Why Sycamore Services Needs Your Support Now More Than Ever
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At Sycamore Services, our mission has always been to support individuals with disabilities and their families so they can live full meaningful lives in the community. Every day, we provide person centered services that help people grow thrive and connect from therapeutic supports and skill building to compassionate care coordination that honors dignity choice and independence.
Right now, our work is facing a period of significant systemic change in Indiana, and your support has never been more important.
What Is the Medicaid Waiver Reset in Indiana
Indiana’s Medicaid Home and Community Based Services waivers provide critical funding for services that allow people to live in their homes and communities rather than institutional settings. Programs such as the Family Supports Waiver and the Community Integration and Habilitation Waiver form the backbone of services for individuals with intellectual and developmental disabilities across the state.
The Indiana Bureau of Disability Services is currently leading a multi year effort known as the Waiver Reset. This initiative is designed to redesign the state’s Medicaid waivers with the goal of modernizing services improving flexibility and creating a more person centered system. According to the state, individuals currently receiving services under the existing waiver programs are expected to transition into newly redesigned waivers by 2027.
While the long term goals of the Waiver Reset are promising, the transition period creates uncertainty for individuals families and service providers alike.
How the Waiver Reset May Impact Services
Large scale system changes especially those tied to Medicaid funding can bring real and immediate challenges for providers like Sycamore Services.
As waiver rules eligibility requirements assessment tools and covered services evolve there may be fluctuations in funding and reimbursement. These changes make it more difficult for nonprofit providers to plan staffing maintain programs and ensure continuity of care.
The transition also requires significant administrative effort including staff training system updates and service redesign. These changes demand time and resources at a moment when providers are already operating with limited margins.
Indiana’s waiver system has long faced challenges with waiting lists and access to services. Thousands of Hoosiers are currently waiting for waiver support. Any disruption during the redesign process risks increasing delays for individuals and families who urgently need services.
For organizations like Sycamore Services that rely heavily on Medicaid waiver funding to deliver supported employment community participation respite and residential supports these changes make sustainability more challenging than ever.
Why Your Support Matters Right Now
During times of transition community support becomes essential. As the Waiver Reset unfolds Sycamore Services must be prepared to respond to increased demand navigate funding uncertainty and continue advocating for the people we serve.
Your generosity helps us maintain stability when state funding systems are in flux. It allows us to fill gaps when Medicaid reimbursement does not fully cover the cost of care. It strengthens our ability to support families advocate for fair policies and ensure individuals continue to receive high quality services without interruption.
How You Can Help
Your donation directly supports
Program continuity even during changes in Medicaid funding
Policy advocacy and education for individuals families and the broader community
Critical services that go beyond what Medicaid alone can fund.
Now more than ever your support helps ensure that individuals with disabilities are not left behind during systemic change.
Take Action Today
We invite you to stand with Sycamore Services during this pivotal moment.
Please consider making a donation today to help us continue providing life changing services and advocating for a more inclusive and equitable future.
Together we can navigate change strengthen our community and ensure every person we serve has the support they need to thrive.
Donate today at www.sycamoreservices.com/give.
References
Indiana Family and Social Services Administration Bureau of Disability Services. BDS Waiver Reset Overview and Timeline. Available at Indiana Government website.
Indiana Family and Social Services Administration. Medicaid HCBS Programs Overview. Available at Indiana Government website.
Indiana Family and Social Services Administration. Public Notice on Proposed Waiver Amendments (July 2025). Available at Indiana Government website.
Indiana Family and Social Services Administration. HCBS Waiver Waiting List Information. Available at Indiana Government website.
Indiana Government Medicaid Member Information. Community Integration and Habilitation Waiver Eligibility. Available at Indiana Government website.
Tendercare Health and Home Services. 2026 Waiver Redesign Timeline and Family Guidance.
Human Services Research Institute and BDS. Waiver Reset Open Feedback Call Resources.
Indiana Family and Social Services Administration. Waiver Invitation Process Update (180-day rule).
Indiana Government Waiver Redesign Concept Papers and Materials.
Indiana Government Public Notice on Waiting List Changes (Nov 2025).
