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The Indiana Family and Social Services Administration Reference Guide AUGUST 2014

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The Indiana Family and

Social Services Administration

Reference GuideAUGUST 2014

Table of ContentsOffice of the Secretary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Division of Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Adult Protective Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Long Term Care Ombudsman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Indiana’s 16 Area Agencies on Aging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Division of Disability & Rehabilitative Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

DDRS Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

BDDS District Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

VRS Area Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

First Steps Clusters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Division of Family Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

DFR Regions and Local Offices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Division of Mental Health and Addiction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

DMHA State Operated Facilities and Community Mental Health Centers . . . . . . . . . . . . . . . . . . . . . . . . 28

FSSA Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Disability Determination Bureau . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Office of Early Childhood and Out of School Learning . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Childhood Development Fund Consultants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Office of Medicaid Policy and Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Hoosier Healthwise, Care Select, Healthy Indiana Plan (HIP), MED Works . . . . . . . . . . . . . . . . . . . . . . . 37

Traditional Medicaid, Waiver Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

How do I apply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

FSSA Contact Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

• 2 •

Office of the SecretaryPrograms/Services Acronym/

AbbreviationApproved

LogoFamily and Social Services Administration FSSAAudit Services AuditContract Management ContractsDivision of Healthcare Strategies and Technology DST Data and Analytics -- Privacy and Security -- Project Management -- Technology --Financial Operations FinanceHuman Resources HROffice of Communications and Media OCMOffice of General Counsel OGCCare Divisions: (See division lists for individual program and service areas)

Division of Aging DA Division of Aging

Division of Disability and Rehabilitative Services DDRS Division of Disability andRehabilitative Services

Division of Family Resources DFR Division ofFamily Resources

Division of Mental Health and Addiction DMHADivision ofMental Healthand Addiction

FSSA Operations Operations FSSAOperations

Office of Early Childhood and Out of School Learning OECOSLO�ce of Early Childhood and Out of School Learning

Office of Medicaid Policy & Planning OMPP O�ce of Medicaid Policy & Planning

• 3 •

Division of AgingPrograms Acronym/

AbbreviationApproved

LogoAged & Disabled Waiver A&D Waiver FSSAAssistance to Residents in County Homes ARCH FSSACommunity and Home Options to Institutional Care for the Elderly and Disabled CHOICE FSSAHospice -- FSSA

Indiana Money Management Program MMP FSSA, AARP Foundation

Long-Term Care Ombudsman LTC

Nutrition Program -- FSSANutrition Service Incentive Program NSIP FSSAOlder Hoosiers Program -- FSSA

OPTIONS – The Indiana Elder Affairs Network OPTIONS

Quality Assurance / Quality Improvement QA/QI FSSAResidential Care Assistance Program RCAP FSSASelf-Directed Attendant Care Program (CHOICE) SDC FSSASenior Farmers Market Nutrition Program SFMNP FSSASocial Services Block Grant SSBG FSSATitle III-B Supportive Services and Senior Centers Program T3B FSSATitle III-E National Family Caregiver Support Program T3E/Caregiver FSSATitle V Senior Community Service Employment Program SCSEP FSSATitle III-D Health Promotion Disease Prevention T3D FSSATraumatic Brain Injury Waiver TBI FSSA

Services Acronym/ Abbreviation

Approved Logo

Adult Day Services ADS FSSAAdult Guardianship Services AGS FSSAAdult Protective Services APS FSSAAdult Family Care AFC FSSAAssisted Living AL FSSAHome Health Care HHC FSSANursing Facilities NF FSSASelf-Directed Attendant Care SDAC FSSA

The following are not FSSA programs, but a partner, grantee or contractor of Aging:

Acronym/ Abbreviation

Approved Logo

Area Agencies on Aging/Aging and Disability Resource Centers AAA/ADRC

Chronic Disease Self Management Program (program of the Indiana State Dept. of Health/ISDH) CDSMP

Money Follows the Person (Federal Program) MFP

• 4 •

Division of AgingIndiana Family & Social Services Administration

Adult Protective ServicesState Hotline 1-800-992-6978

LAKE PORTER

LA PORTE ST. JOSEPH ELKHART

KOSCIUSKO MARSHALL

STARKE

JASPER FULTON

NEWTON PULASKI

MIAMI WABASH WHITE CASS

LA GRANGE STEUBEN

NOBLE DEKALB

WHITLEY ALLEN

WHITE HUNTINGTON

WELLS ADAMS

BENTON CARROLL

TIPPECANOE HOWARD JAY GRANT

WARREN CLINTON TIPTON

DELAWARE

FOUNTAIN RANDOLPH

MONTGOMERY BOONE HAMILTON

HENRY WAYNE

HENDRICKS MARION HANCOCK PUTNAM

PARKE

RUSH

VIGO CLAY

OWEN

MORGAN JOHNSON SHELBY

FAYETTE UNION

SULLIVAN GREENE

MONROE BROWN BARTHOLOMEW DECATUR

FRANKLIN

DEARBORN RIPLEY

KNOX DAVIESS

LAWRENCE JACKSON

JENNINGS

SWITZERLAND

ORANGE WASHINGTON

JEFFERSON

CLARK

MARTIN

PIKE DUBOIS

CRAWFORD FLOYD

HARRISONPERRY SPENCER

WARRICK POSEY

GIBSON

BLACKFORD

OHIO

MADISON

SCOTT

V E R M I L L I O N

VAND

ERBU

RGH

11A

2

3

4

5

6

7

8

8B

9

10 1112

13A

13B

1415

Adult Protective ServicesUnit Geographic Boundaries

Unit 1County: Lake2900 W 93rd AveCrown Point, IN 46307219-755-3863219-755-3865 FAX

Unit 1ACounties: Jasper, Newton, LaPorte, Porter, Pulaski, StarkeCourthouse Square Ste 501A809 State StLaPorte, IN 46350219-326-6808 ext 2420219-324-9394 FAX

Unit 2Counties: Elkhart, Kosciusko, Marshall, St. Joseph533 N . Niles AveSouth Bend, IN 46617800-626-8320574-235-5092574-235-9734 FAX

Unit 3Counties: Adams, Allen, DeKalb, Huntington, LaGrange, Noble, Stueben, Wells, WhitleyKeystone Bldg, 1st Floor602 S Calhoun StFort Wayne, IN 46802260-449-7989260-449-4618 FAX

Adult Protective Services continues on the next page.

ContinuedDivision of Aging• 5 •

Unit 8BCounties: Hancock, Johnson, ShelbyShelby Co . Courthouse407 S . Harrison StShelbyville, IN 46176317-392-6495

Unit 9Counties: Fayette, Franklin, Rush, Union, WayneWayne Co . Courthouse301 E . Main StRichmond, IN 47374765-973-9256

Unit 10Counties: Monroe, Morgan, Owen120 W . 7th St .Bloomington, IN 47404812-349-2665

Unit 11Counties: Bartholomew, Brown, Decatur, Jackson, Jennings234 Washington St .Columbus, IN 47201812-379-1670

Unit 12Counties: Dearborn, Jefferson, Ohio, Ripley, SwitzerlandCourthouse 1st Fl .215 W . High St .Lawrenceburg, IN 47205812-537-8862

Unit 13ACounties: Davies, Dubois, Greene, Knox, Martin, Pike200 E Walnut,Washington, IN 47501812-254-8681

Unit 13BCounties: Gibson, Perry, Posey, Spencer, Vanderburgh, WarrickCivic Center Rm 3291 NW M . L . King Jr . Blvd .Evansville, IN 47708812-435-5190

Unit 14Counties: Clark, Floyd, Harrison, ScottCounty Govt . Bldg .501 E . Court Ave .Jeffersonville, IN 47130812-285-6364

Unit 15Counties: Crawford, Lawrence, Orange, WashingtonCo . Govt . Bldg ., Ste 202806 Martinsburg Rd .Salem, IN 47167812-883-5998

Adult Protective Services (Continued)

Unit 4Counties: Benton, Carroll, Clinton, Fountain,Montgomery, Tippecanoe, Warren, WhiteCounty Building301 Main StLafayette, IN 47901877-749-9111

Unit 5Counties: Cass, Fulton, Howard, Miami, Tipton, Wabash200 Court ParkLogansport, IN 46947574-753-5808574-735-3205 FAX

Unit 6Counties: Blackford, Delaware, Grant, Henry, Jay, Madison, RandolphMadison Co . Gvt . Ctr16 E . 9th St Box 5Anderson, IN 46016765-641-9585

Unit 7Counties: Clay, Park, Putnam, Sullivan, Vermillion, VigoVigo Co . Courthouse33 S . 3rd St .Terre Haute, IN 47807812-462-3286

Unit 8Counties: Boone, Hamilton, Hendricks, Marion251 E Ohio St .Indianapolis, IN 46204317-327-1403

