.png)
Where care takes wing.
Professional REFERRALS
A Clear Path to Dependable In-Home Support
Shirley’s Angels Home Care accepts referrals for seniors and individuals with disabilities who may need compassionate, non-medical support at home or in the community. Our intake team works with individuals, families, guardians, case managers, care coordinators, and referral partners throughout Indiana.
Submit the secure referral form below, and our team will review the information provided, confirm the requested services and payer details, and communicate the next steps.
What Happens After a Referral Is Submitted
Our intake process is designed to make the next steps clear while allowing time to review eligibility, authorization, care needs, scheduling, and caregiver availability.
01
Submit a Referral
Complete the secure referral form and provide the client’s contact information, requested services, payer details, location, and known scheduling needs.
03
Authorization and Service Confirmation
For Medicaid-funded services, we confirm the service authorization and coordinate with the case manager, care coordinator, payer, or managed-care partner when needed. Private-pay arrangements are discussed directly with the responsible party.
02
Intake Review and Consultation
Our intake team reviews the referral and contacts the appropriate person to clarify service needs, care-plan information, preferred schedule, and desired start date.
04
Intake Completion and Staffing Review
After required documents and authorizations are received, we complete the intake process and review caregiver availability for the requested location and schedule.
“A strong referral gives our team the information needed to move the intake process forward clearly and efficiently.”
Submitting a referral does not guarantee eligibility, authorization, staffing, or an immediate start date. Service availability depends on the approved care plan, requested schedule, location, intake completion, and available caregivers.
What Information Should Be Included?
Providing complete information helps reduce delays and allows our intake team to understand the request more accurately.
- Prospective client’s full name and contact information
- City or county of residence
- Date of birth, when required for intake
- Requested service or services
- Medicaid plan, payer, or private-pay status
- Case manager or care coordinator information
- Approved hours, units, or authorization details, if known
- Preferred schedule
- Desired start date
- Guardian or authorized representative information, when applicable
- Relevant service needs and important household considerations
- Current service authorization or supporting documents, when available
Please use the secure referral form for client-specific information. Avoid sending sensitive client details through standard email unless your organization uses an approved secure method.
CLIENT REFERRALS
A Simple First Step Toward Care at Home
Whether you are seeking services for yourself, a family member, or someone you support, our online referral form helps us understand their needs and determine the appropriate next steps.
Services Available for Referral
Attendant Care
Personalized assistance with approved daily living activities, personal routines, mobility, supervision, and safety.
Explore This Service
Homemaker Services
Approved assistance with light housekeeping, laundry, meal preparation, errands, and routine household needs.
Structured Family Care
Daily support provided by a qualified live-in caregiver with provider oversight, guidance, and program requirements.
Explore This Service
Transportation Services
Non-emergency transportation for approved appointments, essential errands, shopping, and community activities.
Explore This Service
What Our Intake Team Reviews
Eligibility and Payer
Whether the requested service may be covered through an approved Medicaid waiver program or private-pay arrangement.
Authorization
Whether the service, dates, units, hours, and requested tasks are included in the appropriate authorization.
Care Needs and Schedule
Whether the requested support and schedule align with the care plan and SAHC’s non-medical scope of service.
Local Caregiver Availability
Whether qualified caregivers may be available in the client’s community for the requested days and hours.
Our team will communicate clearly if more information is needed or if the requested schedule cannot currently be staffed.
Frequently Asked Questions
Who may submit a referral?
The prospective client, a family member, guardian, case manager, care coordinator, social worker, discharge planner, or other authorized referral partner may submit the form.
Can a referral be submitted before authorization is issued?
Yes, preliminary information may be submitted, but Medicaid-funded services generally cannot begin until the appropriate authorization has been received and confirmed.
How quickly can services begin?
Timing varies based on intake completion, authorization, requested schedule, location, care needs, and caregiver availability.
Does submitting a referral guarantee acceptance?
No. Every referral must be reviewed for eligibility, service fit, authorization, scheduling, and staffing.
Can families refer someone for private-pay care?
Yes. Families may submit the same referral form and identify private pay as the expected payment method.
What happens if information is missing?
The intake team may contact the referral source, client, guardian, case manager, or care coordinator for clarification.