PathWays: PathWays Claims Testing Provider List

The following list of IHCP providers have successfully completed claims testing for the Indiana PathWays for Aging program under the SEA 132 claims testing opportunity. This list is divided by managed care entity and is the final list dated June 24, 2024.

ICN	Provider NPI	Provider ID	Provider Name	Provider Type Description	Anthem	Humana	UHC
1	1629679170	300045328	GENTLEMIND HEALTH SERVICES	ADVANCED PRACTICE REGISTERED NURSE	ELIGIBLE	ELIGIBLE	ELIGIBLE
2	1154368512	100367690B	ADULT & CHILD MENTAL HEALTH CTR	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
3	1154368512	300046488	ADULT AND CHILD MENTAL HEALTH CENTER INC	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
4	1154368512	300048291	ADULT AND CHILD MENTAL HEALTH CENTER INC	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
5	1154368512	100367690A	ADULT & CHILD MENTAL HEALTH CTR-CLINICA	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
6	1336510098	300068040	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
7	1154368512	300000504	ADULT AND CHILD MENTAL HEALTH CENTER INC	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
8	1154368512	100367690C	ADULT AND CHILD MENTAL HEATH INC	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
9	1154368512	300008098	ADULT AND CHILD MENTAL HEALTH CENTER INC - NORTHWO	BEHAVIORAL HEALTH PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
10	1669401212	300051597	ACCESS MOBILITY, INC.	DME/MEDICAL SUPPLY DEALER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
11	1023005311	100274910B	NORTH CAPITOL NURSING & REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
12	1881966158	100284600A	WESTMINSTER VILLAGE NORTH	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
13	1326064882	200247220A	OTTERBEIN FRANKLIN SENIORLIFE COMM RESIDENTIAL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
14	1164782942	100274440C	THE WATERS OF PRINCETON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
15	1740315878	100290870B	MAJESTIC CARE OF JEFFERSON POINTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
16	1649279258	100267670D	HERITAGE HOUSE REHABILITATION & HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
17	1801871082	100273920B	GOOD SAMARITIAN HOME & REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
18	1154362390	100275010A	LUTHERAN LIFE VILLAGES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
19	1760403802	100291110A	MILLERS MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
20	1710916671	100267230C	HICKORY CREEK AT CRAWFORDSVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
21	1619164001	100266550A	CAROLETON HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
22	1093736076	200525120A	ASBURY TOWERS HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
23	1972663110	100290330C	UNIVERSITY NURSING CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
24	1790986792	201272600A	EVANSVILLE PROTESTANT HOME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
25	1518208289	100285660D	AUBURN VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
26	1578809398	201002500A	CREEKSIDE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
27	1891031480	100274540A	SWISS VILLAGE INC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
28	1467509463	100287490C	CORE OF DALE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
29	1477994754	100266720C	GREAT LAKES HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
30	1104855980	100288390E	HICKORY CREEK AT MADISON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
31	1316934706	100275490C	ROSEWALK VILLAGE AT LAFAYETTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
32	1780605824	100290380A	MILLERS MERRY MANOR-500 WALKERTON TRAIL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
33	1336289867	100291120D	CLINTON HOUSE REHABILITATION AND HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
34	1205852712	100275000A	HEALTH CENTER AT GLENBURN HOME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
35	1285681932	100267700A	LIFE CARE CENTER OF VALPARAISO	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
36	1174870943	100267620A	PARK TERRACE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
37	1881940617	100290930B	CANTERBURY NURSING & REHABILITATION CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
38	1851474936	200346570A	SILVER OAKS HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
39	1427071869	100287230A	THE WATERS OF DUNKIRK SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
40	1659466498	100288730A	SUMMIT HEALTH AND LIVING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
41	1811987894	100267610A	MAPLE MANOR CHRISTIAN HOME INC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
42	1023031465	100267450A	THE WATERS OF SYRACUSE SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
43	1609212794	100284940B	INDIAN CREEK HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
44	1518267830	201014060A	ALLISONVILLE MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
45	1669826038	300018569	HARRISON SPRINGS HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
46	1285729673	300036555	SPRING MILL HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
47	1558367052	100267640A	MEADOWS MANOR EAST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
48	1629698808	300040744	THE RESTORACY OF WHITESTOWN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
49	1558604074	100471000A	CROWN POINT CHRISTIAN VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
50	1235294075	100266800B	HUTSONWOOD AT BRAZIL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
51	1962499350	100288770C	NORTH WOODS VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
52	1235185810	100266210B	BRICKYARD HEALTHCARE - CHURCHMAN CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
53	1285723734	100266260A	GRACE VILLAGE HEALTH CARE FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
54	1386990109	100266270A	WILLOWDALE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
55	1629490511	100291430B	KOKOMO HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
56	1316932874	100271660A	VERNON HEALTH & REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
57	1760519268	200289420A	ADAMS HERITAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
58	1184604233	200315930A	SOUTHFIELD VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
59	1831589498	201023760A	BRIDGEWATER HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
60	1922206952	100379970B	ENVIVE OF HARTFORD CITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
61	1891716932	100273140A	THE WATERS OF COLUMBIA CITY SKILLED NURSING FACILI	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
62	1376662395	100275510A	ALPHA HOME A WATERS COMMUNITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
63	1417670324	100274990A	ENVIVE OF BEECH GROVE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
64	1053456665	100291470A	RAWLINS HOUSE HEALTH & LIVING COMM	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
65	1851713283	100283340C	THE BELMONT HEALTH & REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
66	1063409456	100275200C	BEECH GROVE MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
67	1588708325	100266920B	POPLAR CARE STRATEGIES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
68	1972532737	100288790E	HICKORY CREEK AT GREENSBURG	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
69	1659300440	100274870C	HICKORY CREEK AT SUNSET	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
70	1932284056	200526450A	MILL POND HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
71	1609139401	100275440A	LUTHERAN COMMUNITY HOME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
72	1326180803	100287520A	GOLDEN YEARS HOMESTEAD	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
73	1144306077	200851590A	BROWNSBURG MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
74	1053301259	200090430A	COMPASS PARK	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
75	1720324544	100267020A	LAKE POINTE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
76	1205823697	100289640C	RIVERVIEW VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
77	1720082456	100266130A	WESTMINSTER HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
78	1295720365	200299100A	MORNING BREEZE RETIREMENT COMM & HEALTH	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
79	1659366128	100267550A	RICHLAND BEAN BLOSSOM HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
80	1891795308	200364160A	RIVERSIDE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
81	1194772087	100289310A	HENDRICKS COUNTY HOSPITAL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
82	1528015641	100275430A	WOODLANDS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
83	1265789036	100266100A	WATERS EDGE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
84	1073869806	100291540A	TRAILPOINT VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
85	1962490649	100290510B	LAKELAND REHAB AND HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
86	1679560064	100289890C	FRANKLIN MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
87	1255328647	100267330A	AMERICAN VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
88	1740466770	100267720B	CARDINAL CARE STRATEGIES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
89	1619964988	100275120B	BETHEL MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
90	1326082009	100267900A	MAJESTIC CARE OF AVON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
91	1578630810	100289810C	CAMELOT CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
92	1629066790	100267350A	MCGIVNEY HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
93	1619392255	100289600A	MIDDLETOWN NURSING AND REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
94	1902829344	100266350A	THE WATERS OF TIPTON SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
95	1780633800	100290800C	NEWBURGH HEALTH CARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
96	1063717528	201028420A	COUNTRYSIDE MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
97	1366499428	100290840A	HENDRICKS COUNTY HOSPITAL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
98	1093875221	100266820C	ROSEBUD VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
99	1093750119	100288820A	HEALTHWIN SKILLED NURSING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
100	1356476154	100290130A	ADAMS WOODCREST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
101	1164778981	100291320A	TODD-DICKEY NURSING & REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
102	1932196326	100267290C	ZIONSVILLE MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
103	1811926694	100286550E	HICKORY CREEK AT NEW CASTLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
104	1417903980	100272170B	BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
105	1699704486	100290770E	HICKORY CREEK AT ROCHESTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
106	1235205816	100289030A	CATHEDRAL HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
107	1609057835	100266780B	COLUMBIA HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
108	1750378147	100267820B	BETHLEHEM WOODS NURSING & REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
109	1740419944	200958030A	SPRINGHILL VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
110	1881062586	300026664	THE SPRINGS OF RICHMOND	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
111	1003932666	300038299	SEBOS NURSING & REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
112	1396732780	100274830C	HERITAGE PARK	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
113	1548241045	200221050A	WESLEY MANOR HEALTH CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
114	1780025460	100266730C	MAJESTIC CARE OF SOUTH BEND	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
115	1801903398	100266650B	OSSIAN HEALTH CARE & REHAB CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
116	1649516469	100289830A	ELKHART MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
117	1871623041	100289700B	UNIVERSITY PARK REHABILITATION AND HEALTHCARE CNTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
118	1316063977	100266740B	DYER NURSING & REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
119	1093061814	100289090A	EASTGATE MANOR NURSING AND REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
120	1154567360	100266560A	CLARK REHAB & SKILLED NURSING CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
121	1730177551	100275070A	ENVIVE OF EVANSVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
122	1114947686	100273830A	MILLERS MERRY MANOR-COUNTY FARM RD	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
123	1760426886	200809750A	MEADOW LAKES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
124	1235298514	100266340B	LOWELL HEALTHCARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
125	1023013455	100274780A	SAINT ANTHONY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
126	1659368306	100267250A	ST ANTHONY REHAB AND NURSING CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
127	1689872426	100290350C	WILLIAMSPORT NURSING AND REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
128	1508803099	100290940C	PLAINFIELD HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
129	1326035718	100266310C	EAGLE VALLEY MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
130	1699834176	100266160B	SUMMIT CITY NURSING AND REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
131	1720026180	100290890C	THE WATERS OF MARTINSVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
132	1972550036	100289590A	MITCHELL MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
133	1285993865	100271060B	APERION CARE ARBORS MICHIGAN CITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
134	1609136159	200155900A	WHITE RIVER LODGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
135	1063468676	100266170C	BRICKYARD HEALTHCARE- BRANDYWINE CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
136	1477736916	100267680D	SALEM CROSSING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