ContinuedDivision of Aging

Adult Protective ServicesState Hotline 1-800-992-6978

www.IN.gov/fssa

• 6 •

Division of AgingIndiana Family & Social Services Administration

Long Term Care Ombudsman State Ombudsman 1-800-622-4484 • 317-232-7134

WHITLEY

WHITE WELLS

WAYNE

WASHINGTON

WARRICK

WARREN

WABASH

VIGO

VERMILLION

VAND

ERBU

RGH

UNION

TIPTON

TIPPECANOE

SWITZERLAND

SULLIVAN

STEUBEN

STARKE

SPENCER

SHELBY

SCOTT

ST. JOSEPH

RUSH

RIPLEY

RANDOLPH

PUTNAM

PULASKI

POSEY

PORTER

PIKE

PERRY

PARKE

OWEN

ORANGE

OHIO

NOBLE

NEWTON

MORGAN

MONTGOMERY

MONROE

MIAMI

MARTIN

MARSHALL

MARION

MADISON

LAWRENCE

LA PORTE

LAKE

LA GRANGE

KOSCIUSKO

KNOX

JOHNSON

JENNINGS

JEFFERSON

JAY

JASPER

JACKSON

HUNTINGTON

HOWARD

HENRY

HENDRICKS

HARRISON

HANCOCK

HAMILTON

GREENE

GRANT

GIBSON

FULTON

FRANKLIN

FOUNTAIN

FLOYD

FAYETTE

ELKHART

DUBOIS

DELAWARE

DEKALB

DECATUR

DEARBORN

DAVIESS

CRAWFORD

CLINTON

CLAY

CLARK

CASS

CARROLL

BROWN

BOONE

BLACKFORD

BENTON

BARTHOLOMEW

ALLEN

ADAMS

16

15 1413

121110

98

7

6

5

4

3

2

1

Vanderburgh County

V.O.I.C.E.S.

Area Ombudsmen:Area 1 1-800-826-7871 (219) 794-1829Area 2 1-800-552-7928 (574) 284-7198Area 3 1-877-469-3161 (260) 469-3161Area 4 1-800-382-7581 (765) 423-5327Area 5 1-800-654-9421 (574) 737-2169Area 6 1-800-589-1121 (765) 759-1121 ext 145Area 7 1-800-489-1561 (812) 238-1561Area 8 1-800-869-0212 (317) 631-9410Area 9 1-800-458-9345 (765) 966-1795Area 10 1-800-844-1010 (812) 876-3383Area 11 1-866-644-6407 (812) 372-6918Area 12 1-866-689-3753 (812) 592-4222Area 13 1-800-742-9002 (812) 888-5158Area 14 1-888-948-8330 (812) 948-6428Area 15 1-800-845-6914 (812) 277-9626Area 16 1-800-852-3477 (812) 426-1295V.O.I.C.E.S. (812) 423-2927 (Vanderburgh County)

12-03-12• 7 •

Indiana’s 16 Area Agencies on Aging

WHITLEY

WHITE WELLS

WAYNE

WASHINGTON

WARRICK

WARREN

WABASH

VIGO

VERMILLION

VAND

ERBU

RGH

UNION

TIPTON

TIPPECANOE

SWITZERLAND

SULLIVAN

STEUBEN

STARKE

SPENCER

SHELBY

SCOTT

ST. JOSEPH

RUSH

RIPLEY

RANDOLPH

PUTNAM

PULASKI

POSEY

PORTER

PIKE

PERRY

PARKE

OWEN

ORANGE

OHIO

NOBLE

NEWTON

MORGAN

MONTGOMERY

MONROE

MIAMI

MARTIN

MARSHALL

MARION

MADISON

LAWRENCE

LA PORTE

LAKE

LA GRANGE

KOSCIUSKO

KNOX

JOHNSON

JENNINGS

JEFFERSON

JAY

JASPER

JACKSON

HUNTINGTON

HOWARD

HENRY

HENDRICKS

HARRISON

HANCOCK

HAMILTON

GREENE

GRANT

GIBSON

FULTON

FRANKLIN

FOUNTAIN

FLOYD

FAYETTE

ELKHART

DUBOIS

DELAWARE

DEKALB

DECATUR

DEARBORN

DAVIESS

CRAWFORD

CLINTON

CLAY

CLARK

CASS

CARROLL

BROWN

BOONE

BLACKFORD

BENTON

BARTHOLOMEW

ALLEN

ADAMS

16

15 1413

121110

98

7

6

5

4

3

2

1

To contact your local Area Agency toll-free, call

1-800-986-3505

Division of Aging

Find a complete list of offices and contact information beginning on the next page .

• 8 •

Indiana’s 16 Area Agencies on Aging

AREA 1Northwest Indiana Community Action Corp .5240 Fountain DriveCrown Point, IN 46307(219) 794-1829 or (800) 826-7871TTY: (888) 814-7597; FAX: (219) 932-0560Web Site: www .nwi-ca .com

AREA 2REAL Services, Inc .1151 S . Michigan St ., P .O . Box 1835South Bend, IN 46634-1835(574) 233-8205 or (800) 552-7928; FAX: (574) 284-2691Web Site: www .realservices .org

AREA 3Aging and In-Home Services ofNortheast Indiana, Inc .2927 Lake AvenueFort Wayne, IN 46805-5414(260) 745-1200 or (800) 552-3662FAX: (260) 456-1066Web Site: www .agingihs .org

AREA 4Area IV Agency on Aging & Community Action Programs, Inc .660 North 36th St ., P .O . Box 4727Lafayette, IN 47903-4727(765) 447-7683 or (800) 382-7556TDD: (765) 447-3307; FAX: (765) 447-6862Web Site: www .areaivagency .org

AREA 5Area Five Agency on Aging & Community Services, Inc .1801 Smith Street, Suite 300Logansport, IN 46947-1577(574) 722-4451 or (800) 654-9421; FAX: (574) 722-3447Web Site: www .areafive .com

AREA 6LifeStream Services, Inc .1701 Pilgrim Blvd ., P .O . Box 308Yorktown, IN 47396-0308(765) 759-1121 or (800) 589-1121TDD: (866) 801-6606; FAX: (765) 759-0060Web Site: www .lifestreaminc .org

AREA 7Area 7 Agency on Aging and Disabled West Central Indiana Economic Development District, Inc .1718 Wabash AvenueTerre Haute, IN 47807-3323(812) 238-1561 or (800) 489-1561FAX: (812) 238-1564Web Site: www .westcentralin .com

AREA 8CICOA Aging & In-Home Solutions4755 Kingsway Dr ., Suite 200Indianapolis, IN 46205-1560(317) 254-5465 or (800) 489-9550FAX: (317) 254-5494; TDD: (317) 254-5497Web Site: www .cicoa .org

AREA 9Area 9 In-Home and Community Services Agency520 South 9th St .Richmond, IN 47374-6230(765) 966-1795, (765) 973-8334 or (800) 458-9345FAX: (765) 962-1190Web Site: www .area9agency .org

ContinuedDivision of Aging• 9 •

www.IN.gov/fssa

AREA 10Area 10 Agency on Aging631 West Edgewood DriveEllettsville, IN 47429(812) 876-3383 or (800) 844-1010FAX: (812) 876-9922Web Site: www .area10agency .org

AREA 11Aging & Community Services of South Central Indiana, Inc .1531 13th Street, Suite G-900Columbus, IN 47201-1302(812) 372-6918 or (866)-644-6407; FAX: (812) 372-7846Web Site: www .agingandcommunityservices .org

AREA 12LifeTime Resources, Inc .13091 Benedict DriveDillsboro, IN 47018(812) 432-6200 or (800) 742-5001; FAX (812) 432-3822Web Site: www .lifetime-resources .org

AREA 13Generations Vincennes University Statewide Services1019 N . 4th Street, P .O . Box 314Vincennes, IN 47591(812) 888-5880 or (800) 742-9002FAX: (812) 888-4566Web Site: www .generationsnetwork .org

AREA 14Lifespan Resources, Inc .33 State Street, Suite 308, P .O . Box 995New Albany, IN 47151-0995(812) 948-8330 or (888) 948-8330; FAX: (812) 948-0147Web Site: www .lsr14 .org

AREA 15Hoosier Uplands/Area 15 Agency on Aging and Disability Services521 West Main StreetMitchell, IN 47446(812) 849-4457 or (800) 333-2451TDD: (800) 743-3333; FAX: (812) 849-4467Web Site: www .hoosieruplands .org

AREA 16SWIRCA & More16 West Virginia Street, P .O . Box 3938Evansville, IN 47737-3938(812) 464-7800 or (800) 253-2188FAX: (812) 464-7843 or (812) 464-7811Web Site: www .swirca .org

6-26-12Division of Aging• 10 •

Division of Disability & Rehabilitative ServicesPrograms/Services Acronym/

AbbreviationApproved

LogoDivision of Disability and Rehabilitative Services DDRS FSSABureau of Child Development Services BCDS FSSA

First Steps FS

Bureau of Developmental Disabilities Services BDDS FSSACommunity Integration and Habilitation Waiver (formerly Developmental Disability and Autism Waivers) CIH FSSAMedicaid Waiver Services -- FSSAPersonal Allocation Review PAR FSSAFamily Supports Waiver (formerly Support Services Waiver) FSW FFSATrain-the-Trainer Services -- FSSABureau of Quality Improvement Services BQIS FSSABureau of Rehabilitation Services BRS FSSABlind and Visually Impaired Services BVIS FSSA

