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Written Articles

March 6, 2026

Medicaid Estate Recovery Rule Change

On July 1, 2026, Indiana law will increase the time the Indiana Medicaid office (FSSA) has to pursue estate recovery after a person’s death from 120 days to 9 months after date of death.  This change primarily concerns Indiana Medicaid recipients over age 55. Example: Sarah owns a small home […]
March 3, 2026

Update on ABLE Accounts

Eligible Hoosiers can open an ABLE (Achieving a Better Life Experience) account since these accounts were established by federal law in 2014. An “eligible” Hoosier is a person who develops a disability before the age of forty-six (46). The person must have had this disability for at least one year […]
October 10, 2025

Pathways Waiver Wait List – Potential Services to Explore During Waiting Period

FSSA, Indiana’s state Medicaid agency, implemented a waiting list for in-home Pathways waiver services in April 2024. Current waiting times for waiver services are believed to be between 1–2 years, although this can vary. If you are currently on the waiver waiting list or considering joining, please consider the following […]
July 29, 2025

The Big Beautiful Bill Act (“BBBA”) and Medicaid for Older Hoosiers

Question:  My mother is 85 and in the nursing home.  She is running low on funds and may soon need to qualify for Medicaid to help pay for her care.  I have heard about the drastic cuts to Medicaid in the BBBA.  How will this affect my mother? Answer:  Please […]
July 10, 2025

Changes to Indiana’s Adult Protective Services Program

It is an unfortunate reality that disabled adults and the elderly are frequently victims of abuse. In Indiana, a program known as Adult Protective Services (APS) exists to investigate claims of “abuse, neglect, or exploitation” of any vulnerable and “endangered” adult. If APS finds an allegation of abuse, neglect, or […]
November 21, 2024

Supplemental Needs Trust Distribution and Special Needs Housing Subsidies

Administering a supplemental need trust (SNT) for a beneficiary receiving federally subsidized housing can be extremely challenging. The first challenge is the highly technical vocabulary used by these programs. Federally subsidized housing includes traditional multifamily public housing (sometimes referred to as “housing projects”), the Housing Choice Voucher Program (formerly and […]
December 20, 2023

What is Indiana’s PathWays for Aging?

The Indiana Family and Social Services Administration will start a new program on July 1, 2024, for Hoosiers 60 and older who receive Medicaid benefits called PathWays (excluding Healthy Indiana Plan Medicaid recipients). The stated goal of this program is to provide more services to seniors such as transportation to […]
September 25, 2023

Appealing a Notice of Discharge from Medicare Rehab Days

Pursuant to federal law, following a three-day (or longer) hospitalization, a patient may receive up to 100 days of rehabilitative care, but the reality is that most patients receive much less than the maximum 100 days. We understand that you have received a 48-hour notice, notifying you that Medicare’s rehabilitation […]
January 20, 2023

Managed Medicaid Moves to Indiana

Major changes are coming for 100,000 vulnerable Hoosiers as of April 1, 2024.  Hoosiers 60 and over who are in nursing homes or who are receiving waiver services in the home will be required to join a Managed Care Entity (MCE) to receive their Medicaid services.  Medicaid members will be […]
January 2, 2023

Eligible Hoosiers Can Now Open an ABLE Account — in Indiana (Updated January 1, 2023)

Eligible Hoosiers Can Now Open an ABLE Account — in Indiana (Updated January 1, 2023) Eligible Hoosiers can open an ABLE (Achieving a Better Life Experience account).  An “eligible” Hoosier is a person who develops a disability before the age of twenty-six (26).  The person must have had this disability […]
July 22, 2022

Medicaid Continuous Coverage Extended

*Update: Medicaid Continuous Coverage Extended July 15th, 2022* The US Department of Health and Human Services on July 15th, 2022 officially extended the “Public Health Emergency” (PHE) declaration through October 13, 2022. As we noted in our previous article, “Medicaid’s Day of Reckoning: Ending the Public Health Emergency” the extension […]
June 23, 2022

Medicaid’s Day of Reckoning: Ending the Public Health Emergency

Medicaid’s Day of Reckoning: Ending the Public Health Emergency On January 27, 2020, the federal government authorized a Public Health Emergency Declaration (PHE) relating to the Covid-19 Pandemic.  This declaration implemented a “Continuous Coverage” requirement for Medicaid recipients, meaning Indiana cannot remove folks from Medicaid. As of June 1, 2022, […]
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