Indiana-specific Medicaid spend-down rules
Indiana administers Medicaid through the Family and Social Services Administration (FSSA). Long-term care applications start at your county Division of Family Resources office in places like Indianapolis, Fort Wayne, Evansville, Marion County, and Lake County.
Nursing facility Medicaid covers skilled nursing stays when medical necessity and asset tests pass. M.E.D. Works is a separate buy-in pathway for working Hoosiers with disabilities and does not replace the $2,000 resource standard for traditional nursing facility applicants.
Indiana does not offer a medically needy income spend-down for nursing home cases the way Pennsylvania does. Families above the $2,901 monthly income cap must assign excess funds to a Qualified Income Trust, also called a Miller Trust, with an Indiana trustee.
Community spouses may keep the greater of the CSRA calculation or certain income protections under spousal impoverishment rules. The state uses the federal maximum home equity cap of $713,000 in 2026 unless a spouse or dependent child still lives in the house.
Burial spaces, one vehicle, and up to $1,500 in a designated burial fund can be excluded if titled correctly. Prepaid funeral contracts follow separate FSSA policy guidance in the Indiana Medicaid eligibility manual.
Look-back reviews cover asset transfers made within 60 months before application. Penalty length equals the uncompensated transfer amount divided by the average monthly nursing home cost published by FSSA.
Rural applicants in Bloomington and South Bend follow the same resource test as families in suburban Hamilton County. Waiver interest lists vary by region, but the $2,000 asset cap does not.
Common mistake: Assuming Indiana exempts a second home because a sibling lives there rent-free. Non-homestead real estate counts unless occupied by a spouse or dependent child under FSSA rules. Budget property taxes and sale costs before you rely on an appraisal.