137	1841625662	200256980A	CHARLESTOWN PLACE AT NEW ALBANY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
138	1497740633	201271750A	WESTMINSTER VILLAGE WEST LAFAYETTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
139	1336186816	100287670C	BROWNSBURG HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
140	1043561970	100290530A	HOOSIER CHRISTIAN VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
141	1881632800	200145500A	MAJESTIC CARE OF CARMEL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
142	1639192065	100266220A	MILLERS MERRY MANOR-CAMPBELL ST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
143	1336548353	100267600A	MAJESTIC CARE OF WEST ALLEN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
144	1194167650	200905640A	THE MILTON HOME NURSING & REHAB LLC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
145	1841544632	100267280A	PARKVIEW HAVEN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
146	1982645404	100289650C	THE WATERS OF COVINGTON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
147	1124015516	100275110C	FOREST CREEK VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
148	1710934518	100267740A	LIFE CARE CENTER OF LAGRANGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
149	1386683753	100273800C	MAJOR HOSPITAL DBA THE WATERS OF RISING SUN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
150	1396167284	100266930C	VALLEY VIEW HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
151	1770642167	100289450A	MUNSTER MED-INN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
152	1528055928	100287200A	ARBOR GROVE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
153	1952452815	100266630C	FAIRWAY VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
154	1952324394	100267090A	THE WATERS OF CHESTERFIELD SKILLED NURSING FAC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
155	1316061575	100286100B	WILLOWBEND LIVING CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
156	1053671255	200011300A	FLATROCK RIVER LODGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
157	1306833793	100274950C	ROSEWALK VILLAGE AT INDIANAPOLIS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
158	1811086044	100267170A	GEORGE ADE MEMORIAL HEALTH CARE CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
159	1497792345	200232210C	MAJESTIC CARE OF NORTH VERNON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
160	1942372511	100290340A	VERMILLION CONVALESCENT CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
161	1316169857	100289100B	MORGANTOWN WOODS OF JOURNEY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
162	1669428496	100275380A	THE LANE HOUSE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
163	1700256492	201362150A	GREEN HOUSE COTTAGES OF CARMEL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
164	1609977628	100290080D	COURTYARD HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
165	1801963053	100267870C	ESPECIALLY KIDZ HEALTH & REHAB CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
166	1528097391	100288320E	HICKORY CREEK AT HUNTINGTON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
167	1518904978	100266330C	THE WATERS OF CLIFTY FALLS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
168	1013193903	100267010B	ENVIVE OF SULLIVAN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
169	1902920069	100274510B	ENVIVE OF LAWRENCEBURG	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
170	1760425391	200325990A	HOLY CROSS VILLAGE AT NOTRE DAME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
171	1336320563	100266600C	WESTVIEW NURSING & REHABILITATION CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
172	1548275134	100275040B	MAJESTIC CARE OF BLOOMINGTON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
173	1710123922	100288980A	NORTH PARK NURSING CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
174	1437172871	100289680A	MILLERS MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
175	1508866013	100267340C	MARKLE HEALTH AND REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
176	1487742565	100291310E	HARRISON TERRACE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
177	1922183086	200472040A	STONEBRIDGE HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
178	1114085677	100266190B	HARCOURT TERRACE NURSING AND REHAB	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
179	1982964433	200157070A	LODGE OF THE WABASH	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
180	1720264591	100267710B	WILLOW CROSSING HEALTH AND REHAB CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
181	1023003118	100450890A	THE CEDARS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
182	1376965269	100267520C	WILDWOOD HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
183	1659369072	100290470C	HENDRICKS CO. HOSPITAL DBA WATERS OF LEBANON, LLC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
184	1538141379	100273860A	BETZ NURSING HOME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
185	1801817945	100275400A	MILLERS MERRY MANOR-OAKHILL AVE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
186	1538372578	300035944	APERION CARE DEMOTTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
187	1235113945	200236630A	OAK GROVE CHRISTIAN RETIREMENT VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
188	1063409498	100266840B	CASTLETON HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
189	1821092347	100274960B	SAINT ANNE HOME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
190	1629588181	300029339	TRANQUILITY NURSING AND REHAB	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
191	1669471199	100274820C	EDGEWATER WOODS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
192	1972524015	100288690A	THE WATERS OF HUNTINGTON SKILLED NURSING FACILLITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
193	1356389902	100267270C	MAJOR HOSPITAL DBA THE WATERS OF INDIANAPOLIS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
194	1235316142	100266140B	TWIN CITY HEALTH CARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
195	1932449154	100267470A	CENTURY VILLA HEALTH CARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
196	1821334483	100289210B	MULBERRY HEALTH & REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
197	1366788184	100290920A	CYPRESS GROVE REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
198	1447641683	201312610A	STONECROFT HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
199	1235315425	100267660B	ENVIVE OF HUNTINGTON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
200	1205839826	100287340A	BERTHA D GARTEN KETCHAM MEM CTR INC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
201	1578938650	300018361	THE SPRINGS OF MOORESVILLE	EXTENDED CARE FACILITY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
202	1952726663	201246060A	CEDAR CREEK HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
203	1033531462	200204440A	HARRISON HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
204	1073554200	100275020A	LUTHERAN LIFE VILLAGES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
205	1801882659	100267150A	COMMUNITY NORTHVIEW HEALTH AND LIVING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
206	1144236415	100267810A	THE WATERS OF WABASH SKILLED NURSING FACILITY WEST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
207	1013946979	100286530E	HICKORY CREEK AT CONNERSVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
208	1598192957	300023505	BROOKE KNOLL VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
209	1114940558	100267050A	THE WATERS OF CASTLETON SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
210	1548506363	100291450A	SWISS VILLA NURSING AND REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
211	1841287232	100275330B	CARDINAL NURSING & REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
212	1952742637	200258520A	MAJESTIC CARE OF NEWBURGH	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
213	1134142573	100273930A	THE WATERS OF RUSHVILLE SKILLED NURSING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
214	1972945855	100291140C	GREENFIELD HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
215	1164451944	100290540E	HICKORY CREEK AT PERU	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
216	1114986924	200429840A	PROVIDENCE HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
217	1184960007	100273490A	MOUNT VERNON NURSING & REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
218	1245278829	100266500C	THE WATERS OF BATESVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
219	1790776128	100453660A	GREENWOOD VILLAGE SOUTH	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
220	1518024645	100267100B	EAST LAKE NURSING & REHABILITATION CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
221	1427071687	100267110A	MILLERS MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
222	1730174434	100275150A	HAMILTON GROVE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
223	1053599688	100271400B	BRICKYARD HEALTHCARE - VALPARAISO CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
224	1750686093	201018510A	GREENWOOD MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
225	1346292737	100275190B	SOUTH SHORE HEALTH & REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
226	1821040031	100289860B	BRICKYARD HEALTHCARE-BLOOMINGTON CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
227	1265419428	201274720A	BROOKSIDE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
228	1720030943	100289160B	BRICKYARD HEALTHCARE - SYCAMORE VILLAGE CARE CENTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
229	1225043060	200197620A	MCCORMICK'S CREEK REHABILITATION AND HEALTHCARE CE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
230	1295882272	100290790C	CORE OF BEDFORD INC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
231	1386661320	100266180D	ENVIVE OF ANDERSON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
232	1962425306	100266980A	THE WATERS OF WAKARUSA SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
233	1255753141	100285610C	SOUTHWOOD HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
234	1457332033	201224380A	BELL TRACE HEALTH & LIVING CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
235	1073557617	100275140A	TIMBERCREST CHURCH OF THE BRETHREN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
236	1386640886	100267880A	MEADOWS MANOR NORTH	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
237	1982627329	100266960A	MILLERS MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
238	1336495167	100266570A	DANVILLE REGIONAL REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
239	1467443788	100266400A	WESTMINISTER VILLAGE HEALTH AND REHAB	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
240	1629013487	100290690E	HICKORY CREEK AT COLUMBUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
241	1881816148	100285520A	PULASKI MEMORIAL HOSPITAL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
242	1982651782	100287700A	LIFE CARE CENTER OF MICHIGAN CITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
243	1316061575	100266410B	WESTRIDGE HEALTH CARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
244	1225397417	100267910C	THE WATERS OF NEW CASTLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
245	1174768618	100291350B	ST MARY HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
246	1669410593	100284060A	MAJESTIC CARE OF SOUTHPORT	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
247	1396732681	100274900B	COMMUNITY NURSING & REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
248	1093827016	201068770A	RIVER POINTE HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
249	1770504813	100291210A	MILLERS MERRY MANOR-SCHOOL ST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
250	1679756753	100285040D	CLINTON GARDENS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
251	1790926764	100289340B	WASHINGTON HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
252	1932120078	100266120A	MILLERS MERRY MANOR-RANDOLPH ST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
253	1699762088	100290050C	SPRING MILL MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
254	1538100839	200814400A	COVENTRY MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
255	1821185356	100380860A	HOLY CROSS REHABILITATION AND WELLNESS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
256	1235150376	100290220A	THE WATERS OF WABASH SKILLED NURSING FACILITY EAST	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
257	1811196843	100275500B	PERSIMMON RIDGE REHABILITATION CENTRE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
258	1689661076	100274940C	RIVERWALK VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
259	1518068881	100289060B	ELWOOD HEALTH AND LIVING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
260	1093762155	100290150A	PARKVIEW CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
261	1528025236	100288920A	ST AUGUSTINE HOME FOR THE AGED	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
262	1457697377	100287850A	SPRINGS VALLEY MEADOWS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
263	1215111067	100287760A	MILLER'S MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
264	1871674556	100275420A	WEST BEND NURSING & REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
265	1316139140	100289570B	AUTUMN RIDGE REHABILITATION CENTRE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
266	1003853557	100288970C	THE WATERS OF MUNCIE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
267	1730120213	100273840C	THE WATERS OF DILLSBORO-ROSS MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
268	1306869748	100289140A	THE WATERS OF MIDDLETOWN SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
269	1710930524	100267430A	PULASKI HEALTH CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
270	1275678864	100267400A	HARBOUR MANOR HEALTH & LIVING COMM LLC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
271	1053340919	100290720E	HICKORY CREEK AT FRANKLIN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
