Indiana, a midwestern state with about 6 million people in 1999, provides home and community services to about 2,300 beneficiaries through its Aged/Disabled Medicaid waiver and an additional 10,000 persons with disabilities through its state-funded Community and Home Options to Institutional Care for the Elderly (CHOICE) program. The Medicaid waiver and the CHOICE program rely on an agency-based model for provision of home care services; with CHOICE providing a particularly flexible set of services. The state also funds two small programs that provide supplemental payments to people in board and care homes.