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Magnifying the voices of senior living to improve resident care

Our Advocacy

From the Indiana General Assembly to regulatory agencies to the United States Congress, our team of professionals advocates for your communities and residents. We track and develop policy that impact senior living operations and clinical care and ensure that you, our members, know about these developments and have opportunities to make your voices heard.

It is critical for leaders of government to hear directly from you, both as providers of care and as constituents. Our team can help you make these connections and have a positive impact on public policy.



We are closely monitoring the news and guidance concerning COVID-19 and are working with the Governor’s office, the Indiana State Department of Health and AHCA/NCAL, to ensure our member providers receive the necessary guidance to care for the most vulnerable Hoosiers during this public health emergency. Visit our COVID-19 information hub daily to access the latest updates.



2020 Interim Study Committee Update

On May 13, 2020, the legislative council held a virtual meeting to assign topics to the Indiana General Assembly’s Interim Study Committees.  These Interim Study Committees can meet through November 1, 2020, to study the topics assigned to them and develop proposals in anticipation of the 2021 legislative session, as applicable.


Active Issues

Medicaid Fiscal Accountability Regulation


The Centers for Medicare and Medicaid Services recently issued the proposed Medicaid Fiscal Accountability Regulation that would significantly impact provider tax assessments, inter-governmental transfer mechanisms and upper payment limit programs.  

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Non-Emergency Medical Transportation


Before and since the June 2018 rollout of the brokered NEMT service for Indiana Medicaid recipients, IHCA/INCAL has been leading the charge for change and improvement.

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Long Term Services and Supports Reform


As IHCA/INCAL continues to prohibit managed care companies from managing the health of our frail and vulnerable population, Indiana Medicaid is engaging IHCA/INCAL and other stakeholders to begin redesigning Medicaid for the aged and disabled populations to provide both community and institutional services. This will be a multi-year project that commenced during the summer of 2019.

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Certificate of Need


As Indiana restarts a Certificate of Need process for nursing facilities, you can check here for the latest information on the new process.

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Sepsis Prevention and Treatment


As a result of House Enrolled Act 1275 a Sepsis Treatment Guidelines Task Force has been assembled by the Indiana State Department of Health. IHCA/INCAL is active in this task force and you can learn here about the work being performed.



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Featured Events


Preceptor Online Course


This online preceptor course is the first of its kind in Indiana offering cost-effective and quality education.

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CARES Online Dementia Training

August 1, 2020 12:00 am - December 31, 2020 12:00 am

CARES Online Training Program provides caregivers with the core information needed for dementia care.

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IHCA/INCAL’s Legislative Team

We actively lobby the Indiana General Assembly and regulatory agencies on a wide range of matters that impact your communities and residents.

  • Zach Cattell, President
  • Laura Brown, Director of Legislative and Legal Affairs