Deaf and Hard of Hearing Services DHHS

Project SEARCH (Program is based on a national model who retains rights to this name/logo) --

Vocational Rehabilitation Services VRS FSSA

The following are not FSSA programs, but advisory bodies of DDRS:

Indiana Commission on Autism AU Commission State SealIndiana Commission on Developmental Disabilities DD Commission State Seal

Indiana Commission on Rehabilitation Services -- RE

HA

B ILITAT I O N S ERVIC

ES

•IN

DIA

NA COMMISSION

Indiana Council on Independent Living ICOIL

Indiana Interagency Coordinating Council on Infants and Toddlers ICC

The following are not FSSA programs, but grantees/contractors:

Advocare --

Indiana Assistive Technology Act INDATA

System Points of Entry (First Steps provider network) SPOE FSSA

• 11 •

1 2

3

4

5

6

7

8BDDS District Offices

3

4 5

6 910

1112

13 & 14

15 & 16

17

18

19

20

2122

23

24 & 25

7 & 8

VRS Area Offices

1 & 2

VRS Region Offices

First Steps Offices

WHITLEY

WHITE WELLS

WAYNE

WASHINGTON

WARRICK

WARREN

WABASH

VIGO

VERMILLION

VAND

ERBU

RGH

UNION

TIPTON

TIPPECANOE

SWITZERLAND

SULLIVAN

STEUBEN

STARKE

SPENCER

SHELBY

SCOTT

ST. JOSEPH

RUSH

RIPLEY

RANDOLPH

PUTNAM

PULASKI

POSEY

PORTER

PIKE

PERRY

PARKE

OWEN

ORANGE

OHIO

NOBLE

NEWTON

MORGAN

MONTGOMERY

MONROE

MIAMI

MARTIN

MARSHALL

MARION

MADISON

LAWRENCE

LA PORTE

LAKE

LA GRANGE

KOSCIUSKO

KNOX

JOHNSON

JENNINGS

JEFFERSON

JAY

JASPER

JACKSON

HUNTINGTON

HOWARD

HENRY

HENDRICKS

HARRISON

HANCOCK

HAMILTON

GREENE

GRANT

GIBSON

FULTON

FRANKLIN

FOUNTAIN

FLOYD

FAYETTE

ELKHART

DUBOIS

DELAWARE

DEKALB

DECATUR

DEARBORN

DAVIESS

CRAWFORD

CLINTON

CLAY

CLARK

CASS

CARROLL

BROWN

BOONE

BLACKFORD

BENTON

BARTHOLOMEW

ALLEN

ADAMS

Division of Disability & Rehabilitative ServicesIndiana Family & Social Services Administration

Bureau of Developmental Disabilities Services, Vocational Rehabilitation Services and First Stepswww.ddrs.IN.gov • 1-800-545-7763

Find a complete list of offices and contact information beginning on the next page .3-6-14

• 12 •

Continued

Division of Disability & Rehabilitative ServicesBureau of Developmental Disabilities Services, Vocational Rehabilitation Services and First Steps

All BDDS offices are co-located with a VRS office; all VRS region offices are co-located within a VRS area office.

BDDS District Offices

District 1110 W . Ridge RoadGary, IN 46408-2709Phone: 219-981-5313Toll Free: 1-877-218-3053 (V/VRS/711)Toll Free Fax: 1-855-455-4265Counties: Jasper, Lake, Newton, Porter, Pulaski & Starke

District 2100 W . South Street, Suite 100South Bend, IN 46601-2435Phone: 574-232-1412Toll Free: 1-877-218-3059 (V/VRS/711)Toll Free Fax: 1-855-455-4266Counties: Cass, Elkhart, Fulton, Howard, Kosciusko, La Porte, Marshall, Miami, Saint Joseph, Tipton & Wabash

District 3201 E . Rudisill Blvd ., Suite 300Fort Wayne, IN 46806-1756Phone: 260-423-2571Toll Free: 1-877-218-3061 (V/VRS/711)Toll Free Fax: 1-855-525-9370Counties: Adams, Allen, DeKalb, Huntington, LaGrange, Noble, Steuben, Wells & Whitley

District 430 N . 8th Street, P .O . Box 10217Terre Haute, IN 47802-0217Phone: 812-232-3603Toll Free: 1-877-218-3096 (V/VRS/711)Toll Free Fax: 1-855-525-9374Counties: Benton, Carroll, Clay, Clinton, Fountain, Monroe, Montgomery, Owen, Parke, Putman, Sullivan, Tippecanoe, Vermillion, Vigo, Warren & White

District 52620 Kessler Boulevard East Drive, Suite 105Indianapolis, IN 46220-2890Phone: 317-205-0101Toll Free: 1-877-218-3530 (V/VRS/711)Toll Free Fax: 1-855-525-9373Counties: Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan & Shelby

District 6201 E . Charles Street, Suite 130Muncie, IN 47305-2434Phone: 765-288-6516Toll Free: 1-877-218-3531 (V/VRS/711)Toll Free Fax: 1-855-525-9372Counties: Blackford, Delaware, Fayette, Franklin, Grant, Henry, Jay, Madison, Randolph, Rush, Union & Wayne

District 7700 E . Walnut StreetEvansville, IN 47713-2561Phone: 812-423-8449Toll Free: 1-877-218-3528 (V/VRS/711)Toll Free Fax: 1-855-525-9375Counties: Daviess, Dubois, Gibson, Greene, Knox, Martin, Perry, Pike, Posey, Spencer, Vanderburgh & Warrick

District 81452 Vaxter AvenueClarksville, IN 47129-7721Phone: 812-283-1040Toll Free: 1-877-218-3529 (V/VRS/711)Toll Free Fax: 1-855-525-9376Counties: Bartholomew, Brown, Clark, Crawford, Dearborn, Decatur, Floyd, Harrison, Jackson, Jefferson, Jennings, Lawrence, Ohio, Orange, Ripley Scott, Switzerland & Washington .

Division of Disability and Rehabilitative Services (DDRS)• 13 •

Continued

VRS Area Offices

Areas 1 & 2 - GaryVocational Rehabilitation Services110 W . Ridge RoadGary, IN 46408-2709Phone: 219-981-5326Toll Free: 1-877-847-9891 (V/VRS/711)Toll Free Fax: 1-855-450-3567Counties: Lake & Newton

Area 3Vocational Rehabilitation Services954 Eastport Centre Drive, Suite CValparaiso, IN 46383-4456Phone: 219-462-0521Toll Free: 1-877-847-9888 (V/VRS/711)Toll Free Fax: 1-855-450-3568Counties: Jasper, La Porte, Porter, Pulaski & Starke

Area 4Vocational Rehabilitation Services100 W . South Street, Suite 100South Bend, IN 46601-2434Phone: 574-232-4861Toll Free: 1-877-282-0964 (V/VRS/711)Toll Free Fax: 1-855-450-3569Counties: Marshall & Saint Joseph

Area 5Vocational Rehabilitation Services1659 Mishawaka Street, Suite AElkhart, IN 46514-1812Phone: 574-262-2086Toll Free: 1-877-847-9897 (V/VRS/711)Toll Free Fax: 1-855-450-3570Counties: Elkhart & Kosciusko

Area 6Vocational Rehabilitation Services615 N . 18th Street, Suite 103Lafayette, IN 47904-3413Phone: 765-449-4278Toll Free: 1-877-847-9892 (V/VRS/711)Toll Free Fax: 1-855-450-3575Counties: Benton, Clinton, Fountain, Montgomery, Tippecanoe & Warren

Areas 7 & 8 - Fort WayneVocational Rehabilitation Services201 E . Rudisill Blvd ., Suite 300Fort Wayne, IN 46806-1756Phone: 260-424-1595Toll Free: 1-877-715-5292 (V/VRS/711)Toll Free Fax: 1-855-450-3571Counties: Allen, DeKalb, LaGrange, Noble, Steuben & Whitley

Area 9Vocational Rehabilitation Services217 E . Southway Boulevard, Suite 100Kokomo, IN 46902-3577Phone: 765-455-5020Toll Free: 1-877-715-5294 (V/VRS/711)Toll Free Fax: 1-855-450-3576Counties: Carroll, Cass, Fulton, Howard, Miami, Tipton & White

Area 10Vocational Rehabilitation Services840 N . Miller Avenue, Suite CMarion, IN 46952-2338Phone: 765-662-9961Toll Free: 1-877-876-2866 (V/VRS/711)Toll Free Fax: 1-855-450-3572Counties: Grant, Huntington & Wabash

Area 11Vocational Rehabilitation Services201 E . Charles Street, Suite 130Muncie, IN 47305-2434Phone: 765-282-9863Toll Free: 1-877-847-9890 (V/VRS/711)Toll Free Fax: 1-855-450-3573Counties: Adams, Blackford, Delaware, Henry, Jay, Randolph & Wells

Division of Disability and Rehabilitative Services (DDRS)• 14 •

Continued

VRS Area Offices (Continued)