272	1972863421	100290430D	THE WATERS OF SCOTTSBURG	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
273	1396837639	200823940A	HUBBARD HILL ESTATES INC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
274	1619318185	201279600A	WELLBROOKE OF AVON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
275	1629091061	100274810A	THE WATERS OF ROCKPORT SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
276	1467635904	100274710D	SEYMOUR CROSSING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
277	1972890838	100273770B	ENVIVE OF RIVER CITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
278	1689096018	100267080C	WEDGEWOOD HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
279	1336225622	200300090A	WATERFORD PLACE HEALTH CAMPUS-KOKOMO	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
280	1144627977	100288410A	MILLERS AT OAK POINTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
281	1407890478	200829340A	ROSEGATE VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
282	1609819572	100290170A	MAJESTIC CARE OF SHERIDAN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
283	1003838194	100291380A	THE WATERS OF SULLIVAN SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
284	1487044822	201293620A	BRIARCLIFF HEALTH & REHABILITATION CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
285	1427121573	100267210B	AVALON VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
286	1801032016	100266090A	GLENBROOK REHAB & SKILLED NURSING CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
287	1023152857	100289550B	SYCAMORE CARE STRATEGIES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
288	1669495008	100267390A	MILLERS MERRY MANOR-LUTE RD	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
289	1952412546	200403740A	COVERED BRIDGE HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
290	1255352399	100270890A	THE WATERS OF LAGRANGE SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
291	1801088646	100289330B	STONEBROOKE REHABILITATION CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
292	1720017510	100288550E	HICKORY CREEK AT WINAMAC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
293	1104831718	100274460B	GARDEN VILLA BEDFORD	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
294	1881001527	100267790A	MILLER'S HEALTH & REHAB BY MILLERS MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
295	1609875640	100290960A	THE HERITAGE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
296	1801205240	201278730A	HERITAGE POINTE OF FORT WAYNE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
297	1013358563	100267130C	ALLISON POINTE HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
298	1275703092	100290980B	BRICKYARD HEALTHCARE - PORTAGE CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
299	1316375686	201247830A	HEARTHSTONE HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
300	1255457826	100267410B	HARBOR HEALTH & REHAB	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
301	1942256128	100287460A	HAMMOND-WHITING CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
302	1912930223	100266640B	MAJESTIC CARE OF NEW HAVEN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
303	1194747287	100291000A	MILLERS MERRY MANOR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
304	1982710943	100290860A	MAJESTIC CARE OF MCCORDSVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
305	1194940205	100273280A	BYRON HEALTH CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
306	1508889940	100289460A	THE WATERS OF HARTFORD CITY SKILLED NURSING FAC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
307	1053358960	100286370A	MAJESTIC CARE OF CONNERSVILLE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
308	1477556546	200345390A	HERITAGE POINTE OF HUNTINGTON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
309	1275732950	100267180B	PINEKNOLL REHABILITATION CENTRE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
310	1417398199	100266900C	MAJESTIC CARE OF LAFAYETTE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
311	1245286186	100266150B	BRICKYARD HEALTHCARE - BROOKVIEW CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
312	1861471849	100291190A	PEABODY RETIREMENT COMMUNITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
313	1700833670	100273740A	LIFE CARE CENTER OF FORT WAYNE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
314	1174630594	100286940A	MILNER COMMUNITY HEALTH CARE INC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
315	1982887410	100274210A	THE TIMBERS OF JASPER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
316	1245399500	100266670A	ALEXANDRIA CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
317	1033132477	100267240A	THE WATERS OF FORT WAYNE SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
318	1447231832	100267760A	CHRISTIAN CARE RETIREMENT COMMUNITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
319	1013926823	100266880A	GRAND VALLEY HEALTH & REHAB	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
320	1033416243	201046710A	HAMILTON TRACE OF FISHERS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
321	1518308295	100266910C	CHATEAU REHABILITATION AND HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
322	1386822914	100288620B	BRICKYARD HEALTHCARE - TERRACE CARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
323	1750376463	100275290A	BEN HUR HEALTH AND REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
324	1811146681	201274710A	THE TERRACE AT SOLARBRON	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
325	1356408348	100289670B	VALPARAISO CARE & REHABILITATION	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
326	1033166871	100291530A	WESTSIDE RETIREMENT VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
327	1861767246	100266230A	RIPLEY CROSSING	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
328	1134493281	201131260A	ADAMS COUNTY MEMORIAL HOSPITAL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
329	1346686433	200221040A	SELLERSBURG HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
330	1427079565	100288670A	THE WATERS OF PERU SKILLED NURSING FACILITY	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
331	1235177981	100289980A	MAJESTIC CARE OF FORT WAYNE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
332	1306837869	100275480C	NORTHERN LAKES NURSING AND REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
333	1346245271	100267380A	HERITAGE POINTE OF WARREN	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
334	1861489254	100287440C	MONTICELLO HEALTHCARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
335	1043582554	201051640A	AVALON SPRINGS HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
336	1063469930	100275370A	HENDRICKS COUNTY HOSPITAL	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
337	1164878583	300025690	NORTH RIVER HEALTH CAMPUS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
338	1770844219	100290560C	THE WATERS OF HUNTINGBURG	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
339	1427003441	300067850	WESTMINSTER VILLAGE MUNCIE, INC.	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
340	1588611479	100291260A	HERITAGE HEALTHCARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
341	1427004696	100274300A	LIFE CARE CENTER OF ROCHESTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
342	1407847361	100290450A	WALDRON REHABILITATION AND HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
343	1619224482	100286510A	PRAIRIE VILLAGE NURSING AND REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
344	1770871410	100288750B	AMBASSADOR HEALTHCARE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
345	1477626026	100273330A	ENVIVE OF INDIANAPOLIS	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
346	1285970103	100274800B	MEADOW VIEW HEALTH & REHAB CTR	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
347	1538224381	100271120B	HILLCREST VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
348	1902913551	100266950C	LINCOLNSHIRE HEALTH & REHAB CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
349	1730256991	100267370C	ENVIVE OF BERNE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
350	1033148820	100288340E	HICKORY CREEK AT SCOTTSBURG	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
351	1881634517	100273640A	FREELANDVILLE COMMUNITY HOME	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
352	1144220823	100266390D	MAPLE PARK VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
353	1760472252	100266940B	BETHANY VILLAGE	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
354	1093796179	100291370A	GENTLE CARE STRATEGIES	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
355	1912939315	100275310A	HOOVERWOOD	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
356	1366883811	100291290C	GREENWOOD HEALTHCARE CENTER	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	ELIGIBLE
357	1578093605	300010070	INDIANA MASONIC HOME INC	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
358	1417900085	200806840A	CJ'S HOME CARE INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
359	1770604720	200901940A	TRINITY HOME HEALTH CARE INC	HOME HEALTH AGENCY	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
360	1326446261	201267560A	KMG HOMECARE UNLIMITED LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
361	1689700395	200081820A	NEW HORIZONS HOME HEALTH SERVICES	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
362	1407846736	100374770J	ADVANTAGE HOME HEALTH CARE-LAWRENCEBURG	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
363	1770932915	300024518	AGE IN PLACE HOME SERVICES LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
364	1073829388	201003150A	BETHANY CARES HOME HEALTH AGENCY	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
365	1740276088	200454120A	JOY HEALTH SERVICES LLC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
366	1407846736	100374770G	ADVANTAGE HOME HEALTH CARE-HUNTINGTON	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
367	1518920156	100263330A	ACME HEALTH SERVICES INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
368	1811025224	200465840I	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
369	1497807358	200131190A	MOORE HOME HEALTH CARE INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
370	1851761571	201361470A	GOLDEN HEART HEALTH SERVICES LLC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
371	1538358940	200913100A	CARING FIRST HOME HEALTH LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
372	1790145449	300024300	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
373	1679842322	201062790A	PURPOSE HOME HEALTH INC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
374	1174146799	300082661	INSPIRE NURSING SERVICES LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
375	1467684266	200951600A	BETTER LIVING HOME HEALTH CARE INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
376	1407846736	100374770I	ADVANTAGE HOME HEALTH CARE-CONNERSVILLE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
377	1558419119	300070298	HORIZONS COMMUNITY CARE, INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
378	1407846736	100374770A	ADVANTAGE HOME HEALTH CARE INC-MUNCIE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
379	1932563970	201378560A	GREAT CARE HOME HEALTH	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
380	1437544475	201329000A	FIRST HORIZON HOME HEALTH CARE LLC	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
381	1336414275	201079480A	INDEPENDENCE HOME HEALTH LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
382	1407846736	100374770F	ADVANTAGE HOME HEALTH CARE-NEW CASTLE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
383	1407846736	100374770C	ADVANTAGE HOME HEALTH CARE INC-MARION	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
384	1811025224	201010780C	HELP AT HOME LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
385	1063757839	201126900B	ELDERS JOURNEY HOME CARE LLC	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
386	1821093162	100389750A	TENDERCARE HOME HEALTH SERVICES INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
387	1316640972	300081272	BRIGHTSTAR HEALTHCARE	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
388	1841686417	201290500A	HEAL AT HOME, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
389	1295789022	200130650A	GUARDIAN ANGEL HOME HEALTH CARE INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
390	1811025224	200465840J	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
391	1295298156	300039305	ABILITY HOME HEALTH, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
392	1811025224	200465840H	HELP AT HOME SKILLED CARE (TERRE HAUTE)	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
393	1659468817	200853200A	ABLE HANDS HOMECARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
394	1811025224	200465840F	HELP AT HOME LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
395	1003342882	300009051	ANEW HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
396	1811025224	200465840D	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
397	1407846736	100374770H	ADVANTAGE HOME HEALTH CARE-KOKOMO	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
398	1811025224	200465840B	HELP AT HOME, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
399	1811025224	200465840C	HELP AT HOME INC (LAFAYETTE)	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
400	1790145449	201378840A	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
401	1346255940	300030938	ELARA CARING	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
402	1659967982	300055389	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
403	1558637108	201058730A	LIFESTYLES HOMECARE LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
404	1659460780	200829700A	ABOVE & BEYOND HOMECARE INC	HOME HEALTH AGENCY	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
405	1821159641	300058717	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
406	1861933830	300009870	UNITY HOME HEALTH CARE LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
