants help to stay at home, contact your health plan (Anthem, Humana or UnitedHealthcare). The plan does health assessments and refers you to a service coordinator, who decides functional eligibility and builds your service plan.
If you are not on Medicaid yet, apply online, by a printed application or by mail through the FSSA Benefits Portal, or contact an Indiana Navigator. If you are a PathWays member who wants help to stay at home, contact your health plan (Anthem, Humana or UnitedHealthcare). The plan does health assessments and refers you to a service coordinator, who decides functional eligibility and builds your service plan.