Area 12Vocational Rehabilitation Services222 E . 10th Street, Suite AAnderson, IN 46016-1583Phone: 765-643-7413Toll Free: 1-877-284-5052 (V/VRS/711)Toll Free Fax: 1-855-455-4155Counties: Hamilton, Madison & Marion [ZIP codes 46240, 46280 & 46290]

Areas 13 & 14 - Indianapolis Northeast & CentralVocational Rehabilitation Services2620 Kessler Boulevard East Drive, Suite 105Indianapolis, IN 46220-2890Phone: 317-205-0100Toll Free: 1-877-715-5296 (V/VRS/711)Toll Free Fax: 1-855-442-0002Counties: Hancock & Marion [ZIP codes 46201, 46202, 46205, 46208, 46216, 46218, 46219, 46220, 46226, 46228, 46229, 46235, 49236, 46250, 46256, 46260, 46268 & 46278]

Areas 15 & 16 - Indianapolis West & SouthVocational Rehabilitation Services2346 S . Lynhurst Drive, Building 100Indianapolis, IN 46241-5171Phone: 317-270-1005Toll Free: 1-877-876-2864 (V/VRS/711)Toll Free Fax: 1-855-344-0001Counties: Boone, Hendricks, Johnson, Marion [ZIP  codes 46203, 46204, 46214, 46217, 46221, 46222, 46224, 46225, 46227, 46231, 46234, 46237, 46239, 46241, 46254, 46259 & 46107 (Beech Grove)] & Shelby

Area 17Vocational Rehabilitation Services30 N . 8th Street, P .O . Box 10217Terre Haute, IN 47801-0217Phone: 812-232-7864Toll Free: 1-877-715-3170 (V/VRS/711)Toll Free Fax: 1-855-455-4256Counties: Clay, Parke, Putnam, Sullivan, Vermillion & Vigo

Area 18Vocational Rehabilitation Services1600 Willow Street, Suite BVincennes, IN 47591-4264Phone: 812-882-7208Toll Free: 1-877-847-9898 (V/VRS/711)Toll Free Fax: 1-855-442-0001Counties: Daviess, Gibson, Greene & Knox

Area 19Vocational Rehabilitation Services511 E . 4th Street, Suite 200Huntingburg, IN 47542-1360Phone: 812-683-2183Toll Free: 1-877-847-9896 (V/VRS/711)Toll Free Fax: 1-855-455-4257Counties: Crawford, Dubois, Martin, Orange, Perry, Pike, Spencer & Warrick

Area 20Vocational Rehabilitation Services700 E . Walnut StreetEvansville, IN 47713-2561Phone: 812-425-1367Toll Free: 1-877-715-5299 (V/VRS/711)Toll Free Fax: 1-855-455-4258Counties: Posey & Vanderburgh

Area 21Vocational Rehabilitation Services450 S . Landmark AvenueBloomington, IN 47403-5000Phone: 812-332-7331Toll Free: 1-877-847-9893 (V/VRS/711)Toll Free Fax: 1-855-455-4260Counties: Lawrence, Monroe, Morgan & Owen

Area 22Vocational Rehabilitation Services1248 Washington StreetColumbus, IN 47201-5722Phone: 812-376-9935Toll Free: 1-877-396-3271 (V/VRS/711)Toll Free Fax: 1-855-455-4261Counties: Bartholomew, Brown, Dearborn, Decatur, Franklin, Ohio, Ripley & Switzerland

Division of Disability and Rehabilitative Services (DDRS)• 15 •

Continued

VRS Area Offices (Continued)

Area 23Vocational Rehabilitation Services52 South 2nd StreetRichmond, IN 47374-4212Phone: 765-966-0932Toll Free: 1-877-715-3171 (V/VRS/711)Toll Free Fax: 1-855-450-3574Counties: Fayette, Rush, Union & Wayne

Areas 24 & 25Vocational Rehabilitation Services1452 Vaxter StreetClarksville, IN 47129-7721Phone: 812-288-8261Toll Free: 1-877-228-1967 (V/VRS/711)Toll Free Fax: 1-855-455-4259Counties: Clark, Floyd, Harrison, Jackson, Jefferson, Jennings, Scott & Washington

First Steps Clusters

Cluster ANorthwest Indiana First Steps11045 Broadway Street, Suite FCrown Point, IN 46307-7474Phone: 219-662-7790 • FAX: 219-662-7510Toll Free: 1-800-387-7837Counties: Jasper, Lake, La Porte, Newton, Porter, Pulaski & Starke

Cluster BNortheast Indiana First Steps700 E . Beardsley Ave .Elkhart, IN 46514-3366Phone: 574-293-2813 • FAX: 574-293-2300Toll Free: 1-866-725-2398Counties: Dekalb, Elkhart, Fulton, Kosciusko, LaGrange, Marshall, Noble, Saint Joseph, Steuben & Whitley

Cluster CFirst Steps of North Central Indiana8515 Bluffton Rd .Fort Wayne, IN 46809Phone: 260-207-5799 • FAX: 260-478-4850Toll Free: 1-877-494-5115 Toll Free FAX: 1-877-494-5116Counties: Adams, Allen, Grant, Huntington, Miami, Wabash & Wells

Cluster DMid-North First StepsP .O . Box 6449Lafayette, IN 47903-6449Phone: 765-420-1404 • FAX: 765-420-1406Toll Free: 1-877 811-1644 •FAX: 765-423-4235Counties: Benton, Boone, Carroll, Cass, Clinton, Fountain, Howard, Montgomery, Tippecanoe, Warren & White

Division of Disability and Rehabilitative Services (DDRS)• 16 •

www.IN.gov/fssa

8-12-14

First Steps Clusters (Continued)

Cluster FFirst Steps of West Central Indiana500 8th AvenueTerre Haute, IN 47804Phone: 812-231-8337 • FAX: 812-231-8166Toll Free: 1-877-860-0413Counties: Clay, Daviess, Greene, Knox, Martin, Owen, Parke, Putnam, Sullivan, Vermillion & Vigo

Cluster GCentral Indiana First Steps6923 Hillsdale Ct .Indianapolis, IN 46250Phone: 317-257-2229 • FAX: 317-205-2592Toll Free: 1-866-212-1434Counties: Hamilton, Hendricks, Johnson, Marion, Morgan & Tipton

Cluster HEast Central Indiana First Steps225 North High StreetMuncie, IN 47305Phone: 765-288-7690 • FAX: 1-877-288-7695Toll Free: 1-866-316-9800Counties: Blackford, Delaware, Henry, Jay, Madison, Randolph & Wayne

Cluster IFirst Steps of Southern IndianaP .O . Box 547Corydon, IN 47112Toll Free: 1-800-941-2450FAX: 1-877-674-2285Counties: Clark, Crawford, Dubois, Floyd, Gibson, Harrison, Orange, Perry, Pike, Posey, Scott, Spencer, Vandergurgh, Warrick & Washington

Cluster JFirst Steps - South EastP .O . Box 2249Columbus, IN 47202-2249Phone: 812-314-2982 • FAX: 812-373-3620Toll Free: 1-866-644-2454Counties: Bartholomew, Brown, Dearborn, Decatur, Fayette, Franklin, Hancock, Jackson, Jefferson, Jennings, Lawrence, Monroe, Ohio, Ripley, Rush, Shelby, Switzerland & Union

Division of Disability and Rehabilitative Services (DDRS)• 17 •

Division of Family Resources Programs/Services Acronym/

AbbreviationApproved

LogoDivision of Family Resources DFR FSSA

Indiana Manpower and Comprehensive Training IMPACT

IMPACT is a program of the Division of Family Resources,Indiana Family and Social Services Administration.Refugee Assistance -- FSSA

Refugee Cash Assistance RCA FSSARefugee Medical Assistance RMA FSSA

Supplemental Nutrition Assistance Program (Food Stamps) SNAP

Temporary Assistance to Needy Families TANF FSSA

Electronic Benefits TransferNot a program logo but is identified with Hoosier Works. EBT

The following are not FSSA programs, but grantees of DFR:

Indiana Association for Child Care Resource and Referral IACCRR

Indiana Association for the Education of Young Children IAEYC

Indiana Non-Formal Child Development Associate Project CDA --Indiana Accreditation Project IAP --

Teacher Education and Compensation Helps TEACH

• 18 •

1 2 34

56

87

910

WHITLEY

WHITEWELLS

WAYNE

WASHINGTON

WARRICK

WARREN

WABASH

VIGO

VERMILLION

VAND

ERBU

RGH

UNION

TIPTON

TIPPECANOE

SWITZERLAND

SULLIVAN

STEUBEN

STARKE

SPENCER

SHELBY

SCOTT

ST. JOSEPH

RUSH

RIPLEY

RANDOLPH

PUTNAM

PULASKI

POSEY

PORTER

PIKE

PERRY

PARKE

OWEN

ORANGE

OHIO

NOBLE

NEWTON

MORGAN

MONTGOMERY

MONROE

MIAMI

MARTIN

MARSHALL

MARION

MADISON

LAWRENCE

LA PORTE

LAKE

LA GRANGE

KOSCIUSKO

KNOX

JOHNSON

JENNINGS

JEFFERSON

JAY

JASPER

JACKSON

HUNTINGTON

HOWARD

HENRY

HENDRICKS

HARRISON

HANCOCK

HAMILTON

GREENE

GRANT

GIBSON

FULTON

FRANKLIN

FOUNTAIN

FLOYD

FAYETTE

ELKHART

DUBOIS

DELAWARE

DEKALB

DECATUR

DEARBORN

DAVIESS

CRAWFORD

CLINTON

CLAY

CLARK

CASS

CARROLL

BROWN

BOONE

BLACKFORD

BENTON

BARTHOLOMEW

ALLEN

ADAMS

7-14-14Division of Family Resources (DFR)

Find a complete list of offices and contact information beginning on the next page .