407	1083944987	201004280A	COMFORT HOME HEALTH LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
408	1740481894	300023997	COMMUNITY HCA, INC. DBA COMMUNITY HOME HEALTH CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
409	1063757839	201126900A	ELDERS JOURNEY HOME CARE LLC	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
410	1770955379	300014077	ELITE HOME HEALTHCARE, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
411	1649318163	200367450A	BEST HOME CARE SERVICES	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
412	1073511606	200097860A	OHIO VALLEY HOME CARE	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
413	1811594807	300052220	ALLEGIANCE HOME HEALTH AGENCY, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
414	1821159641	300092397	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
415	1316142458	201323570A	THE MASTER'S TOUCH HOME CARE	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
416	1285701235	200156590A	PEDIATRIC INFANT & FAMILY HHC SPEC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
417	1811025224	200465840E	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
418	1407846736	100374770E	ADVANTAGE HOME HEALTH CARE INC-RICHMOND	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
419	1013430180	300022503	HOME HEALTH CARE PLUS	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
420	1811025224	201010780A	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
421	1396249462	300012386	VISITING ANGELS HOME HEALTHCARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
422	1073912408	201279300A	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
423	1407846736	100374770B	ADVANTAGE HOME HEALTH CARE INC-ANDERSON	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
424	1700164563	201058750A	NEW HORIZONS HOME HEALTHCARE	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
425	1922310275	201000300A	CARE FORCE ONE INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
426	1811025224	200465840G	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
427	1043293814	200176190A	PURPOSECARE OF INDIANA	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
428	1437651304	300021175	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
429	1346255940	200849420A	ELARA CARING	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
430	1407846736	100374770M	ADVANTAGE HOME HEALTH CARE-GREENSBURG	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
431	1396377339	300043454	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
432	1083757397	200081930A	SCROGGINS NURSING & HOME SERVICES INC	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
433	1023161320	200852690A	SERVANTS HEART HOME HLTH SVCS INC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
434	1467998880	300005002	TOUCH OF LOVE HOME HEALTH CARE INC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
435	1346255940	300030997	ELARA CARING	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
436	1912930447	200466510A	FAITHFUL FRIENDS HOME HEALTH CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
437	1710308275	201249170A	LARRIS-IFY HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
438	1326280140	200911210A	LIFES TOUCH HOME HEALTH INC	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
439	1811025224	200465840A	HELP AT HOME SKILLED CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
440	1124348313	200982750A	ADVOCATES HOME HEALTH CARE LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
441	1457822249	300027483	YOUR HEALING TOUCH, LLC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
442	1124566138	300005803	TEAM SELECT HOME CARE	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
443	1336896042	201323570A	THE MASTER'S TOUCH HOME CARE	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
444	1811025224	300062210	HELP AT HOME, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
445	1720426299	201175960A	RHM SERVICES, LLC	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
446	1851761571	300031340	GOLDEN HEART HEALTH SERVICES LLC	HOME HEALTH AGENCY	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
447	1427171933	200836920A	INDIVIDUAL SUPPORT HOME HEALTH AGENCY	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
448	1578560801	200130620A	PREMIER HOME HEALTH CARE -MARION	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
449	1932446010	201187010A	COMFORT AT HOME HEALTHCARE INC.	HOME HEALTH AGENCY	ELIGIBLE	ELIGIBLE	ELIGIBLE
450	1669462321	200513260A	HERITAGE HOSPICE INC	HOSPICE	ELIGIBLE	ELIGIBLE	ELIGIBLE
451	1427700574	300072055	ASCENT HOSPICE, LLC	HOSPICE	ELIGIBLE	ELIGIBLE	ELIGIBLE
452	1629504303	300025470	LIFE'S JOURNEY OF AVON, LLC	HOSPICE	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
453	1841254448	200406660A	GUARDIAN ANGEL HOSPICE INC	HOSPICE	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
454	1407289119	201229470A	PARADIGM LIVING CONCEPTS LLC	HOSPICE	ELIGIBLE	ELIGIBLE	ELIGIBLE
455	1841254448	200406660C	GUARDIAN ANGEL HOSPICE INC	HOSPICE	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
456	1932104247	200492790A	HEART TO HEART HOSPICE OF CENTRAL IN	HOSPICE	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
457	1538540638	300021113	ANEW HOSPICE LLC	HOSPICE	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
458	1609280015	201339910A	DUNES HOSPICE LLC	HOSPICE	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
459	1265021695	300071930	AARON-RUBEN-NELSON HOSPICE	HOSPICE	ELIGIBLE	ELIGIBLE	ELIGIBLE
460	1932104247	300077446	HEART TO HEART HOSPICE OF CENTRAL INDIANA	HOSPICE	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
461	1104998624	100268190A	COLUMBUS REGIONAL HOSPITAL	HOSPITAL	ELIGIBLE	ELIGIBLE	ELIGIBLE
462	1225792534	300075013	ANEW THERAPY & WELLNESS LLC	MEDICARE ONLY	ELIGIBLE	ELIGIBLE	ELIGIBLE
463	1881325967	300074803	ANEW PALLIATIVE CARE	MEDICARE ONLY	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
464	1457741118	201169700A	HODGES WOODALL OPTOMETRY, PC	OPTOMETRIST	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
465	1053314021	100295890A	GEORGE'S FAMILY PHARMACY, INC.	PHARMACY	ELIGIBLE	ELIGIBLE	ELIGIBLE
466	1497732028	100309120A	WILLIAMS BROS HEALTH CARE PHARMACY	PHARMACY	ELIGIBLE	ELIGIBLE	ELIGIBLE
467	1336510098	300001616	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
468	1336510098	300039056	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
469	1336510098	201324210G	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
470	1336510098	300021439	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
471	1336510098	201324210L	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
472	1336510098	201324210T	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
473	1336510098	201324210A	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
474	1336510098	201324210Z	COLUMBUS REGIONAL HEALTH PHYSICIANS	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
475	1336510098	201324260F	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
476	1336510098	201324210K	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
477	1336510098	201324210J	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
478	1336510098	300017215	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
479	1336510098	201324210Q	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
480	1336510098	201324210D	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
481	1336510098	201324260G	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
482	1336510098	201324210W	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
483	1104998624	100268200A	COLUMBUS REGIONAL HOSP PHYSICIANS GROUP	PHYSICIAN	ELIGIBLE	ELIGIBLE	ELIGIBLE
484	1336510098	300063214	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
485	1336510098	201324210I	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
486	1336510098	300070159	COLUMBUS REGIONAL HEALTH PHYSICIANS	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
487	1336510098	300005214	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
488	1336510098	201324210B	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
489	1336510098	201324210V	COLUMBUS REGIONAL HEALTH PHYSICIANS	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
490	1336510098	201324260I	COLUMBUS REGIONAL HEALTH PHYSICIANS	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
491	1336510098	300023761	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
492	1336510098	201324260A	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
493	1336510098	201324210X	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
494	1336510098	300072403	COLUMBUS REGIONAL HEALTH PHYSICIANS	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
495	1336510098	300043552	COLUMBUS REGIONAL HEALTH	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
496	1336510098	201324210N	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
497	1336510098	201324210F	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
498	1336510098	201324260E	COLUMBUS REGIONAL HEALTH PHYSICANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
499	1336510098	201324210H	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
500	1336510098	300035848	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
501	1336510098	300086565	COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
502	1336510098	201324210C	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
503	1336510098	201324210M	COLUMBUS REGIONAL HEALTH PHYSICIANS LLC	PHYSICIAN	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
504		300084450	TRAVAIL WITH US LLC	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
505	1104998624	100454010C	CRH AMBULANCE SERVICE	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
506		300072596	LIFE AT HOME SENIOR CARE LLC	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
507	1104998624	100454010F	CRH AMBULANCE SERVICE	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
508		300015272	WITHAM MEDICAL TRANSPORT	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
509		100261960A	YOUNG MEN'S CHRISTIAN ASSOCIATION OF VIN	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
510	1104998624	100454010D	CRH AMBULANCE SERVICE	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
511		300066490	ARBOR VILLAGE SERVICES LLC	TRANSPORTATION PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
512		300029671	LIFESPAN RESOURCES	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
513	1104998624	100454010B	CRH AMBULANCE SERVICE	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
514		300087826	HEART 2 HEART HOME CARE INC.	TRANSPORTATION PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
515		300085102	CHERISHING LIVES PERSONAL CARE SERVICES	TRANSPORTATION PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
516		300034240	VISITING ANGELS OF INDIANAPOLIS	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
517		300086740	RIGHT CHOICE HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
518	1952832768	300006310	BELVEDERE SENIOR HOUSING	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
519		300052981	NU KREATIONS INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
520		300081635	COMPASSION HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
521		300068209	HOME INSTEAD	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
522		300053246	LEGACY CAREGIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
523		300077792	RELIABLE COMFORT HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
524		300031660	ANGEL HANDS IN HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
525		300064636	TRAVAIL WITH US LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
526		201281820B	OPTIMA HOME SERVICES LLC (PSA)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
527		200997280B	BLOOM A EAGLE CREEK	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
528		201284270A	ELITE PERSONAL CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
529		300073659	GENTLEMIND HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
530		300008877	OASIS DEMENTIA CARE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
531		300055383	ALLEGIANCE HOME HEALTH AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
532		300079925	SIMPLY MOORE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
533		300069969	ALL LOVE HOME CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
534		300035379	HOME HEALTH CARE PLUS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
535		300054530	NEW SERENITY PERSONAL CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
536		300025011	SOUTHFIELD VILLAGE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
537		300007392	QUALITY PERSONAL HOME CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
538		300012567	INTRINSIC HOME CARE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
539		300059638	GRACE AT WORK	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
540		201180640A	DELENA K DAVIS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
541		300043992	ALLEVIATE HOME PERSONAL CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
542		300075126	WE CARE AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
543		300045119	GOOD HANDS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
544		300061707	EASTGATE CHRISTIAN CHURCH	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
545		300069921	FAMILY CAREGIVERS AT HOME	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
546	1114007309	100108060A	MID-LAND MEALS, INC.	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
547		300046371	1ST CHOICE PERSONAL CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
548	1437399888	200928160B	CROWNPOINTE COMMUNITIES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
549		300082413	V'S CARING HANDS HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
550		300043829	3020 POST ROAD, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
551	1467589911	200106720U	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
552		300068891	GENCARE PLUS, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
553		300021796	NU KREATIONS INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
