HOMEMAKER SERVICES PROVIDER IN INDIANA

ASSISTING INDIVIDUALS IN MAINTAINING A CLEAN, SAFE, AND HEALTHY HOME ENVIRONMENT

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

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.

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

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)

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

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

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

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/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA HOMEMAKER SERVICES PROVIDER

WCG supports personal assistance agencies, senior services organizations, and non-medical home support companies in launching Medicaid-compliant Homemaker Services across Indiana.

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

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