Division of Family ResourcesIndiana Family & Social Services Administration

• 19 •

Region 1 (Lake): [email protected]

Region 2 (St. Joseph): [email protected]

Region 3 (Allen): [email protected]

Region 4 (Grant): [email protected]

Region 5 (Marion): [email protected]

Region 6 (Vigo): [email protected]

Region 7 (Vanderburgh): [email protected]

Region 8 (Clark): [email protected]

Region9 (Tippecanoe): [email protected]

Region 10 (Wayne): [email protected]

Inquiries sent to a DFR Region e-mail address will receive a response within 3-5 business days.

Division of Family Resources (DFR)

All correspondence to DFR County Offices should be sent to: P.O. Box 1630, Marion, IN 46952

Division of Family ResourcesIndiana Family & Social Services Administration

County OfficesAll Office Hours are 8 am – 4:30 pm .

Adams CountyAdams County DFR1145 Bollman StreetDecatur IN 46733-2115Telephone/Fax: 1-800-403-0864

Allen CountyAllen County DFR201 E . Rudisill Boulevard, Suite 302Fort Wayne, IN 46806-1756Telephone/Fax: 1-800-403-0864

Bartholomew CountyBartholomew County DFR2330 Poshard DriveColumbus, IN 47203-1845Telephone/Fax: 1-800-403-0864

Benton CountyBenton County DFR305 E . 6th StreetFowler, IN 47944-1417Telephone/Fax: 1-800-403-0864

Blackford CountyBlackford County DFR1800 N . Walnut StreetHartford City, IN 47348-1360Telephone/Fax: 1-800-403-0864

Boone CountyBoone County DFR362 N . Mt . Zion RoadLebanon, IN 46052-8330Telephone/Fax: 1-800-403-0864

Brown CountyBrown County DFR121 Locust LaneNashville, IN 47448-0010Telephone/Fax: 1-800-403-0864

Carroll CountyCarroll County DFR901 Prince William Rd ., Suite FDelphi, IN 46923-1758Telephone/Fax: 1-800-403-0864

Cass CountyCass County DFR301 E . Broadway, Suite 301Logansport, IN 46947-3120Telephone/Fax: 1-800-403-0864

Clark CountyClark County DFR1021 Youngstown Shopping CenterJeffersonville, IN 47130-4253Telephone/Fax: 1-800-403-0864

Continued

Clay CountyClay County DFR1017 E . National AvenueBrazil, IN 47834-2713Telephone/Fax: 1-800-403-0864

Clinton CountyClinton County DFR51 W . Washington StreetFrankfort, IN 46041-1923Telephone/Fax: 1-800-403-0864

Crawford CountyCrawford County DFR 4030 E . Goodman Ridge Rd ., Suite CMarengo, IN 47140-8706Telephone/Fax: 1-800-403-0864

Daviess CountyDaviess County DFR714 W . Walnut StreetWashington, IN 47501-2574Telephone/Fax: 1-800-403-0864

Dearborn CountyDearborn County DFR230 Mary Avenue, Suite 100Greendale, IN 47025-2123Telephone/Fax: 1-800-403-0864

• 20 •

All correspondence to DFR County Offices should be sent to: P.O. Box 1630, Marion, IN 46952

Decatur CountyDecatur County DFR905 W . Keegan’s Way, Suite 4Greensburg, IN 47240-3403Telephone/Fax: 1-800-403-0864

DeKalb CountyDeKalb County DFR570 N . Grandstaff DriveAuburn, IN 46706-1660Telephone/Fax: 1-800-403-0864

Delaware CountyDelaware County DFR1107 S . Tillotson Avenue, Suite 2Muncie, IN 47304-4517Telephone/Fax: 1-800-403-0864

Dubois CountyDubois County DFR695 West 2nd StreetJasper, IN 47546-3243Telephone/Fax: 1-800-403-0864

Elkhart CountyElkhart County DFR1120 N . Main Street, Suite 201Elkhart, IN 46514-3203Telephone/Fax: 1-800-403-0864

Fayette CountyFayette County DFR1501 N . Eastern AvenueConnersville, IN 47331-2154Telephone/Fax: 1-800-403-0864

Floyd CountyFloyd County DFR800 E . 8th StreetNew Albany, IN 47150-3264Telephone/Fax: 1-800-403-0864

Fountain CountyFountain County DFR304 N . Sterling Avenue, Suite AVeedersburg, IN 47987-8550Telephone/Fax: 1-800-403-0864

Franklin CountyFranklin County DFR12050 Saint Mary’s Road, Suite ABrookville, IN 47012-9513Telephone/Fax: 1-800-403-0864

Fulton CountyFulton County DFR1519 Main StreetRochester, IN 46975-2619Telephone/Fax: 1-800-403-0864

Gibson CountyGibson County DFR104 E . Spruce StreetPrinceton, IN 47670-1424 Telephone/Fax: 1-800-403-0864

Grant CountyGrant County DFR830 N . Miller AvenueMarion, IN 46952-2338Telephone/Fax: 1-800-403-0864

Greene CountyGreene County DFR104 County Road 70 E, Suite DBloomfield, IN 47424-8738Telephone/Fax: 1-800-403-0864

Hamilton CountyHamilton County DFR1101 S . 10th StreetNoblesville, IN 46060-3560Telephone/Fax: 1-800-403-0864

Hancock CountyHancock County DFR1786 Melody LaneGreenfield, IN 46140-1191Telephone/Fax: 1-800-403-0864

Harrison CountyHarrison County DFR2201 Concord Avenue NW, Suite 120Corydon, IN 47112-2060Telephone/Fax: 1-800-403-0864

Hendricks CountyHendricks County DFR4310 Saratoga Parkway, Suite 200Plainfield, IN 46168-9209Telephone/Fax: 1-800-403-0864

Henry CountyHenry County DFR517 New York AvenueNew Castle, IN 47362-4912Telephone/Fax: 1-800-403-0864

Howard CountyHoward County DFR114 West Jackson StreetKokomo, IN 46901-4529Telephone/Fax: 1-800-403-0864

Huntington CountyHuntington County DFR1175 Etna AvenueHuntington, IN 46750-1346Telephone/Fax: 1-800-403-0864

Jackson CountyJackson County DFR1406 E . Tipton StreetSeymour, IN 47274-3533Telephone/Fax: 1-800-403-0864

ContinuedDivision of Family Resources (DFR)• 21 •

Jasper CountyJasper County DFR331 S . College AvenueRensselaer IN 47978-3087Telephone/Fax: 1-800-403-0864

Jay CountyJay County DFR1043 W . Votaw StreetPortland, IN 47371-1251Telephone/Fax: 1-800-403-0864

Jefferson CountyJefferson County DFR493 W . Hutchinson Lane, Suite AMadison, IN 47250-7830Telephone/Fax: 1-800-403-0864

Jennings CountyJennings County DFR1171 N . State StreetNorth Vernon, IN 47265-7476Telephone/Fax: 1-800-403-0864

Johnson CountyJohnson County DFR1788 E Jefferson StFranklin, IN 46131-7277Telephone/Fax: 1-800-403-0864

Knox CountyKnox County DFR730 College AvenueVincennes, IN 47591-3157Telephone/Fax: 1-800-403-0864

Kosciusko CountyKosciusko County DFR2307 E . Center Street, Suite EWarsaw, IN 46580-3907Telephone/Fax: 1-800-403-0864

LaGrange CountyLaGrange County DFR826 N . Detroit StreetLaGrange, IN 46761-1112Telephone/Fax: 1-800-403-0864

Lake CountyGary Office, Lake County DFR661 BroadwayGary, IN 46402-2407Telephone/Fax: 1-800-403-0864ZIP codes 46401, 46402, 46403 and 46404

Crown Point Office, Lake County DFR1865 E . Summit StreetCrown Point, IN 46307-2768Telephone/Fax: 1-800-403-0864ZIP codes 46303, 46307, 46308, 46311, 46341, 46355, 46356, 46373, 46375, 46376 and 46377

East Chicago Office, Lake County DFR3714 Main StreetEast Chicago, IN 46312-2224Telephone/Fax: 1-800-403-0864ZIP codes 46312, 46319, 46322 and 46394

Glen Park Office, Lake County DFR110 W . Ridge RoadGary, IN 46409-2709Telephone/Fax: 1-800-403-0864ZIP codes 46406, 46407, 46408 and 46409

Hammond Office, Lake County DFR5255 Hohman AvenueHammond, IN 46320-1721Telephone/Fax: 1-800-403-0864ZIP codes 46320, 46321, 46323, 46324, 46325 and 46327

Lake County continues in the next column.