554		300039731	ELITE HOME HEALTHCARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
555		300073815	VICTORY AT HOME	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
556		300038311	GOLDEN HEART HEALTH SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
557		300067959	CARE UNITED HOME CARE AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
558		300082827	EXQUISITE HOME CARE PERSONAL SERVICE AGENCY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
559		200991600A	GREAT CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
560		300041165	PEOPLE-SHEPHERD HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
561		300085965	BRANCH OF SERENITY HOME CARE AGENCY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
562		300080784	BLESSING LIVES PERSONAL CARE	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
563		300068665	HEART2 HEART HOME CARE INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
564		300029307	CONVERGENCE HOME CARE SERVICES, LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
565	1073055703	300002031	SILVER BIRCH OF HAMMOND	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
566		300069981	BRIDGEPOINTE HEALTH CAMPUS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
567		300081211	HEART TO HEART HOMECARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
568		300081377	ASSIGNMENT OF LOVE HOMECARE INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
569		300060538	ALLWAYS ESSENTIAL HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
570		300071599	SERENITY HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
571	1972778157	200493100A	COMFORT KEEPERS #110	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
572		300072593	MILNER COMMUNITY HEALTH CARE INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
573		300074308	OPEN ARMS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
574		300054975	STEPS OF LIFE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
575		300023078	TOUCH OF LOVE HOME HEALTH CARE INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
576		300069926	VIVERA SENIOR LIVING OF JEFFERSONVILLE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
577	1467589911	200106720B	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
578	1700164563	201070780A	SENIOR SUPPORT SERVICES INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
579		300049683	BYRON HEALTH CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
580		300025519	HERITAGE WOODS OF NOBLESVILLE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
581		300084387	FOREVERYOUNG CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
582		201023970A	FIRST HORIZON HOME CARE INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
583		300028624	FRIENDS & FAMILY CAREGIVERS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
584		201033620A	HOME INSTEAD OF INDIANAPOLIS	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
585		300045722	ABSOLUTE GOLDEN CARE INC.	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
586		300087042	CAREGIVERS ON THE WAY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
587		300052063	ALTRA HOMECARE GROUP	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
588		201314120A	OASIS AT 30TH	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
589		300047476	SAFE-T HOMECARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
590		300023889	SILVER BIRCH OF FORT WAYNE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
591		300011715	ZECK'S HOME HEALTH, LLC DBA COMFORT KEEPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
592		300066896	TLB HOME CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
593		300074664	INSPIRING HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
594	1841686417	201307700A	HEAL AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
595		300011435	UNITY HOME HEALTH CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
596		300013577	HOME INSTEAD SENIOR CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
597		300071516	THE DON PROJECT LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
598		300009011	HELP AT HOME SKILLED CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
599		200914710A	HUSER HOMECARE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
600		300038354	SAFEGUARD JOY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
601		300048283	DEE'S HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
602		300026673	HELLENIC SENIOR LIVING OF ELKHART	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
603		300088333	HELP AT HOME SKILLED CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
604		300004111	YOUR HEALING TOUCH PERSONAL SERVICES AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
605	1437544475	201355190A	FIRST HORIZON HOME HEALTH CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
606		300077508	ALWAYS CARE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
607		300072584	DEVINELY DEES HOME CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
608		300040119	SERENITY CARE SERVICES	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
609		300081603	DIVINE PURPOSE CARE RESIDENTIAL SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
610		300049335	WYNDMOOR OF CASTLETON LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
611		300064144	COMPASSION EXPERTS LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
612		300076421	ANGELS OF HOPE HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
613		300082414	LENDING HANDS HOME CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
614		300023000	PLATINUM CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
615		300085202	GREEN OAKS OF GOSHEN	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
616		300073510	HELLENIC SENIOR LIVING OF INDIANAPOLIS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
617		201194480A	SHC, LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
618		300026605	UNITED PERSONAL CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
619		300010282	STILL WATERS ADULT DAY CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
620		300072347	VALPARAISO SENIOR VILLAGE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
621	1689700395	200105410A	ZOE INCORPORATED	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
622		300059980	GRACEFULLEE DRIVEN HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
623		300070877	TRIUMPH SENIOR CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
624		200931340A	HOME INSTEAD SENIOR CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
625		300068219	CARE FAIRY HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
626	1467589911	200106720A	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
627		300091884	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
628		300033738	AGING IN STYLE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
629	1073511606	100109910A	OHIO VALLEY MEDEX INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
630		300092105	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
631		200937350A	HOME IS WHERE THE HEART IS LET ME HELP	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
632	1659440337	200527650A	ROBINSON ADULT DAY SERVICES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
633		300039807	SHINING HEARTS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
634	1467589911	200106720G	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
635		300077043	465 HEALTHCARE LLC DBA STAFF AID	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
636		300033670	ANEW HOME CARE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
637		300022849	RIVERVIEW ADULT DAY CENTER INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
638		201269440A	TOGETHER HOMECARE OF INDIANAPOLIS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
639		300080878	OPTIMAL COMFORT INC.	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
640	1003122334	200992800A	HERITAGE ADULT DAY INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
641		300077159	MRLM CORPORATION AND PERSONAL CARE AGENCY	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
642		201015450A	CARE FORCE ONE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
643		300069349	HOLMES CARING HEART LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
644		300077024	REVITALIZING CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
645		201013530A	VISITING ANGELS OF EAST CENTRAL INDIANA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
646		300011025	ALLIED HOME SERVICES INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
647		201182010A	CARING HEARTS HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
648		300058443	MERCY HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
649		300067419	COMFORTING HANDS HOME CARE SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
650		300072430	RESIDENTIAL CARE, XV, L.L.C.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
651		300038513	ADAMS WOODCREST ASSISTED LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
652		300003894	BERTHA D GARTEN KETCHAM MEMORIAL CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
653		300036185	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
654	1528282720	200007510A	HENDRICKS COUNTY SENIOR SERVICES INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
655		300082324	CARE AT HOME LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
656	1538358940	200924710A	CARING FIRST HOME HEALTH LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
657		300062309	JEAN SISTERS SENIOR CARE L.L.C.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
658		300075456	JOYFUL LIFE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
659	1043433444	100261950A	YOUNG MEN'S CHRISTIAN ASSOC. OF VINCENNE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
660		201027760A	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
661	1407846736	100374780C	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
662		300017199	HEALING HANDS PERSONAL SERVICES AGENCY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
663	1376817981	201066760A	COMFORT KEEPERS PERSONAL SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
664		300067500	GRAND EMERALD PLACE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
665		200997280A	BLOOM AT GERMAN CHURCH	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
666	1467589911	200106720V	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
667		300047770	HEARTFELT CONNECTIONS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
668		300070693	EXECUTIVE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
669	1407846736	100374780A	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
670		300092325	ADVOCATES HOME HEALTH CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
671		300037450	ELITE HOME CARE SOLUTIONS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
672	1407846736	100374780H	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
673		200931340B	KLIPSCH SENIOR CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
674		300029036	LEAP OF FAITH ENTERPRISES, INC DBA COMFORT KEEPERS	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
675		300047124	HARBOUR MANOR THE LODGE ASSISTED LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
676		200851240A	SERVANT'S HEART HOME HLTH SVCS INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
677		200319010C	RAWLINS HOUSE HEALTH & LIVING COMMUNITY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
678		300067785	GUARDIAN ANGELS COLLABORATIVE CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
679		300085723	BLOOM AT KESSLER	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
680		300030687	GRAND VALLEY GARDENS ASSISTED LIVING FACILITY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
681		300072636	A VILLAGE OF LOVE HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
682		300033240	HENRY COUNTY MEMORIAL HOSPITAL	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
683		201012320A	CHANGES HOME CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
684	1770604720	200840260A	TRINITY HOME HEALTH CARE INC (WVR)	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
685	1396034237	300003988	PARK PLACE SENIOR LIVING	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
686		201380230A	HOME INSTEAD SENIOR CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
687		300077045	RAW HOME CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
688	1407846736	100374780M	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
689		300075460	LATONYA CARES LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
690		300077062	WRIGHT TOUCH HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
691		200909670A	FAMILY FIRST COMPANION CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
692		300053421	TENDERCARE HOME HEALTH SERVICES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
693		300092061	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
694		300021846	LIFE AT HOME SENIOR CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
695	1467589911	200106720M	HELP AT HOME INC - RENSSELAER - WVR	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
696		300075684	HOME CARE OF INDIANA LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
697	1134297849	200828450A	UNITY PERSONAL CARE SERVICES, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
698		300057870	BEE HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
699		300079806	BRIGHTSTAR CARE OF INDIANAPOLIS NW	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
700	1467589911	200106720K	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
701		300088591	HELP AT HOME SKILLED CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
702		201234930A	CTI DEVELOPMENTAL REHAB SERVICES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
703		300012068	INDEPENDENCE HOME HEALTH LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
704		300074217	UNIQUE CARE AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
705		300052920	CATER2U HOME CARE SERVICE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
706		201033870A	F & P CONSTRUCTION + REMODELING, LLP	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
