Skip to content

800-432-2422

Become a Provider

Home and community-based care for high quality of life

CICOA Aging & In-Home Solutions contracts with licensed in-home service providers and home modification providers in the eight county Central Indiana service area.

The services available to clients and their families include:

  • respite care
  • adult day services
  • homemaker
  • home health aide
  • attendant care
  • skilled nursing
  • therapies
  • home delivered meals
  • assistive technology
  • minor home modification
  • rehabilitation
  • emergency response systems
  • transportation
  • and home health supplies.

The availability of a variety of home care agencies provides our clients the flexibility needed to ensure they are able to select the provider that will best suit their individual needs. Care managers work with each of our clients on an individual basis throughout the provider selection process.

How to Become a Provider with CICOA

All agencies interested in providing services through CICOA must first be certified through the Medicaid Waiver program, administered through the Indiana Division of Aging.

This differs from traditional Medicaid certification. Please contact the FSSA Waiver Provider Specialist at 317-232-4650 or visit the FSSA website for information.

CHOICE/Title III/SSBG Providers

The majority of CICOA's business partners become providers of service through the Medicaid Waiver and CHOICE programs with an open-ended contract, which means there is no guarantee of referrals for service to the agency or dollar volume that may be purchased. Clients are given a pick list of providers to choose from based on the service needed.

CICOA has a two-year contract period for providers. Current contracts run July 1, 2019 through June 30, 2021. New contracts can be initiated at any time during the contract period, but will expire June 30, 2021. All providers will need to submit new contracts for the next contract period that begins July 1, 2021.

Current providers can submit updated contact information via the Provider Profile form at any time.

Provider Contracts Application Process

1

All agencies interested in providing services for CICOA and our clients must be certified through the Medicaid Waiver program. The Medicaid Waiver program is administered through the Indiana Division of Aging and differs from traditional Medicaid certification. Please contact the FSSA Waiver Provider Specialist at 317-232-4650, or visit their website for information on this process.

2

All providers (including non-medical agencies) must also be licensed through the Indiana State Department of Health.

!

Please do not contact CICOA for provider information until the above steps have been completed.

3

Submit an application to CICOA to provide CHOICE, SSBG and Title III services. Please read the Application Process for full details.

Provider Profile
Additional Documents Needed
  • Form W-9
  • Certificate of Insurance for general aggregate liability coverage of at least $1,000,000, with CICOA listed as additional insured
  • Certificate of Insurance for workers’ compensation insurance, with CICOA listed as additional insured
  • Current license, if applicable
  • Medicaid Waiver provider certification letter

4

CICOA will confirm receipt of application packet.

5

If approved, the provider should complete a Contract Agreement.

In-Home Services Contract

Print, sign and scan pages 19, 25 and 32 and send to provider@cicoa.org

Home Modifications Contract

Print, sign and scan pages 9 and 10 and send to provider@cicoa.org

Providers should be aware that the establishment of a contractual agreement provides no guarantee of referrals for service to the agency. Providers currently must be serving at least one client (private pay or Medicaid Waiver) in order to be considered for enrollment.

At CICOA, we believe that dependable, effective community-based care is an important element of a high quality of life for older adults and persons with disabilities. If you have any questions about the information presented here, please call the Assistant Director of In-Home Services, Chad Bales, at 317-803-6093, or email provider@cicoa.org.

Competitive Bid Process

CICOA also partners with hundreds of nonprofit organizations, faith-based organizations and private businesses to provide services to older adults and people with disabilities of all ages in Central Indiana. To ensure the best service and value, CICOA engages in a competitive bid process every two years. The next bid process will begin in spring 2021 for services to be provided between July 1, 2021 and June 30, 2023.

The funds that are advertised for bid will be used to purchase services with Federal Older Americans Act funds. These services include transportation, information and assistance, caregiver support services, nutrition services, legal services, advocacy, and health promotion. Winning bids are awarded for fixed amounts of revenue for each year of the contract.

Scroll To Top