Homemaker Services in Indiana provide non-medical support to individuals who are unable to manage household tasks independently due to disability, chronic illness, or age-related challenges. These services are authorized under Indiana’s Medicaid Home and Community-Based Services (HCBS) waiver programs and help participants maintain their independence and community living.

1. GOVERNING AGENCIES

Agency: Indiana Family and Social Services Administration (FSSA) — Division of Aging and Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees waiver program administration, provider enrollment, service authorizations, and quality monitoring

Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Homemaker Services, manages provider enrollment, reimbursement, and billing processes

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Homemaker Services meet HCBS Settings Rule requirements and person-centered planning standards

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2. HOMEMAKER SERVICE OVERVIEW

Homemaker Services support participants with routine household tasks necessary to maintain a clean, sanitary, and safe living environment.

Approved providers may deliver:

• Light housekeeping (dusting, sweeping, mopping, vacuuming, trash disposal)
• Laundry (washing, drying, folding, putting away clothes)
• Meal preparation (basic meals following dietary needs)
• Household organization to ensure safety (e.g., minimizing fall risks)
• Shopping assistance for groceries and household supplies (if authorized)
• Errands directly related to home maintenance (if authorized)

All tasks must be outlined in the participant’s Individualized Support Plan (ISP) and tied to promoting independent living.

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Indiana Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid Waiver provider through Indiana’s Medicaid Provider Enrollment Portal
• Maintain general liability and professional liability insurance
• Develop participant-centered operational policies covering homemaking tasks, emergency response, participant rights, and incident reporting
• Ensure all staff meet background check requirements and complete necessary training in household assistance and participant safety

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4. INDIANA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Submit Provider Enrollment Application through Indiana Medicaid’s Provider Portal

Application and Documentation Submission:

• Submit Articles of Incorporation, EIN/NPI verification, proof of insurance, policies and procedures, and staff credentialing documentation

Program Readiness Review:

• FSSA reviews provider readiness including documentation systems, participant protection measures, and service delivery procedures

Approval & Medicaid Enrollment:

• Upon approval, configure billing codes for Homemaker Services based on authorized units of service (typically billed hourly)

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License (Indiana Secretary of State)
• IRS EIN confirmation
• NPI confirmation
• Proof of general liability and professional liability insurance

Homemaker Services Policy & Procedure Manual including:

• Participant intake, service authorization, and task planning procedures
• Cleaning and sanitation task protocols
• Emergency preparedness and critical incident reporting procedures
• HIPAA confidentiality, participant rights, and grievance handling procedures
• Staff credentialing, background checks, and training records
• Medicaid billing, task documentation, and audit readiness documentation

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6. STAFFING REQUIREMENTS

Role: Homemaker Services Program Manager / Supervisor
Requirements: Experience in human services, residential services, or non-medical support programs preferred, background clearance

Role: Homemaker Aides / Direct Support Workers
Requirements: High school diploma or GED preferred, training in infection control, home safety, and basic household management, background screening clearance

All staff must complete:

• HIPAA compliance and participant confidentiality training
• Abuse prevention, emergency response, and participant rights training
• Annual competency evaluations and continuing education in homemaker support best practices

7. MEDICAID WAIVER PROGRAMS

Homemaker Services are authorized under the following Indiana Medicaid waiver programs:

• Aged and Disabled (A&D) Waiver
• Community Integration and Habilitation (CIH) Waiver
• Family Supports Waiver (FSW) (in limited cases)
• Traumatic Brain Injury (TBI) Waiver

Approved providers may deliver:

• In-home housekeeping tasks
• Basic meal preparation and laundry support
• Environmental safety support services
• Limited errands directly related to maintaining a clean, healthy living environment

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8. TIMELINE TO LAUNCH

Phase: Business Formation, Credentialing, and Policy Development
Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months

Phase: Indiana Medicaid Enrollment and Provider Readiness Review
Timeline: 60–90 days

Phase: Medicaid Billing Setup and Homemaker Services Launch
Timeline: 30–45 days

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9. CONTACT INFORMATION

Indiana Family and Social Services Administration (FSSA) — Division of Aging and DDRS
Website: https://www.in.gov/fssa/

Indiana Medicaid Provider Portal
Website: https://www.in.gov/medicaid/providers/

Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/

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10. SCOPE OF WORK

• Business registration and Medicaid provider enrollment
• Policy & Procedure Manual development for Homemaker Services
• Staff credentialing templates and service tracking forms
• Medicaid billing system setup and audit-ready documentation support
• Website, domain, and professional branding development
• Quality assurance systems for service monitoring, documentation audits, and participant feedback
• Partnership development with waiver case managers, housing authorities, and support coordination agencies