707		200956110B	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
708		300065437	LAKE MEADOWS SENIOR ASSISTED LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
709	1518920156	100108550A	ACME HEALTH SERVICES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
710		300060762	TEAM SELECT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
711		300070722	FOUR SEASON HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
712		300053390	THE TLC HOUSE & RESIDENTIAL SERVICES, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
713		300082079	LA BEST DAYS HOME CARE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
714		300081523	FAMILIES MATTER HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
715		300070287	CLIENT CONSCIOUS CARE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
716		201275540A	HERITAGE PARK	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
717	1407166192	201131520A	CHILDRENS THERAPY INNOVATIONS INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
718		300035777	SILVER BIRCH AT COOK ROAD	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
719		300089108	DAVIDA LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
720		201208790A	UNIQUE PERSONAL CARE INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
721		300043440	OPEN ARMS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
722		300013528	OPEN ARMS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
723	1467589911	200106720N	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
724		300065564	HOLY SPIRIT PERSONAL HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
725		300077678	AGAPE CARE ADVOCATES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
726	1740276088	200467120A	JOY HEALTH SERVICES LLC (WVR)	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
727		300063298	TRIUMPHANT HOMECARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
728	1467589911	200106720W	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
729	1649318163	200376740A	BEST HOME CARE SERVICES (WAIVER)	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
730		300075918	QWEST PERSONAL CARE INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
731		300065384	VISITING ANGELS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
732		300079320	BETHANY VILLAGE ASSISTED LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
733		300031351	LIFE AT HOME PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
734	1316142458	201053860A	THE MASTERS TOUCH HOME SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
735		300040938	INSPIRE NURSING SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
736		300082395	TRUSTED HANDS	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
737		300036179	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
738		300059578	GREATER PURPOSE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
739		300053257	COMFORT COVENANT HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
740		201213080A	COMFORT AT HOME HEALTHCARE INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
741		300070840	CARING HANDS PCS LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
742		300072761	TREASURED MOMENTS PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
743		300019795	ACL HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
744	1982010484	201272460A	ALTERNATIVE CARE SOLUTIONS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
745		300044851	AGE IN PLACE HOME SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
746		300035747	INSPIRE CARE & SUPPORT SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
747		300084191	ALL BLESSING HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
748		300076149	FIRST CHOICE QUALITY CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
749		300034492	COMPASS RESIDENTIAL AND CONSULTING, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
750		300084776	INSTANT GIVING HOME CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
751		300010258	ELITE SENIOR LIVING LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
752		300075817	CORINTHIANS HOME HELP CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
753		300063308	LOVE HELP CARE	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
754		201134950A	INDEPENDENCE PERSONAL CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
755		300033662	HOME HELPERS HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
756		300032306	CHERISHING FAMILYS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
757		200141920A	GUARDIAN ANGEL HOME HEALTH CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
758	1699896639	200406410A	PARAGON HOME CARE INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
759		300077072	SAINT ANNE HOME AND RETIREMENT COMMUNITY	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
760		300070878	PNA NURTURING CARE SERVICE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
761		300027173	OASIS AT 56TH	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
762	1073554200	201235720A	LUTHERAN LIFE VILLAGES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
763		300075111	PRUDENT HOMECARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
764		300084857	HOME INSTEAD	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
765		300048280	GUARDIAN CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
766		300023733	DEVOTED HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
767		300080423	CONNECT CARE SENIOR SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
768		201216320A	COMFORCARE HOME CARE (SOUTH INDY0	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
769		300075740	ALLIANCE HOME HEALTH DBA PURPOSECARE OF INDIANA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
770		300065394	LIFESTYLES HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
771		300084483	FRIST CHOICE HOME CARE LLP	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
772		300024773	ABSOLUTE CAREGIVERS, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
773		300043448	ENCHANTED HEARTS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
774		300080832	ALWAYS THERE PERSONAL CARE SERVICE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
775		300042415	KOMPASSIONATE CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
776	1427061571	200162060A	GERIG ENTERPRISES INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
777		201349080A	RIGHT AT HOME	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
778		300036707	VISITING CARE PLUS, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
779		300040925	BROTHERLY LOVE PERSONAL SERVICE AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
780		300079425	CATHERINE ROSE HOME CARE AGENCY, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
781		300062358	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
782		300089063	QUICK BITES HOME DELIVERED MEALS LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
783	1407846736	100374780I	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
784		300068428	ASSIST-ME HOME CARE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
785		300005558	GREAT CARE HOME HEALTH INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
786		201236640A	PROVIDENCE HEALTH CARE CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
787		300075195	ALTRA HOMECARE GROUP, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
788		300065831	GLASSWATER CREEK OF WHITESTOWN	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
789		300068328	LOVE ENTERPRISES HOME SERVICES LLC.	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
790		300081943	DOMINION HOME CARE, LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
791		300077761	A SENIOR RETREAT - FRANKLIN	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
792		300009505	MORNING VIEW NURSING & REHABILITATION	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
793		300023617	ILOVE HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
794		300071501	LIFE ENHANCEMENT CAREGIVERS INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
795		201338920A	ASHFORD PLACE HEALTH CAMPUS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
796		300087671	FRUIT OF THE SPIRIT HOMECARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
797		300075280	INDIANA INTELLECT HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
798	1417900085	200523280A	C J'S ABUNDANT CARE (WAIVER)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
799		300072971	PK CONSULTANTS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
800		300088623	HERITAGE POINTE OF HUNTINGTON	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
801		300072498	JOURNEE OF LIFE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
802	1467589911	200106720J	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
803	1922524107	300008046	HOMECOURT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
804		300036313	ELWOOD HEALTH AND LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
805	1467589911	200106720D	HELP AT HOME INC - SEYMOUR - WVR	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
806		201007700A	INTEGRITY CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
807		300074321	SAFE AT HOME PERSONAL CARE SERVICES	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
808		300030382	ZECKS HOME HEALTH LLC DBA COMFORT KEEPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
809		300067127	CARE 4 SOUL INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
810	1538427927	201062300A	SUNSHINE HOME CARE SERVICES-PSA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
811		300074775	SKYYANNS HEAVENLY HANDS LLC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
812	1659460780	200806240A	ABOVE & BEYOND HOMECARE, INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
813		300033012	GLASSWATER CREEK OF PLAINFIELD	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
814		300085015	HERITAGE ASSITED LIVING OF YORKTOWN	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
815		300055492	SENIOR1CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
816		300077048	BEE LOVED HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
817		300014950	EVERGREEN VILLAGE AT BLOOMINGTON	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
818	1952725814	201211920A	GEHLHAUSEN FAMILY SOLUTIONS INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
819	1407846736	100374780F	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
820		300035658	HOME INSTEAD SENIOR CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
821		300028916	COMMUNITY HOME HEALTH CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
822		300088240	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
823		201172740A	CAREGIVER HOMES OF INDIANA INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
824		300084068	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
825		300083821	AIRE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
826		300087675	BEYOND THE HEART HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
827	1295164119	201170880A	DDEUTSCH HOMECARE, INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
828		201073890A	PURPOSE HOME HEALTH	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
829		300089582	NATHANIEL SENIOR CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
830		201270330A	HOMETOWN HOME HELPERS INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
831		300085326	ASSISTING YOUR LOVED ONES HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
832		300060101	RIGHT HAND LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
833		300086155	KARING HEARTS HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
834		300060802	SHINING HEARTS ADULT FAMILY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
835		300079058	ALLEGIANT CARE PLUS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
836		300036109	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
837		201237620A	ALWAYS BEST CARE-MICHIANA	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
838		300082057	HONEST HELPING HANDS HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
839		300025013	OAK GROVE CHRISTIAN RETIREMENT VILLAGE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
840		300041663	HELLENIC SENIOR LIVING OF MISHAWAKA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
841	1467589911	200106720L	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
842		300073626	INFAMOUS HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
843		300043167	HERITAGE WOODS OF NEWBURGH	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
844		200901180A	GODS HELPING HANDS PERSONAL SVS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
845		300081686	BRENTWOOD AT HOBART	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
846		300017609	ELLA'S HOUSE HOME CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
847		300059596	EMBASSY HOMECARE SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
848		300030271	GRACEFUL AGING HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
849		300030439	SANCTUARY AT ST PAUL'S	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
850		300056690	MERCY AND EMPATHY HOME CARE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
851		300052436	IDA'S PERSONAL CARE SERVICE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
852		201202710A	PUTNAM COUNTY HOSPITAL	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
853		300067164	DIGNITY HOME CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
854		300089662	GUIDING ANGELS AT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
855		300067948	INDEPENDENCE VILLAGE OF GREENWOOD	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
856		300074030	SUPERIOR HOME CARE SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
857		300082333	SAVED BY GRACE HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
858		300086591	CHOICE PERSONAL CARE SERVICE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
859		300066005	SOFIA HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
860		200878800A	COMFORT KEEPERS # 307	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
