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Where care takes wing.
REQUEST SERVICES
Let’s Find the Right Support for You or Your Loved One
Tell us a little about the person who needs care, the services being requested, and where support is needed. Our intake team will review the information and contact you to discuss eligibility, payment options, scheduling needs, and next steps.
Statewide Indiana Inquiries · Medicaid Waiver and Private Pay · 24/7 Live Phone Support
Who Should Use This Page?
This page is intended for individuals, family members, guardians, and authorized representatives seeking non-medical home care services.
Individuals Seeking Care
Adults who need support with daily routines, household tasks, transportation, or living more independently at home.
Family Members
Relatives helping a loved one explore available home care options.
Guardians and Authorized Representatives
People legally or formally assisting with care decisions.
Private-Pay Families
Individuals interested in purchasing non-medical support directly.
Case managers, care coordinators, hospitals, and professional referral partners should use the secure Referral Form instead.
What Type of Support Are You Looking For?
Attendant Care
Assistance with approved personal care, mobility, toileting, meals, daily routines, supervision, and independence.
Homemaker Services
Support with approved light housekeeping, laundry, meal preparation, errands, and routine household tasks.
Structured Family Care
Daily support provided by a qualified live-in caregiver, often a trusted family member, with provider oversight.
Transportation Services
Non-emergency transportation for approved appointments, errands, shopping, and community activities.
What Happens After You Request Services
Step 01
Share Basic Information
Provide details about the person who needs care, requested services, location, payer, and preferred schedule.
Step 02
Intake Review
Our intake team reviews the information and identifies anything else that may be needed.
Step 03
Phone Consultation
A team member contacts you to discuss care needs, eligibility, payment options, authorization, and scheduling.
Step 04
Next Steps and Staffing Review
If the request may be a good fit, we explain the intake requirements and review local caregiver availability.
The first step is simply helping us understand what kind of support you need.
Requesting services does not guarantee Medicaid eligibility, authorization, caregiver availability, or an immediate start date.
What Information Should You Have Ready?
- Name and contact information for the person seeking services
- Name and contact information for the person making the request
- City or county where services are needed
- Requested service or services
- Preferred days and hours
- Desired start date
- Medicaid plan, waiver, or payer information, if known
- Case manager or care coordinator information, if applicable
- Private-pay interest, if applicable
- Guardian or authorized representative information
- General description of care needs
- Transportation, pets, smoking, or household considerations
- Best time and method for follow-up
Please use the secure intake form for client-specific information. Avoid sending Medicaid identification numbers, detailed medical information, or other sensitive information through standard email.
Not Sure How Services Will Be Paid For?
Eligible individuals may receive approved services through Indiana Medicaid waiver programs. Private-pay options may also be available for individuals and families who wish to purchase services directly. Our intake team can help identify what information may be needed, but Shirley’s Angels Home Care does not determine Medicaid eligibility.