Dementia Care in Indiana: Help, Medicaid & Respite

Dementia care in Indiana rests largely on families: more than 121,300 Hoosiers age 65 and older live with Alzheimer's, and unpaid family caregivers provide most of the day-to-day care.1

Dementia caregiving is its own kind of hard: the long arc, the behavioral changes, the safety worries, the grief that starts before any loss. This guide maps the Indiana-specific help available in 2026, from the free 24/7 helpline to Medicaid in-home care and respite to the programs that can pay you for the care you already provide.

You do not have to navigate this alone, and you do not have to fund all of it from your savings.

Where to start with dementia care in Indiana

When a diagnosis lands, or when caregiving starts to outpace what you can manage alone, two contacts open most doors in Indiana. Make these calls first; everything else can wait until you have caught your breath.

Indiana dementia caregiving, by the numbers

More than 121,300 Hoosiers age 65 and older are living with Alzheimer's disease, and family (unpaid) caregivers provide most of the day-to-day care. To help families keep loved ones at home, Indiana launched PathWays for Aging on July 1, 2024, a statewide Medicaid managed long-term-services program for Hoosiers age 60 and older that assigns each member a care coordinator.1

If the work feels overwhelming, that is not a personal failing. It is the reality of a condition that demands more, for longer, than almost any other.

Who pays for dementia care in Indiana

Indiana dementia families draw on four separate payers, each with its own rules: Indiana Medicaid (PathWays for Aging), state-funded aging programs, the VA (for veterans), and Medicare. The skill is stacking them, and knowing what bridges care while you wait.

Indiana Medicaid (PathWays for Aging)

For Hoosiers who qualify, PathWays for Aging, Indiana's statewide Medicaid managed long-term services and supports program for people age 60 and older, funds home and community-based dementia care including adult day services, attendant care, assisted living, caregiver coaching and behavior management, respite care, and service coordination, with the goal of helping people remain at home. Respite care provides temporary relief for caregivers while maintaining continuity of care. The Health and Wellness Waiver is a related pathway for some members. Families typically start by contacting their local Area Agency on Aging, which directs them to the appropriate program.3

PathWays serves Medicaid members age 60 and older and is run by the Indiana Family and Social Services Administration (FSSA). Each member is assigned a care coordinator and receives a functional, nursing-facility level-of-care assessment (conducted by the state's assessment contractor) that determines eligibility for long-term services; the program also lets families hire a relative other than a spouse through consumer-directed attendant care.1

What if there's a waitlist, or your income is too high?

Indiana's Medicaid pathway requires a level-of-care assessment, and a single applicant's income or assets can put them over the limit. Neither is the end of the road:

• While you wait or apply, the National Family Caregiver Support Program provides free respite, counseling, and training through your Area Agency on Aging with no income test. Call the FSSA Division of Aging at 1-800-713-9023 to line up interim help at the same time you begin the Medicaid process.2
• If you are over the income or asset limit, ask an elder law attorney about Medicaid-planning options before spending down your savings on care. Dementia care in a memory-care setting can run several thousand dollars a month out of pocket, so planning early matters.
• If an application is denied, you have the right to appeal, and the denial notice explains the deadline. Legal-aid programs can help you understand the reason and gather what the reviewer needs.

For what private-pay memory care looks like and how to weigh it, see memory care in Indiana.

Getting paid to care for a loved one with dementia

Many Indiana dementia caregivers can be paid for the care they provide, through Medicaid self-direction or, for veterans' families, VA programs. The pathways, who can be hired, and the pay are covered in the Indiana paid family caregiver guide.

VA benefits (for veterans)

If the person you care for is a veteran enrolled in VA health care, two VA pathways can help pay for dementia care. The Program of Comprehensive Assistance for Family Caregivers (PCAFC) pays a tax-free monthly stipend to the veteran's approved Primary Family Caregiver, who can be a spouse or adult child, for veterans rated 70% or higher who need at least six months of continuous personal care. The stipend is not a flat national figure: it is tied to the federal GS-4 pay scale for the area where the veteran lives, so the amount varies by locality, and PCAFC also provides caregiver training and at least 30 days of respite a year. Separately, VA Aid and Attendance adds money to a VA pension for wartime veterans and surviving spouses who need help with daily activities, a common need in dementia care. Call the VA Caregiver Support Line at 1-855-260-3274 to start.4

Medicare

Medicare covers dementia-related doctor visits and, when a patient shows signs of cognitive impairment, a separate cognitive assessment and care-plan visit (billed as CPT 99483); after the Part B deductible, the patient pays 20% of the approved amount. It also covers part-time skilled home health and hospice when a person qualifies. Medicare does not pay for long-term custodial care (ongoing non-medical help with bathing, dressing, and toileting) or a family caregiver's time; in Indiana, that gap is what PathWays for Aging and out-of-pocket pay or long-term-care insurance fill. The GUIDE Model, where a participating provider operates near you, adds dementia care navigation, a 24/7 support line, and up to $2,500 a year in respite for traditional-Medicare beneficiaries; ask your neurologist or the Alzheimer's Association helpline whether a GUIDE provider serves your part of Indiana.5

Respite for dementia caregivers

Respite is what makes the long haul survivable. In Indiana, respite comes from three main channels: Indiana Medicaid (PathWays for Aging) for eligible members, the National Family Caregiver Support Program through your Area Agency on Aging (free, with no income test), and adult day programs.2 For the full picture, see Respite Care in Indiana.

A few days a week at a dementia-capable adult day program often does double duty: it gives you reliable hours back, and the structure, activity, and social contact frequently improve sleep, mood, and behavior for the person with dementia.

Managing safety, behavior, and legal planning

Dementia raises issues other caregiving does not, and most of them are easier to handle before a crisis forces the question.

• Wandering. Roughly six in ten people with dementia wander at some point. Keep a recent photo and a short list of the places your loved one gravitates to, consider door alarms or a GPS locator, and ask local first responders whether they offer a registry or "safe return" program. The Alzheimer's Association 24/7 Helpline (1-800-272-3900) can walk you through a wandering-safety plan.2
• Driving. Deciding when to stop driving is one of the hardest conversations. Ask the diagnosing physician to put the recommendation in writing; it takes the decision off your shoulders and gives you something concrete to point to.
• Sundowning. Late-day agitation is common. Keep afternoons calm and well-lit, hold routines steady, limit caffeine and long naps, and note what tends to set it off; the helpline can suggest specific de-escalation techniques.
• Legal documents, signed early. A durable power of attorney, an advance directive, and a long-term-care plan are far easier to put in place while your loved one can still participate. Once dementia advances, capacity to sign is contestable. See Advance Directives: A Caregiver's Guide for the documents and how to get them.

When it is time to think about a dementia-capable facility, memory care in Indiana walks through what to look for and how to pay for it.

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The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.