Lake County (Continued) Hobart Office, Lake County DFR1871 East 37th AvenueHobart, IN 46342-2579Telephone/Fax: 1-800-403-0864ZIP codes 46342, 46405, 46410 and 46411

La Porte CountyLa Porte County DFR1551 S . Woodland AvenueMichigan City, IN 46360-7124Telephone/Fax: 1-800-403-0864

Lawrence CountyLawrence County DFR918 16th Street, Suite 100CBedford, IN 47421-3856Telephone/Fax: 1-800-403-0864

Madison CountyMadison County DFR 222 E . 10th Street, Suite EAnderson, IN 46016-1734Telephone/Fax: 1-800-403-0864

Marion CountyNorth - Marion Co. DFR2620 Kessler Blvd . E . Dr ., Suite 100Indianapolis, IN 46220-2891ZIP codes 46216, 46220, 46226, 46235, 46236, 46240, 46250, 46256, 46260, 46268 and 46278

West - Marion Co. DFR5610 Crawfordsville Rd ., Suite 500Indianapolis, IN 46224-3715Telephone/Fax: 1-800-403-0864ZIP codes 46113, 46214, 46217, 46221, 46224, 46225, 46231, 46241, 46234 and 46254

Marion County continues on the next page.

ContinuedDivision of Family Resources (DFR)

All correspondence to DFR County Offices should be sent to: P.O. Box 1630, Marion, IN 46952

• 22 •

Marion County (Continued)Central - Marion Co. DFR3266 N . Meridian St ., Suite 400Indianapolis, IN 46208-5839Telephone/Fax: 1-800-403-0864ZIP codes 46202, 46204, 46205, 46208, 46222 and 46228

East - Marion Co. DFR1213 N . Arlington AvenueIndianapolis, IN 46219-3202Telephone/Fax: 1-800-403-0864ZIP codes 46201, 46218, 46219, 46229, 46239 and 46259

South - Marion Co. DFR3906 Madison AvenueIndianapolis, IN 46227-1312Telephone/Fax: 1-800-403-0864ZIP codes 46107, 46203, 46227 and 46237

Marshall CountyMarshall County DFR510 W . Adams Street, Suite 210Plymouth, IN 46563-1785Telephone/Fax: 1-800-403-0864

Martin CountyMartin County DFR609 Ravine StreetShoals, IN 47581-2250Telephone/Fax: 1-800-403-0864

Miami CountyMiami County DFR14 S . Wabash StreetPeru, IN 46970-2209Telephone/Fax: 1-800-403-0864

Monroe CountyMonroe County DFR1711 N . College Avenue, Suite 101Bloomington, IN 47404-2450Telephone/Fax: 1-800-403-0864

Montgomery CountyMontgomery County DFR1633 Eastway DriveCrawfordsville, IN 47933-3793Telephone/Fax: 1-800-403-0864

Morgan CountyMorgan County DFR7851 Waverly RoadMartinsville, IN 46151-7613Telephone/Fax: 1-800-403-0864

Newton CountyNewton County DFR4117 S . 240 W ., Suite 200BMorocco, IN 47963-8196Telephone/Fax: 1-800-403-0864

Noble CountyNoble County DFR702 Goodwin Place, Suite AKendallville, IN 46755-1143Telephone/Fax: 1-800-403-0864

Ohio CountyOhio County DFR215 Main Street, Suite 1Rising Sun, IN 47040-1273Telephone/Fax: 1-800-403-0864

Orange CountyOrange County DFR326 N . Gospel Street, Suite BPaoli, IN 47454-1655Telephone/Fax: 1-800-403-0864

Owen CountyOwen County DFR450 E . Franklin Street, Suite BSpencer, IN 47460-1824Telephone/Fax: 1-800-403-0864

Parke CountyParke County DFR513 Rockville RoadRockville, IN 47872-1226Telephone/Fax: 1-800-403-0864

Perry CountyPerry County DFR202A US Highway 66 EastTell City, IN 47586-2043Telephone/Fax: 1-800-403-0864

Pike CountyPike County DFR2105 E . Main Street, Suite BPetersburg, IN 47567-8870Telephone/Fax: 1-800-403-0864

Porter CountyPorter County DFR2600 Roosevelt Road, Suite 200-1Valparaiso, IN 46383-0971Telephone/Fax: 1-800-403-0864

Posey CountyPosey County DFR1809 N . Main Street, Suite BMount Vernon, IN 47620-1209Telephone/Fax: 1-800-403-0864

Pulaski CountyPulaski County DFR 710 N . Plymouth RoadWinamac, IN 46996-7641Telephone/Fax: 1-800-403-0864

ContinuedDivision of Family Resources (DFR)

All correspondence to DFR County Offices should be sent to: P.O. Box 1630, Marion, IN 46952

• 23 •

Putnam CountyPutnam County DFR1020 Avenue F, Suite AGreencastle, IN 46135-1895Telephone/Fax: 1-800-403-0864

Randolph CountyRandolph County DFR221 N . Main StreetWinchester, IN 47394-1626Telephone/Fax: 1-800-403-0864

Ripley CountyRipley County DFR888 S . Adams StreetVersailles, IN 47042-9420Telephone/Fax: 1-800-403-0864

Rush CountyRush County DFR148 E . US Highway 52Rushville, IN 46173-7901Telephone/Fax: 1-800-403-0864

St. Joseph CountySouth Street Office, St. Joseph County DFR100 W . South Street, 2nd FloorSouth Bend, IN 46601-2434Telephone/Fax: 1-800-403-0864ZIP codes 46536, 46595 46601, 46613, 46614, 46615, 46617 and 46634

Michigan St. Office, St. Joseph County DFR300 N . Michigan Street, Suite 250South Bend IN 46601-1251Telephone/Fax: 1-800-403-0864ZIP codes 46552, 46554, 46574, 46616, 46619, 46624, 46626 and 46628

St. Joseph County continues in the next column.

St. Joseph County (Continued)Mishawaka Office, St. Joseph County DFR102 N . Center Street, Suite 500Mishawaka, IN 46544-1232Telephone/Fax: 1-800-403-0864ZIP codes 46530, 46544, 46545, 46646, 46556, 46561, 46635, 46637, 46660, 46680 and 46699

Scott CountyScott County DFR1048 W . Community WayScottsburg, IN 47170-7768Telephone/Fax: 1-800-403-0864

Shelby CountyShelby County DFR818 Elston Drive, Suite AShelbyville, IN 46176-1823Telephone/Fax: 1-800-403-0864

Spencer CountySpencer County DFR201 Elm StreetRockport, IN 47635-1409Telephone/Fax: 1-800-403-0864

Starke CountyStarke County DFR1921 S . Heaton StreetKnox, IN 46534-2325Telephone/Fax: 1-800-403-0864

Steuben CountySteuben County DFR202 E . Harcourt Road, Suite VAngola, IN 46703-7198Telephone/Fax: 1-800-403-0864

Sullivan CountySullivan County DFR124 S . State StreetSullivan, IN 47882-1841Telephone/Fax: 1-800-403-0864

Switzerland CountySwitzerland County DFR1035 W . Main Street, Suite 3Vevay, IN 47043-9125Telephone/Fax: 1-800-403-0864

Tippecanoe CountyTippecanoe County DFR3847 State Road 26 ELafayette, IN 47905-4872Telephone/Fax: 1-800-403-0864

Tipton CountyTipton County DFR120 N . Main StreetTipton, IN 46072-1603Telephone/Fax: 1-800-403-0864

Union CountyUnion County DFR303A N . Main StreetLiberty, IN 47353-1013Telephone/Fax: 1-800-403-0864

Vanderburgh CountyVanderburgh County DFR711 John Street, Suite CEvansville, IN 47713-2754Telephone/Fax: 1-800-403-0864

ContinuedDivision of Family Resources (DFR)

All correspondence to DFR County Offices should be sent to: P.O. Box 1630, Marion, IN 46952

• 24 •

Vermillion CountyVermillion County DFR121 N . Main StreetClinton, IN 47842-2426Telephone/Fax: 1-800-403-0864

Vigo CountyVigo County DFR1800 Fort Harrison Road, Suite 17Terre Haute, IN 47804-1413Telephone/Fax: 1-800-403-0864

Wabash CountyWabash County DFR85 W . Canal StreetWabash, IN 46992-3109Telephone/Fax: 1-800-403-0864

Warren CountyWarren County DFR18 W . 2nd StreetWilliamsport, IN 47993-1118Telephone/Fax: 1-800-403-0864

Warrick CountyWarrick County DFR911 W . Main StreetBoonville, IN 47601-1567Telephone/Fax: 1-800-403-0864

Washington CountyWashington County DFR1101 N . Jim Day Road, Suite 109Salem, IN 47167-5201Telephone/Fax: 1-800-403-0864