861		300053639	EMBRACING YOU, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
862		300079226	BRENTWOOD AT ELKHART ASSISTED LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
863		300053206	HEALING HANDS PERSONAL SERVICES AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
864		300047661	ALTERNATIVE HOME CARE SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
865		300080855	INFINITY PLUS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
866		300031868	A SENIOR RETREAT LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
867		300070720	BRIGHTER DAYS HOMECARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
868		201286830A	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
869	1821093162	200043620A	TENDERCARE HOME HEALTH SERVICES(WVR)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
870		300092890	TEAM SELECT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
871		300029178	VISITING ANGELS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
872	1023199486	200490700A	SOUTHERN INDIANA CENTER FOR INDEPENDENT	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
873		300073513	HELLENIC SENIOR LIVING OF NEW ALBANY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
874		201128130A	F AND P HOMECARE LLC DBA ALMOST KIN	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
875		300067953	STORYPOINT OF FORT WAYNE WEST	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
876	1497732028	200200300A	WILLIAMS BROS HEALTH CARE PHARMACY INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
877		300062014	HELP AT HOME, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
878	1669401212	200155140A	ACCESS MOBILITY INC (WAIVER)	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
879		300062441	MINISTERING HEARTS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
880	1083757397	200101390A	SCROGGINS NURSING & HOME SVC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
881		300028578	ANN'S PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
882		300080947	MAJESTIC CARE OF CARMEL	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
883		200976910B	ROSEWALK AT LUTHERWOODS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
884		300032901	INDIVIDUAL SUPPORT SERVICES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
885		300081549	TESMAC LLC D/B/A HARMONY HAVEN	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
886		300008012	ABSOLUTE ANGELS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
887		300013990	SILVER BIRCH OF KOKOMO	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
888		201344810A	WYNDMOOR ASSISTED LIVING LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
889		300029319	THE WYNDMOOR OF PORTAGE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
890		300079119	CARE FAIRY HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
891		300047934	OSSIAN HEALTH CARE AND REHABILITATION CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
892		300048260	MILDRED'S HELPING HANDS LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
893		300037966	GOLDEN HEART CAREGIVERS LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
894		300069769	INFINITE LOVING HANDS HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
895		300060906	BLOOM AT KOKOMO	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
896		300044361	HELPING AND HEALING HOME HEALTHCARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
897		300080052	IN HIS HANDS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
898		300022423	SILVER BIRCH OF MISHAWAKA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
899		300045203	COMPASSIONATE HOME CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
900		300072186	VITA OF MARION	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
901		300027594	THE WYNDMOOR OF CASTLETON LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
902		200137950B	HOME INSTEAD	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
903	1790145449	201391200A	TOGETHER HOMECARE OF GREENWOOD LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
904		201299810A	GRACE VILLAGE HEALTHCARE FACILITY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
905		300029566	WYNDMOOR OF EVANSVILLE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
906		201119570A	ALWAYS THERE PERSONAL CARE SERVICE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
907		300042830	JOURNEY'S HOME CARE AND CONCIERGE SERVICES	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
908		300040750	A HELPER'S HEART HOME CARE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
909		300055805	LOVING HEART HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
910		300077780	HOLISTIC HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
911		201351470A	LUTHERAN COMMUNITY HOME INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
912	1437399888	200928160A	CROWNPOINTE COMMUNITIES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
913		300089968	BEYOND PERSONAL CARE SERVICES INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
914	1861471849	200972250A	PEABODY RETIREMENT COMMUNITY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
915		300044764	TOGETHER HOMECARE OF JEFFERSONVILLE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
916		300057457	PRIMARY PERSONAL SERVICES LIMITED LIABILITY COMPAN	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
917		300030263	ASTER PLACE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
918		300035386	AMAZING HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
919	1881819555	200527750A	HARTWIGER ENTERPRISES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
920		300082762	TAILORED CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
921		300073715	LENDING AND HANDS NON MEDICAL HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
922		200863730A	HOME HELPERS # 58207 (WVR)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
923	1912930447	200483460A	FAITHFUL FRIENDS HOME HEALTHCARE (WVR)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
924		300077015	CANDICARE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
925		300076513	CONSISTENT CARE TRANSIT LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
926		300008970	TOTAL IN HOME SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
927		300031301	LENDING HANDS PERSONAL HOME CARE AGENCY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
928	1437399888	300006503	CROWNPOINTE OF PORTLAND	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
929		300048005	ADVANCED SENIOR SAFETY LLP	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
930	1053314021	300005300	GEORGE'S FAMILY PHARMACY, INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
931		300071506	ABOVE & BEYOND HOMECARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
932		300081739	KALON KARE HOME SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
933		300072099	A RAY OF SUNSHINE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
934	1548241045	300003902	WESLEY MANOR HEALTH CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
935		201012820A	BETHANY CARES HOME HEALTH AGENCY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
936		300072528	HORIZONS COMMUNITY CARE, INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
937		300052720	GIFTED TOUCH HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
938		300037535	STERLING HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
939		300019900	INFINITY HOME CARE PLUS INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
940		300010973	SILVER BIRCH OF MUNCIE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
941		201037860A	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
942		300009405	CROWNPOINTE OF GREENFIELD	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
943		201376680A	AGE IN PLACE HOME SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
944		300051698	AVALON ALLIANCE HOMECARE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
945		300086598	FIRST CHOICE PERSONAL CARE AND LIVING SOLUTIONS, L	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
946		300013589	BETTER LIVING HOME HEALTH CARE, INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
947	1285701235	200161910A	PEDIATRIC INFANT & FAMILY HHC SPEC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
948		300071232	TOUCHED BY TWO LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
949		300066073	M&M PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
950		300085894	INFINITE LOVING HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
951		300072666	COMPASSIONATE PERSONAL CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
952		300059280	LIGHTHOUSE SERVICES, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
953		300036151	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
954		300020744	SILVER BIRCH OF EVANSVILLE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
955		300060950	DIVINE HEART CAREGIVERERS LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
956		300051892	SEASONS HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
957		300039776	MAMA ANNIE'S HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
958		300023113	SILVER BIRCH OF TERRE HAUTE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
959		300072462	ASSISTED LOVED ONES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
960	1407846736	100374780G	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
961		300032734	HOOSIER FAMILY SUPPORTIVE LIVING	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
962		300059114	TEAM SELECT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
963		201291980A	SENIOR SUITES AT THE LELAND, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
964		201394910A	KOREMEN DISABILITY LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
965		300088250	HELP AT HOME SKILLED CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
966		200944790A	VERMILLION PLACE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
967		300032973	ANGEL'S PERSONAL CARE SERVICES, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
968		201353610A	MEALS ON WHEELS OF HENDRICKS COUNTY INC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
969		300006752	PEGGY'S PLACE ADULT LIFE CENTER	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
970		300083709	CARING CONNECTIONS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
971		300079323	TANGLEWOOD TRACE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
972	1972662112	100188020A	OLDER AMERICANS SERVICE CORP	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
973		300071504	LAMITA HOME CARE SERVICES, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
974		300023320	JUST FRIENDS, INC.	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
975		200802120A	COMFORT KEEPERS #566 (WAIVER)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
976		300059918	SWEET GALILEE AT THE WIGWAM	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
977		300072516	PREMIUM CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
978		300089132	ACTIVE DAY OF INDIANAPOLIS	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
979	1407846736	100374780E	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
980		300040830	EVERGREEN VILLAGE AT FORT WAYNE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
981		300068386	MEMORY LANE SENIOR CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
982		300080527	HELEN'S HEART HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
983		300058662	CHERISHING LIVES PERSONA CARE SERVICES	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
984		201275850A	KMG HOMECARE UNLIMITED LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
985		300055955	TENDER LOVE CARE, INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
986		201242830A	RIPLEY CROSSING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
987		300012094	SILVER BIRCH OF MICHIGAN CITY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
988		300088231	TRAVAIL WITH US	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
989		201056000A	COMFORT HOME HEALTH LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
990		300081997	SAFEVILLE CARING HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
991		300077740	FAMILY STYLE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
992		300032588	VICKIE BEESON LLC DBA SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
993		300090257	PAID.CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
994	1659468817	200862400A	ABLE HANDS HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
995		300058094	CARING DOVE PERSONAL CARE SERVICES	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
996		300026052	RIGHT HAND	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
997		300077046	BETTER CARE AT HOME	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
998		300069149	PINE KNOLL ASSISTED LIVING CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
