Structured Family Caregiving / Indiana Caregiver Homes Program

Page Reviewed / Updated - Jan. 2019

Program Description

Structured Family Caregiving (SFC), also known as Caregiver Homes of Indiana, is a fairly new model of caregiving that provides financial and supportive services for family caregivers. It empowers caregivers to care for seniors and those with disabilities who wish to remain at home, or in the home of an approved caregiver, rather than become institutionalized into a nursing home. It is not a standalone program, but rather a benefit associated with Indiana's Aged and Disability Medicaid Waiver or Indiana Programs of All-Inclusive Care for the Elderly (PACE).

Structured Family Caregiving works as follows: A caregiver either moves into the home of an elderly or disabled individual or, the reverse, the care recipient moves into the caregiver's home. The care provider receives financial compensation for providing care to the elderly individual who would otherwise require nursing home level care. 

Under this program, the adult children of aging parents receive compensation for having their aging parent live with them and being their primary caregiver.

Caregivers can be related to the care recipients. Commonly, it is the adult children who become the paid caregivers. However, there is no requirement that care recipient and caregivers be related. Sometimes, a friend, in-law or neighbor becomes the caregiver. Spouses and legal guardians are prohibited from participating in this program as compensated caregivers.

Administrators at local state agencies supervise and approve all SFC caregiver / care recipient matchings and are responsible for training and paying caregivers. There are also intermediary agencies who manage much of the eligibility and compliance process with the state, freeing caregivers to provide care.  For their role, the intermediary agencies take a percentage of the caregiver compensation. Our estimate is this figure is generally between 20% and 50%. Therefore, if you are considering working as a paid caregiver through this program, it is important to understand how much the agency takes and the services they provide.

Eligibility Guidelines

Eligibility requirements apply to both the care recipient and the one applying to be the caregiver.

Care Recipient Requirements 
To qualify under the SFC program, an applicant must be a resident of Indiana, be financially eligible for the Aged and Disability Medicaid Waiver, and meet the Level of Care for Nursing Facility placement as determined by a case manager. This generally means that the care recipient needs help with three personal care tasks per day. The eligible individual must also live full time with his or her caregiver. 

Caregiver Requirements
The primary caregiver must be at least 18 years of age and be deemed physically and mentally capable of performing his or her caregiving responsibilities. He or she must be willing to complete a criminal background check. As mentioned previously, care providers via this program cannot be the applicant’s spouse or their legal guardian.

Benefits and Services

A case manager and a registered nurse from the Structured Family Caregiving overseeing agency creates a service plan tailored to each individual applicant’s needs. Applicants are placed into one of three levels, which determine the amount of compensation the caregiver receives. Below, we estimate the monthly compensation caregivers receive as well as the amount the intermediary agency takes. The level of care is related to the amount of personal care needs that are required by the care recipient.  The figures in the table below are current as of January 2019. They have remain unchanged since 2013.

Care Level

Est. Monthly Caregiver Compensation

Est. Monthly Agency Compensation

Total State Payment

Level 1

$891.67 - $1,426.67

 

$356.66 - $891.66

 

$1,783.33

Level 2

$1,052.42 - $1,683.86

 

$420.97 - $1,052.41

 

$2,104.83

Level 3

$1,215.76 - $1,945.21

 

$486.30 - $1,215.75

 

$2,431.51

 

Very Important: Caregivers will NOT receive the total state payment amount listed above as determined by each level of care. The intermediary agency with which the care provider works receives a percentage of the total state payment. The exact percentage the agency retains varies based on the agency. Unfortunately, this percentage can vary greatly, and by our estimate, is generally between 20% and 50%. That said, it is extremely important that caregivers confirm with available intermediary agencies as to what percentage they will be taking from the total state payment.

Caregivers are expected to provide for the clear majority of the care recipient's personal care needs. This includes housekeeping, laundry, shopping, transportation, and assistance with activities of daily living, such as eating, dressing, and mobility. However, the case manager and registered nurse from SFC will continue to make regular home visits to offer support.

Care recipients can also continue to receive other services available via the Aged and Disabled Waiver. Most notably they can receive adult day care, transportation to and from adult day care and medical appointments, home delivered meals, personal emergency response systems, and limited financial assistance for assistive devices and home modifications that increase their home's safety and accessibility.

How to Apply / Learn More

For more information about the Structured Family Caregiving program, call the Indiana Division of Aging toll free at 1-888-673-0002. Persons wishing to apply for Medicaid or become eligible for the Indiana Aged and Disabled Waiver should contact their local Indiana Area Agency on Aging.