Wayne CountyWayne County DFR50 South 2nd StreetRichmond, IN 47374-4212Telephone/Fax: 1-800-403-0864

Wells CountyWells County DFR915 North Main Street, Suite 102Bluffton, IN 46714-1328Telephone/Fax: 1-800-403-0864

White CountyWhite County DFR1011 N . 6th StreetMonticello, IN 47960-1590Telephone/Fax: 1-800-403-0864

Whitley CountyWhitley County DFR 543 N . Line Street, Suite BColumbia City, IN 46725-1258Telephone/Fax: 1-800-403-0864

www.IN.gov/fssa

7-22-14Division of Family Resources (DFR)

All correspondence to DFR County Offices should be sent to: P.O. Box 1630, Marion, IN 46952

• 25 •

Division of Mental Health and AddictionPrograms/Services Acronym/

AbbreviationApproved

LogoDivision of Mental Health and Addiction DMHA FSSA

Data Assessment Registry Mental Health and Addiction DARMHA

Emergency Management Services -- FSSAFamily Action Network of Lake County FAN FSSA

Hoosier Assurance Plan HAP

Indiana Addictions Issues Coalition IAIC FSSAIndiana Council on Problem Gambling ICPG FSSAIndiana Prevention Resource Center IPRC FSSAIndiana Problem Gambling Awareness Program IPGAP FSSAKEY Consumer Organization KEY FSSAOmbudsman Program -- FSSAOpioid Addiction Treatment Programs OTP FSSA

Project Aftermath

Toll Free Lines -- FSSAState Psychiatric Hospitals: Evansville Psychiatric Children’s Center EPCC FSSA Evansville State Hospital ESH FSSA Larue Carter Hospital LCH FSSA Logansport State Hospital LSH FSSA Madison State Hospital MSH FSSA Richmond State Hospital RSH FSSA

The following are not FSSA programs, but grantees of DMHA:

Certified Recovery Specialist Program CRS --Choices, Inc. Technical Assistance Center Choices --Cultural Competency Program -- FSSA

Indiana Access to Recovery ATR

Indiana Addiction Line -- --Indiana Problem Gambling Line -- --Leading and Gambling Across Domains L.E.A.D. --Mental Health and Addiction Ombudsman -- --National Alliance on Mental Illness NAMI --Neighborhood Based Mental Health and Addiction Services -- --Pre-Audit Screening Residential Review PASRR --Psychiatric Residential Treatment Facility PRTF --State Operated Facility Long Term Care Agreements SOF --Strategic Prevention Framework State Incentive Grant SPF SIG --Systems of Care SOCTransformation Transfer Initiative TTI --

Continued• 26 •

DMHA Certification Acronyms:

Assertive Community Treatment ACT --Alternative Family for Adults AFA --Addiction Services Provider Outpatient ASO --Addiction Services Provider Regular ASR --Chronically Addicted CA --

Division of Mental Health and Addiction (DMHA)• 27 •

WHITLEY

WHITE WELLS

WAYNE

WASHINGTON

WARRICK

WARREN

WABASH

VIGO

VERMILLION

VAND

ERBU

RGH

UNION

TIPTON

TIPPECANOE

SWITZERLAND

SULLIVAN

STEUBEN

STARKE

SPENCER

SHELBY

SCOTT

ST. JOSEPH

RUSH

RIPLEY

RANDOLPH

PUTNAM

PULASKI

POSEY

PORTER

PIKE

PERRY

PARKE

OWEN

ORANGE

OHIO

NOBLE

NEWTON

MORGAN

MONTGOMERY

MONROE

MIAMI

MARTIN

MARSHALL

MARION

MADISON

LAWRENCE

LA PORTE

LAKE

LA GRANGE

KOSCIUSKO

KNOX

JOHNSON

JENNINGS

JEFFERSON

JAY

JASPER

JACKSON

HUNTINGTON

HOWARD

HENRY

HENDRICKS

HARRISON

HANCOCK

HAMILTON

GREENE

GRANT

GIBSON

FULTON

FRANKLIN

FOUNTAIN

FLOYD

FAYETTE

ELKHART

DUBOIS

DELAWARE

DEKALB

DECATUR

DEARBORN

DAVIESS

CRAWFORD

CLINTON

CLAY

CLARK

CASS

CARROLL

BROWN

BOONE

BLACKFORD

BENTON

BARTHOLOMEW

ALLEN

ADAMS

13, 4

7, 22

1, 2, 9, 15

25

2525

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Logansport State Hospital

Madison State Hospital

Evansville Psychiatric Children’s CenterEvansville State Hospital

Richmond State Hospital

Richmond State HospitalLarue D. Carter

Memorial Hospital

Division of Mental Health and AddictionIndiana Family & Social Services Administration

State Operated Facilities and Community Mental Health Centers

Numbers correspond to the list on the next page.

Find a complete list of offices and contact information beginning on the next page .

• 28 •

State Operated FacilitiesEvansville Psychiatric Children’s Center3300 E . Morgan AvenueEvansville, IN 47715812-477-6436

Evansville State Hospital3400 Lincoln AvenueEvansville, IN 47714812-469-6800

Larue D. Carter Memorial Hospital2601 Cold Springs RoadIndianapolis, IN 46222317-941-4000

Logansport State Hospital1098 S . State Road 25Logansport, IN 46947574-722-4141

Madison State Hospital711 Green RoadMadison, IN 47250812-265-2611

Richmond State Hospital498 N .W . 18th StreetRichmond, IN 47374765-966-0511

Community Mental Heath Centers1. Adult & Child Mental Health Center, Inc. Bob Dunbar • 317-882-5122

2. Aspire Indiana, Inc. Richard Dehaven • 317-587-0500

3. The Otis R Bowen Center Bowen Center Kurt Carlson • 574-267-7169

4. Centerstone of Indiana, Inc. Centerstone Suzanne Koesel • 812-339-1691

5. Community Mental Health Center, Inc. (Lawrenceburg) Tom Talbot • 812-532-3400

6. Cummins Behavioral Health Systems, Inc. Ann Borders • 317-272-3330

7. Edgewater Systems for Balanced Living, Inc. Danita Johnson-Hughes, Ph .D . 219-885-4264

8. Four County Comprehensive Mental Health Center, Inc. Four County Counseling Center Lawrence Ulrich • 574-722-5151

9. Community Hospitals of Indiana Gallahue Mental Health Center Eric Crouse, Ph .D . • 317-621-7600

10. Grant Blackford Mental Health, Inc. Paul Kuczora • 765-662-3971

11. Hamilton Center, Inc. Mel Burks • 812-231-8323

12. Community Howard Regional Health (Kokomo) James Alender • 765-453-8555

13. LifeSpring, Inc. Terry Stawar, Ed .D • 812-280-2080

Division of Mental Health and AddictionIndiana Family & Social Services Administration

State Operated Facilities and Community Mental Health Centers

ContinuedDivision of Mental Health and Addiction (DMHA)• 29 •

www.IN.gov/fssa

7-17-12

14. Meridian Health Services Corp. Hank Milius • 765-288-1928

15. Health and Hospital Corp. of Marion County, Indiana Midtown CMHC Margaret Payne • 317-630-7607

16. Northeastern Center, Inc. Jerry Hollister • 260-347-2453

17. Oaklawn Psychiatric Center, Inc. Laurie Nafziger • 574-533-1234

18. Park Center, Inc. Paul Wilson • 260-481-2721

19. Porter-Starke Services, Inc. Rocco Schiralli • 219-531-3500

20. Knox County Hospital Samaritan Center John Manning • 812-886-6800

21. Southern Hills Counseling, Inc. Joe Kimmel • 812-482-3020

22. Southlake Community Mental Health Center, Inc. Regional Mental Health Center Bob Krumwied • 219-769-4005

23. Southwestern Indiana Mental health Center, Inc. Dennis Moran 812-423-7791

24. La Porte County Comprehensive Mental Health Council, Inc. Swanson Center Matthew Burden, Ph .D . • 219-879-4621

25. Wabash Valley Alliance, Inc. Rick Crawley • 765-463-2555

Division of Mental Health and Addiction (DMHA)• 30 •

FSSA Operations Programs/Services Acronym/

AbbreviationApproved

LogoDisability Determination Bureau DDB FSSAMedical Review Team MRT FSSAOffice of Hearings and Appeals OHA FSSA

• 31 •

FSSA OperationsDisability Determination Bureau

Title II (Disability Insurance) covers workers who have established eligibility through prior work and Title XVI (Supplemental Security Income (SSI)) has a needs-based income and resource eligibility requirement. The purpose of these programs is to identify people who have disabilities that preclude the ability to work, or for children, preclude the ability to fully participate in learning activities. These programs have two desired outcomes. The first desired outcome is to correctly identify disabled adults and children. The second desired outcome is to have adults with potential referred to a public or private Vocational Rehabilitation Services (VRS), through the Social Security Administration’s “Ticket to Work” program.

