CICOA

What CICOA does

CICOA Aging & In-Home Solutions is a 501(c)(3) nonprofit organization founded in 1974 and headquartered in Indianapolis, Indiana. Designated as the largest Area Agency on Aging (AAA) in the state of Indiana, CICOA operates an Aging & Disability Resource Center (ADRC) and coordinates a portfolio of in-home and community-based services for older adults, people with disabilities, and family caregivers across eight Central Indiana counties (Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, and Shelby). Service lines include care management (Flourish Care Management), private-pay care coordination (Flourish at Home at $250/month or $125/hour), senior meals and nutrition (Meals & More), caregiver support (CareAware), transportation (Way2Go, ceasing May 29, 2026), home accessibility modifications (Safe at Home), healthcare collaboration partnerships with health systems, Medicaid waiver administration (PathWays for Aging, Health & Wellness, Traumatic Brain Injury, CIH, FSW), the CHOICE program, SHIP counseling, and PACE referral. The organization also operates Wrinkle Innovation, a venture studio launched in 2021 that has produced three start-ups and one subscription product.

CICOA's core technology layer is operational rather than proprietary — services are delivered through human care coordination, case management staff, and a resource database connecting clients to more than 4,000 local community resources, rather than a software platform. The business model is multi-stream: government funding (Older Americans Act, Medicaid waivers, CHOICE, Social Services Block Grants) forms the base; private-pay Flourish at Home memberships and hourly support provide a self-pay revenue stream; and tax-deductible donations, corporate sponsorships, foundation grants, and planned giving through the CICOA Foundation supply philanthropic support. Under prior CEO Orion Bell (2008–2019), the annual budget doubled from $13 million to $27 million in FY2019 and the care-managed population grew from 2,753 to 8,528 clients; under subsequent CEO Tauhric Brown and current CEO Lisa Schneekloth (the organization's first woman CEO, appointed in 2024), the organization has continued expansion through healthcare system partnerships and the Wrinkle Innovation venture studio.

CICOA holds NCQA Case Management for Long-Term Services & Supports accreditation (achieved 2018, renewed 2021 and 2024), AIRS accreditation, GuideStar Platinum Seal of Transparency, BBB accreditation, and is a member of USAging and Meals on Wheels America. Strategic healthcare partners include Eskenazi Health, IU Health Physicians, Oak Street Health, Anthem, and Managed Health Services Indiana. The organization employs 251–500 staff and has been named a Top Workplace by the Indianapolis Star.

Name

CICOA

Legal name

CICOA Aging & In-Home Solutions

Website

https://cicoa.org

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

251–500 employees

Short description

CICOA Aging & In-Home Solutions is the largest Area Agency on Aging in Indiana, coordinating care management, in-home services, meals, transportation, caregiver support, and Medicaid waiver programs for older adults, people with disabilities, and family caregivers across eight Central Indiana counties.

Ownership category

akta.pro rank

Product category

Aging and Disability Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Community Resources, Social Services & Transportation Coordination (HLADALAK)

akta.pro secondary industries

Elder Services & Aging Support (BPAGAEAF), Independent Living Community Ancillary Services (Dining/Transportation/Wellness Programs) (HLADAAAI)

Keywords

• Aging services
• Care management
• Disability services
• In-home care
• Area agency on aging

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

1. Government Funding: CICOA receives federal and state funding through the Older Americans Act, Medicaid waivers (PathWays for Aging, Health & Wellness, Traumatic Brain Injury), CHOICE program (Community and Home Options to Institutional Care for the Elderly and Disabled), and Social Service Block Grants to fund in-home and community-based services for seniors and people with disabilities.
2. Private Pay / Self-Pay Services: Flourish at Home private-pay care management membership at $250/month or $125/hour hourly support, providing personalized care coordination without insurance restrictions.
3. Donations and Philanthropy: Tax-deductible donations from individuals, corporate sponsorships, foundation grants, and planned giving programs through the CICOA Foundation.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

CICOA is the largest Area Agency on Aging in Indiana, providing care management, in-home and community-based services for older adults, people with disabilities, and family caregivers across eight Central Indiana counties. Its core offerings include the Aging & Disability Resource Center for options counseling, Flourish Care Management, Medicaid waiver and CHOICE program coordination, Meals & More nutrition services, Way2Go Transportation, Safe at Home modifications, and Healthcare Collaborations with health systems.

Product overview

CICOA Aging & In-Home Solutions is a nonprofit Area Agency on Aging offering a comprehensive portfolio of aging and disability services organized as both core programs and branded sub-services. The core services include the Aging & Disability Resource Center (ADRC) providing options counseling and resource connections, Flourish Care Management delivering person-centered care coordination, Healthcare Collaborations partnering with health systems, and Medicaid Waivers/CHOICE programs for government-funded in-home support. These are complemented by branded sub-services including Meals & More (senior nutrition with home-delivered meals, neighborhood sites, and specialty programs like Pet Connect and CICOA Dine Dollars), CareAware (caregiver support and counseling), Way2Go Transportation, Safe at Home (home accessibility modifications), and Flourish at Home (private-pay care management). CICOA also operates Wrinkle Innovation, a venture studio that develops start-up products for aging services. The organization serves Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan, and Shelby counties in Central Indiana as the largest Area Agency on Aging in Indiana.