999		300040198	OASIS OF LOVE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1000		300057619	DYNASTY PERSONAL HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1001		300083096	BETTER DAYS AT BETTER LIFE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1002		300030676	OTTERBEIN FRANKLIN	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1003		300058796	1 PASSION TO CARE INDIANA LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1004		300048442	JUST HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1005		300002453	CARE UNITED HOME CARE AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1006		300009585	HOMESTAY HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1007		300077162	ARME STRONG PERSONAL HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1008		300017719	GLASSWATER CREEK OF LAFAYETTE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1009		300069522	AGE IN PLACE HOME SERVICES WABASH	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1010		300026431	DYNASTY PERSONAL HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1011		300081721	BRENTWOOD AT LAPORTE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1012		300005079	RIA'S CARING SHARING SENIOR PERSONAL SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1013	1568764314	200997660A	TOUCH OF LOVE HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1014		300073475	CHARITY AND HOPE HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1015		201170870A	GOLDEN HEART CAREGIVERS LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1016		200928160F	CROWNPOINTE OF HARTFORD CITY	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1017		200928160E	CROWNPOINTE OF LEBANON	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1018		300069907	WESTMINSTER VILLAGE KENTUCKIANA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1019		300033834	HOMESAFE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1020	1376850438	200994230A	ADVOCATES PERSONAL CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1021		300074227	ANGELS SENIOR HOME SOLUTIONS	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1022	1427386291	200968630A	GUARDIAN ANGEL PERSONAL SERVICES INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1023	1467692400	200959390A	HOME HEALTH ANGELS LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1024		300084552	BRENDAS HOME SERVICES, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1025		201070900A	GIVING BACK INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1026		300082995	ELITE PROFESSIONAL HOME CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1027		300009572	AMENITY HOME CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1028	1245681121	201411630A	TRUECARE SENIORS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1029		300085090	DEDICATED HOME CARE & SERVICES LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1030	1467589911	200106720F	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1031	1407846736	100374780B	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1032	1760528665	200853020A	CAREGIVERS 2 INC (WAIVER)	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1033	1881997922	201007510A	CARE JUST 4 U LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1034		300041141	CHANGING LIVES PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1035		201189710A	SENIOR CHECK IN	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1036		201233450A	COMFORCARE VALPARAISO IN, INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1037		300027988	LEGACY CAREGIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1038	1497807358	200112780A	MOORE HOME HEALTH CARE INC-WAIVER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1039		201222790A	ELDERS JOURNEY HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1040		300021130	PERSONAL CHOICE INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1041		300022650	PHOENIX CARES,LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1042		300049739	OVER THE MOON HOME CARE, LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1043		300060114	REGAL ADULT DAY SERVICES CORP	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1044		201130400A	HOOSIER SENIOR CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1045		300077923	UNCONDITIONAL LOVE CAREGIVERS	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1046	1467589911	200106720C	HELP AT HOME INC - LAFAYETTE - WVR	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1047		201037840A	STILL WATERS ADULT DAY CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1048		300025432	RIVER TERRACE HEALTH CARE CENTER	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1049		300067952	INDEPENDENCE VILLAGE OF ZIONSVILLE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1050		300077517	FANTELLA WAY	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1051		300046728	VIVERA SENIOR LIVING OF COLUMBUS	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1052	1487975884	200948610A	COMFORCARE HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1053		300083711	GANVIE, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1054		300067326	MY MOBILITY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1055		300040653	RENEES HELPING HANDS HOME CARE AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1056		300068078	TRUSTING HOME CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1057		300042262	YOUR HEALING TOUCH, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1058		300082828	CARE FORCE ONE STRUCTURED FAMILY CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1059		300069909	PARKVIEW HAVEN	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1060	1235313859	200858610A	HOMEMAKERS A+ SERVICE INC (WVR)	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1061		300070721	1 PASSION TO CARE INDIANA LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1062		300033041	TEAM SELECT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1063		200364360C	MILLERS HEALTH SYSTEMS INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1064	1467589911	200106720O	HELP AT HOME LLC - VINCENNES - WVR	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1065		201081780A	ACCESSICARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1066		300033481	RIGHT AT HOME KENTUCKIANA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1067		300072447	PURE HANDS HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1068		200931340C	KLIPSCH SENIOR CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1069		201391150A	SENIORS HELPING SENIORS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1070		300083853	JOHNS QUALITY CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1071		300059872	HEAVENSENT PSA	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1072		300022422	TEAM SELECT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1073		300063442	MEDDRIVE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1074	1043379712	200215380A	WELCOME HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1075		300049510	SAFEKEEPING HOMECARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1076	1487982237	200956110A	SENIOR HELPERS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1077		300083744	PASSIONATE HANDS PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1078		300059635	A DAY AFTER DAY HOME CARE AGENCY	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1079		300031317	LIFE'S TOUCH HOME HEALTH INC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1080		300066261	ANGELIC HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1081		300088111	HELP AT HOME SKILLED CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1082		300081274	BRIGHTSTAR CARE OF INDIANAPOLIS NW	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1083		300090489	COMPASSIONATE CARE AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1084		300036124	COMPASSIONATE CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1085		300083745	HOME INSTEAD	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1086		201288480A	LARRIS-IFY HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1087	1730174434	200510580A	HAMILTON GROVE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1088		300006815	TEAM SELECT HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1089		300086189	PARENTS AT HOME COMPANION CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1090		300085796	GOOD DEEDZ LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1091		300076411	DIVINITY HOME CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1092		201012820B	BETHANY CARES HOME CARE AGENCY-PSA	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1093		300045986	CARE IN MOTION LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1094	1407846736	100374780J	ADVANTAGE HOME HEALTH CARE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1095		300048305	CROWN PERSONAL CARE AGENCY LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1096		200928420A	HOME CARE+	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1097		300075409	LOVE ORR CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1098		300067642	CLARITY PROMISES UNLIMITED LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1099		300075107	HOME IS WHERE THE HEART IS LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1100		300093294	THE MILTON HOME ASSISTED LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1101		300072238	THE LODGE AT SUMMERS POINTE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1102		201380590A	ARBOR VILLAGE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1103		300084240	RAYS CARING HEARTS LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1104		201299410A	LAPORTE COUNTY MEALS ON WHEELS, INC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1105		300085725	BLOOM AT WILLOW	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1106	1578560801	201224110A	PREMIER HOME HEALTH CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1107		300013436	ANOINTEDSAINTS HOME CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1108		300080419	DENISE LOVING CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1109		300077049	JUST LIKE FAMILY CARE LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1110		200923320A	HOME CARE ASSISTANTS LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1111		300063516	HOUSE OF ZION LLC,	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1112		300074663	PLEASANT LIVING HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1113	1467589911	200106720E	HELP AT HOME LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1114		200948710A	YOUR HOME CARE SOLUTION INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1115		300039484	TOWNE CENTRE ASSISTED LIVING, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1116		300062195	NOBLE HEARTS AGENCY, LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1117		300066135	A FAMILIAR FACE HOMECARE LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1118		300088621	HERITAGE POINTE OF WARREN	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1119	1235458068	201008050A	A-1 HEALTH & MEDICAL LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1120		300089053	A SENIOR RETREAT - PLAINFIELD	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1121		300044679	KRISTY'S HOUSE OF CARE, LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	ELIGIBLE
1122		300057090	REMARKABLE TOUCH PERSONAL SERVICE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1123		NULL	PEGGY'S PLACE ADULT LIFE CENTER	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1124	1477893006	NULL	ATTIC INC, DBA HOME SWEET HOME CARE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1125	1831335637	200928730A	SUMMIT PLACE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1126	1972839777	200962340A	AZALEA HILLS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1127		201223390A	MILTON HOME ASSISTED LIVING	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1128	1952586257	200876700A	HENRY COUNTY PERSONAL CARE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1129	1346476645	200944640A	CROWN POINTE SENIOR LIVING	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1130	1376896258	201116090A	CROWN POINTE OF CARMEL	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1131		201332210A	BRECKENRIDGE COMMONS	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1132	1962702241	NULL	BLOOMFIELD SENIOR LIVING OF GLEN LLC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1133	1306146667	NULL	BLOOMFIELD SENIOR LIVING OF PARK, LLC	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1134		NULL	BRECKENRIDGE COMMONS	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1135		300040119	PRINCESSIZZY LLC DBA SERENITY CARE SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1136		300077780	HOLISTIC HOMECARE	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1137		100108360A	MEALS OF WHEELS OF NORTHWEST INDIANA, INC.	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1138		NULL	MANAGEMENT & NETWORK SERVICES`	EXTENDED CARE FACILITY	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1139		200858750A	WINDSOR RIDGE	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1140		200468670A	AMHEALTH EVANSVILLE INC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	ELIGIBLE
1141		201346490A	CHEF FOR HIRE INCOPORATED	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1142		NULL	FIRST CHOICE HOME CARE LLP	WAIVER PROVIDER	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1143	1205852712	100275000A	HEALTH CENTER AT GLENBURN HOME	EXTENDED CARE FACILITY	NOT ELIGIBLE	NOT ELIGIBLE	ELIGIBLE
1144		200109560A	LEL HOME SERVICES	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1145	1770844219	100290560C	WATERS OF HUNTINGBURG II	EXTENDED CARE FACILITY	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1146	1972863421	100290430D	THE WATERS OF SCOTTSBURG II, LLC	EXTENDED CARE FACILITY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1147		300093385	KEEPSAKE VILLAGE OF COLUMBUS	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1148		NULL	611 W COUNTY LINE RD SOUTH TENANT LLC. d/b/a STORYPOINT FORT WAYNE WEST	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1149	1114986924	NULL	PROVIDENCE HEALTH CARE	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1150	1538894514	300069342	FAYETTE COUNTY MEDIC	CLINIC	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1151	1578116729	300035705	UNION COUNTY MEDICAL	CLINIC	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1152	1679086888	300028137	10TH STREET CLINIC	CLINIC	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1153		NULL	GOOD HANDS HOME CARE LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1154		NULL	ANN'S PERSONAL CARE SERVICES LLC	WAIVER PROVIDER	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE
1155	1366904872	NULL	BLOOM AT KOKOMO LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1156		NULL	NULL	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1157		NULL	LEGACY HOMECARE SOLUTIONS LLC	WAIVER PROVIDER	NOT ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1158	1669255931	NULL	BLOOM AT WILLOW LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1159	1134902422	NULL	BLOOM AT KESSLER LLC	WAIVER PROVIDER	ELIGIBLE	ELIGIBLE	NOT ELIGIBLE
1160	1484346607	NULL	CEE AND JAY PERSONAL SERVICES	HOME HEALTH AGENCY	ELIGIBLE	NOT ELIGIBLE	NOT ELIGIBLE