In order to accomplish its mission, the DDB must work closely with the 26 local SSA Field Offices throughout Indiana, and Social Security Administration at the regional and national levels. The DDB must follow the statutory definition of disability in making its medical determinations.

Definition of Disability

The statutory definition of disability as defined in Section 223(d) of the Social Security Act is as follows:

“The inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months. An individual shall be determined to be under a disability only if his/her physical or mental impairment or impairments are of such severity that he/she is not only unable to do his/her previous work but cannot, considering his/her age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy.”

Apply For Services

Call the Social Security Administration toll free at 1-800-772-1213 or contact your local Social Security office. The addresses and telephone numbers of the local Social Security office are listed in your local telephone directory. You may also contact the Social Security Administration for information or to file a disability claim via their website.

Social Security Administration www.socialsecurity.gov/disability/

Indiana Social Security Field Offices www.in.gov/fssa/files/SSA_Indiana_Field_Offices.pdf

Obtain Status On A Pending Claim

Call the Disability Determination Bureau toll free at 1-800-622-4968 and ask the Operator for the Examiner assigned to your claim. The name and phone number is listed on the last page of correspondence that you have received from the Disability Determination Bureau.

• 32 •

Office of Early Childhood and Out of School Learning

Programs/Services Acronym/ Abbreviation

Approved Logo

Child Care Development Fund CCDF FSSA

Indiana Head Start State Collaboration Office IHSSCO

Paths to Quality --

• 33 •

Office of Early Childhood and Out of School Learning

Child Care Development Fund Child Care Voucher ProgramThe Child Care Development Fund (CCDF) voucher program is a subsidy designed to help low income families pay for child care while parents/guardians are working or attending school.

Families interested in participating in the CCDF voucher program must meet certain criteria to be eligible.

CCDF Eligibility Criteria

1. SERVICE NEED – parents/guardian must be employed, going to school or involved in a TANF/IMPACT activity.

2. FINANCIAL NEED – a new applicant must have gross monthly family income less than 127% of the Federal Poverty Level to be enrolled in the program.

3. RESIDENCY – Families must apply for CCDF at the Local Intake Office in the county in which they live.

4. AGE OF CHILD – Children must be under age 13, unless they provide appropriate documentation of special needs. Children with documented special needs may be enrolled up through age 17.

5. ELIGIBLE PROVIDER – Families must choose a CCDF eligible child care provider(s).

To find out more, call the Office of Early Childhood and Out of School Learning at 1-877-511-1144 or visit us on-line at www.IN.gov/fssa/carefinder/3900.htm.

For help with finding child care or more information about what to look for when choosing child care call 1-800-299-1627 or visit the www.childcarefinder.IN.gov website.

* Families are required to recertify their eligibility at least every six months.

• 34 •

www.IN.gov/fssa

3

2

1 WHITLEY

WHITE WELLS

WAYNE

WASHINGTON

WARRICK

WARREN

WABASH

VIGO

VERMILLION

VAND

ERBU

RGH

UNION

TIPTON

TIPPECANOE

SWITZERLAND

SULLIVAN

STEUBEN

STARKE

SPENCER

SHELBY

SCOTT

ST. JOSEPH

RUSH

RIPLEY

RANDOLPH

PUTNAM

PULASKI

POSEY

PORTER

PIKE

PERRY

PARKE

OWEN

ORANGE

OHIO

NOBLE

NEWTON

MORGAN

MONTGOMERY

MONROE

MIAMI

MARTIN

MARSHALL

MARION

MADISON

LAWRENCE

LA PORTE

LAKE

LA GRANGE

KOSCIUSKO

KNOX

JOHNSON

JENNINGS

JEFFERSON

JAY

JASPER

JACKSON

HUNTINGTON

HOWARD

HENRY

HENDRICKS

HARRISON

HANCOCK

HAMILTON

GREENE

GRANT

GIBSON

FULTON

FRANKLIN

FOUNTAIN

FLOYD

FAYETTE

ELKHART

DUBOIS

DELAWARE

DEKALB

DECATUR

DEARBORN

DAVIESS

CRAWFORD

CLINTON

CLAY

CLARK

CASS

CARROLL

BROWN

BOONE

BLACKFORD

BENTON

BARTHOLOMEW

ALLEN

ADAMS

Child Care Information Line: 1-877-511-1144

7-29-14Office of Early Childhood and Out of School Learning (OECOSL)

Office of Early Childhood and Out of School Learning

Indiana Family & Social Services AdministrationChild Care and Development Fund (CCDF) Consultants

Primary CCDF Contacts

1 Suzanne West 574-282-8065 574-282-8068 (fax) [email protected]

2 Carrie Gray 317-232-7122 317-234-1513 (fax) [email protected]

3 Laura Sullivan 812-447-8396 812-378-1908 (fax) [email protected]

• 35 •

Office of Medicaid Policy and PlanningPrograms/Services Acronym/

AbbreviationApproved

LogoOffice of Medicaid Policy and Planning OMPP FSSACertified Recovery Specialist CRS FSSAEarly Prevention, Screening, Diagnosis & Treatment EPSDT FSSAFamily Planning Waiver FP Waiver FSSA

Healthy Indiana Plan HIP

Hoosier Healthwise HHWHealth Care Program

Hoosier Healthwise

Indiana Care Select Care Select

Indiana Check-up Plan(Created for use on HEA 1678 which created the Healthy Indiana Plan)

Indiana Check-up

Indiana Prescription Drug Plan IPDP FSSA

HoosierRx

MED Works --

Presumptive Eligibility PE FSSA

The following are not FSSA programs, but Managed Care Providers for OMPP:

MDWise MDWise

Advantage Health Solutions Advantage

Anthem Anthem

Managed Health Services MHS

• 36 •

The following list of Medicaid programs can give you an idea of which program might be right for you . You can also go to the Eligibility Guide to get detailed information on eligibility criteria . The Eligibility Guide is located at: http://member.indianamedicaid.com/am-i-eligible.aspx

Office of Medicaid Policy and PlanningIndiana Family & Social Services Administration

www.IN.gov/fssa

Health Care ProgramHoosier Healthwise

Hoosier HealthwiseIndiana’s health care program for children, pregnant women, and low-income families . There are several different program packages under Hoosier Healthwise that are tailored for specific groups of people .*If you are a pregnant woman, you may be able to get coverage immediately under a program called Presumptive Eligibility . This will allow you to receive important prenatal care while your Medicaid application is being processed .

Care SelectIndiana’s health care program to serve individuals who may have special health needs or benefit from specialized attention . People served by Care Select may be aged, blind, disabled, members who get room and board assistance, members on M .E .D . Works, wards of the court and foster children, children receiving adoptive services and members on a home and community based (HCBS) waiver . When you apply for Medicaid, they will determine if Care Select is the best program for you .

Healthy Indiana Plan (HIP)The HIP plan covers individuals who do not live with a dependent child, and parents who earn up to $23,850 annually for a family of four, have been uninsured for six months and do not have access to insurance through their employer . HIP may require you to pay a small monthly fee based on the amount of your income . HIP does not cover vision, dental or maternity services . More information about the HIP program can be found at www.in.gov/fssa/hip/index.htm

MED WorksMED Works is Medicaid for Employees with Disabilities . Many disabled people feel that they may be able to return to work, but are fearful of losing their Medicaid benefits . MED Works is a program designed to allow disabled employees to work without fear of losing their Medicaid . MED Works offers the same coverage levels as regular Medicaid . There may be small monthly premiums based on the amount of money a worker earns . If you are receiving SSDI and no cash benefits and feel that you may be able to return to work, MED Works may be the program that would be best for you .

ContinuedOffice of Medicaid Policy and Planning (OMPP)• 37 •

Traditional MedicaidTraditional Medicaid is a low-income healthcare program that offers medical care such as doctor visits, prescribed drugs, dental and vision care, family planning, mental health care, surgeries and hospitalizations . The Traditional Medicaid program is for individuals who have both Medicaid and Medicare, have a spend down/monthly deductible, or are refugees .

WaiverWaiver services are for individuals of any age who have special medical needs . Waiver services allow members to live in a community setting and avoid institutional placement . To be eligible for any waiver program, you must meet both Medicaid guidelines and waiver eligibility guidelines . Indiana offers five waiver programs that target specific groups . The Aged and Disabled Waiver, The Traumatic Brain Injury Waiver, The Developmental Disabilities Waiver, The Autism Waiver, and the Support Services Waiver .

How do I apply?The Division of Family Resources (DFR) is the group that determines eligibility for all Indiana Social Services Programs . The DFR will assist you in determining which programs are right for you and your family . You can learn more about the application process by going to: http://member.indianamedicaid.com/apply-for-medicaid.aspx .

www.IN.gov/fssa

Office of Medicaid Policy and Planning (OMPP)• 38 •

State of IndianaFamily and Social Services Administration402 W. WASHINGTON STREET, P.O. BOX 7083INDIANAPOLIS, INDIANA 46207-7083www.fssa.IN.govThe Indiana Family and Social Services Administrationdoes not discriminate on the basis of race, color, creed, sex, age, disability, national origin, or ancestry.

#5300 Revised August 12, 2014