The Indiana Traumatic Brain Injury Waiver may pay for approved in-home respite care, but coverage is not automatic. The participant must qualify for the waiver, have the correct service authorized in a Plan of Care, and use a provider that meets Indiana’s requirements for that service.
Yes, the answer to “does TBI Waiver cover respite care in Indiana?” is that it may pay for authorized Respite Care Services delivered in qualifying home and community settings.
Indiana lists Respite Care Services among the benefits available through the TBI Waiver. The waiver supports eligible people who would otherwise require institutional care without Home and Community-Based Services, commonly called HCBS. The participant’s case manager identifies appropriate services, submits them for state approval, and documents approved services in the Plan of Care and Notice of Action. (Government of India)
Coverage depends on several factors:
The Indiana TBI Waiver respite guide provides a broader explanation of this process.
The person receiving care must qualify for both Indiana Medicaid and the TBI Waiver before waiver-funded respite can be considered.
TBI Waiver respite eligibility includes a state determination that the applicant has a qualifying traumatic brain injury and meets the applicable level-of-care standard. Indiana applies nursing-facility level-of-care requirements when the brain injury occurred at age 22 or older. A different institutional level-of-care standard may apply when the injury occurred before age 22. (Government of India)
Qualifying for the waiver does not automatically approve respite. The participant must also have an assessed need that the service can appropriately address. Eligibility, waiver enrollment, and service authorization are separate decisions.
Families researching related support can review home care for adults with disabilities.
The authorized TBI respite service must match the participant’s needs and the professional qualifications required in the approved Plan of Care.
Indiana’s current provider manual defines Respite Care Services as temporary or periodic care delivered in place of the usual caregiver. The formal service category allows:
The level of care is determined through the participant’s person-centered service plan. Indiana currently requires the formal H&W and TBI Respite Care Services provider to be a licensed home health agency approved by the state. (Government of India)
This distinction matters when choosing an agency. Nana Cares provides non-medical support and does not provide licensed nursing, rehabilitation, therapy, medication administration, or clinical monitoring. If the participant is authorized for another non-medical waiver service, such as Attendant Care or Home and Community Assistance, Nana Cares may be able to discuss whether that service fits its certification and scope.
Families preparing for a service-plan discussion can review adding respite to a TBI service plan.
To verify TBI Waiver respite benefits, ask the participant’s case manager to confirm the current Plan of Care and Notice of Action before arranging services.
Ask for written clarification of:
Indiana requires providers to track respite hours and notify the participant and case manager about hours used and remaining. The service cannot duplicate another waiver service already included in the participant’s plan. (Government of India)
Do not assume a provider can bill the waiver merely because it accepts Medicaid or supports people with TBI. Confirm the agency’s approval for the exact service and county. The TBI respite provider in Central Indiana guidecan help families prepare questions.
Nana Cares states that it is a certified TBI Waiver provider and offers non-medical in-home support for adults with disabilities. Its services may include companionship, supervision, personal care within scope, meal and routine support, mobility assistance, homemaker help related to care, and medication reminders when authorized. (Nana Cares LLC)
Contact Nana Cares to discuss the approved service plan, non-medical needs, requested schedule, service location, caregiver preferences, provider fit, and current availability.
Nana Cares cannot determine TBI Waiver eligibility, authorize services, provide licensed respite nursing, guarantee Medicaid payment, or promise a start date.
Compassionate, non-medical in-home care for seniors and adults with disabilities across Central Indiana.
Nana Cares provides personal care, homemaker services, companion care, respite care, and overnight support with a warm, professional approach.