Differentiator

Problem solved

Functional benefit

Brands

• Aging & Disability Resource Center: Aging & Disability Resource Center providing information on local services for older adults, people with disabilities and family caregivers.
• CareAware
• Meals & More
• Way2Go
• Flourish
• Safe at Home
• Flourish at Home
• Safe at Home

Products and services

• Aging & Disability Resource Center (ADRC) Free information, options counseling, and connection to community resources for older adults, people with disabilities, and family caregivers in Central Indiana.
• Flourish Care Management Comprehensive person-centered care management using a team-based approach to assess eligibility, develop customized care plans, and coordinate services to extend independent living for older adults and people with disabilities.
• Flourish at Home Private-pay / self-pay care management providing personalized care coordination, a dedicated care manager, and flexible access to services such as adult day services, attendant care, homemaker services, skilled nursing, meals, home modifications, PERS, and caregiver respite.
• CareAware Caregiver Support Caregiver support service offering one-on-one caregiver counseling, group education, and resources for caregivers of aging parents or loved ones.
• Meals & More

Quantifiable outcome

• Average CICOA client remains living independently at home for 3+ years with CICOA support
• +3 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eight partnerships are on record, tiered core and minor.

• Eskenazi HealthcoreStrategic or Co-development PartnerHealthcare collaboration partnership for care coordination. CICOA staff work alongside the Eskenazi GRACE team providing holistic assessment of cognitive, physical, social, financial, medication compliance, and daily functional needs. Early success showed significant reduction in 30-day hospital readmission rate.
• IU Health Physicians (Senior Care)coreStrategic or Co-development PartnerHealthcare collaboration partnership providing coordinated care services for senior patients. CICOA care coordinators work with IU Health providers to connect patients with community resources and support successful transitions from hospital to home.
• Oak Street HealthcoreStrategic or Co-development PartnerHealthcare collaboration partnership with Medicare-focused primary care centers. Coordinates care for seniors connecting medical services with community-based supports to improve health outcomes and reduce costs.
• AnthemcoreStrategic or Co-development PartnerManaged care organization partnership for Indiana PathWays for Aging waiver coordination. As of July 2024, Managed Care Entities coordinate and approve medical care and waiver services for individuals on PathWays for Aging Waiver.
• Managed Health Services IndianacoreStrategic or Co-development PartnerManaged care organization partnership for healthcare collaboration and care coordination services. Helps connect Medicaid members with community-based services and supports.
• INconnect AlliancecoreStrategic or Co-development PartnerCICOA is a member of the INconnect Alliance, a network of 16 Aging and Disability Resource Centers throughout Indiana. The alliance helps Hoosiers find information and resources as they navigate long-term care options statewide.
• Franciscan Senior Health & Wellness (PACE)minorStrategic or Co-development PartnerPartnership with PACE (Program of All-Inclusive Care for the Elderly) provider serving older adults in specific Indianapolis zip codes who meet nursing home level of care criteria.
• Meals on Wheels AmericacoreStrategic or Co-development PartnerNational membership organization supporting senior meal delivery programs. CICOA's Meals & More program participates in the national network providing home-delivered and congregate meals.

Scale indicators8 records

Recent moves3 records

Expansion highlights5 records

Others

• AARP Foundation: National nonprofit affiliated with AARP providing programs and resources for low-income older adults, including benefits access, food security, and caregiver support. Comparable to CICOA as a national elder-services nonprofit, with overlapping caregiver and senior support programming.
• WellSky: Software and analytics platform for home health, hospice, and community-based care organizations. Functions as an enabling technology provider to organizations like CICOA that coordinate aging and disability services, and increasingly competes with human-led coordination models via its care-coordination software.

Broad incumbents

• BrightSpring Health Services: Large diversified home and community-based services provider serving elderly and disabled populations including Medicaid waiver services, home health, and behavioral health. Overlaps with CICOA in HCBS waiver coordination and aging-in-place support.
• Amedisys: Major home health and hospice provider serving aging and disabled populations across the U.S. Comparable to CICOA in coordinating in-home care for elderly populations, though Amedisys operates as a publicly traded clinical provider rather than a nonprofit Area Agency on Aging.
• Easterseals: National nonprofit network providing disability and aging services including home modifications, caregiver support, and community-based care. Comparable to CICOA's Safe at Home, CareAware, and Flourish offerings, though Easterseals operates across many more states.
• National Council on Aging (NCOA): National nonprofit advocating for older adults and providing resources on benefits access, healthy aging, and economic security. Comparable to CICOA as a national-level elder-services and aging-support organization with overlapping resources on Medicare counseling and benefits navigation.

Direct peers

• Meals on Wheels America: National membership organization supporting senior meal-delivery programs. CICOA's Meals & More program is a member of this network, making Meals on Wheels a direct peer in the senior nutrition and aging-in-place space CICOA operates in.
• InnovAge Holding Corp. Leading PACE (Program of All-Inclusive Care for the Elderly) operator providing comprehensive medical and social services to nursing-home-eligible seniors. Comparable to CICOA's PACE partnership with Franciscan, with overlap in coordinating care for dual-eligible seniors aging in community settings.
• Help at Home: Leading personal care services provider focused on Medicaid waiver and HCBS services for seniors and individuals with disabilities. Direct competitor to CICOA in the Medicaid waiver attendant care and in-home support space across Indiana and adjacent states.

Emerging players

• Honor Technology: Tech-enabled home care platform combining software with a network of local home care agencies to deliver aging-in-place services. Emerging direct competitor to CICOA's in-home care management in markets where Honor expands, especially for private-pay care coordination.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UC19A6Rtk46yncttanm1esuw
• Facebookfacebook.com/CICOAIndiana
• LinkedInlinkedin.com/company/cicoa-aging-&-in-home-solutions
• Instagraminstagram.com/CICOAIndiana
• Xx.com/cicoa

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CICOA