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CHOICE: Community and Home Options

Last Update:6/26/2018
Address:402 W. Washington Street, PO Box 7083
MS21 Room W-454
Indianapolis, IN 46204
Toll Free:888-673-0002

The CHOICE (Community and Home Options to Institutional Care for the Elderly and Disabled) Program is a resource that eligible individuals are using to receive support services in their homes.  It provides an alternative to institutionalization for individuals in danger of losing their independence due to severe, chronic functional limitations.

CHOICE funds may only be utilized after an applicant has been determined and documented ineligible for Medicaid or if currently eligible for Medicaid, after a determination that the requested service(s) is not available from Medicaid.

Program Description

The program serves those who are 60 years of age or older and persons with disabilities of all ages who are eligible due to long term or life long limitations such as dependence on others to bathe, dress, eat, or go to the bathroom; limitations in ability to express personal needs and/or understand the communication of others; limitations in learning and maintaining self care, communication, social and/or domestic skills; limitations in the ability to move purposefully between environments; and limitations in the ability to make decisions, show acceptable judgment, and/or recognize the consequences of one’s actions. The program is available regardless of income, but there is a basic fee or cost share for services based on a sliding fee scale.

Services include intensive case management, homemaker, home health services and supplies, attendant care, respite care, adult day care, transportation, home-delivered meals, and other services necessary to prevent institutionalization.


  1. CHOICE services are available to an Indiana resident who is found to be at risk of institutionalization and of age. -- a) is a person 60 of age years or older, or -- b) is a person of any age with a disability.
  2. An individual must have severe, long-term functional impairments.
  3. There are no restrictions on income level; however, those who are financially able will be required to contribute to the cost of the services provided for them by the CHOICE program.
  4. Eligibility is also related to the cost of the care plan. The cost of CHOICE purchased services may not exceed 100% of the cost of comparable care in an institutional setting.
  5. A statement must be obtained from a physician certifying that the individual's health and safety can be maintained by community supported in-home care.

The CHOICE program is accessed by contacting the local Area Agency on Aging office for the county in which the applicant resides. Eligibility is based on meeting the conditions listed on the Long-Term Care Services Eligibility Form. The Eligibility Form first looks at previously determined severe, complex and unstable medical conditions. In addition, other substantial medical conditions are assessed which may limit Activities of Daily Living (ADL). Activities of Daily Living include tasks such as bathing, eating, dressing, using the toilet, taking medication, and ambulation and mobility.

If you are interested in more information about and/or applying for CHOICE, or any of the other IN-Home Services (including Medicaid Waivers), please contact the Area Agency on Aging (AAA) Office for your county or the state office at 1-800-986-3505. To complete the application process, make an appointment with the appropriate staff at the local AAA. The actual appointment can take place in your home, at the AAA office, or at any agreed upon community location.

Call for more information.
Behavior Health/Therapy
Case Management
Home Health Service/Skilled Nursing/Attendants
Therapy services
Counties Serviced
Entire State
7172 Graham Road, Suite 100, Indianapolis, IN 46250 E-Mail:

As a matter of policy, About Special Kids does not specifically endorse any of the resources contained on our website or in our information packets. Resources are supplied for information purposes only and ASK recommends that families explore all options for assistance before making an informed choice.