Medicaid eligibility indiana. Research shows that most older adults want to age at home.

Medicaid eligibility indiana Medicaid eligibility is determined at many levels, and each state has its own requirements, with financial eligibility changing annually. Jul 24, 2025 · CHOICE Waiver: A separate, state-funded program that offers services like homemaking and transportation with limited benefits but extended eligibility criteria. The Medicaid program distinguishes resources and income in determining eligibility and calculating the amount that a Medicaid recipient must contribute to medical expenses. Medicaid Basics and Indiana Health Coverage Programs What is Medicaid? Funded by state and federal government Provides free or low-cost health coverage to Hoosiers It includes many different programs where eligibility criteria varies by group Introduction June 1, 2014: Indiana implements eligibility changes to the aged, blind, and disabled (ABD) Medicaid program ♦ Division of Family Resources (DFR), through its county offices, is responsible for determining eligibility for IHCP services. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries. Nov 4, 2025 · Medicaid eligibility income chart for nursing homes, assisted living, in-home care and other types of long term care. For example, if an individual is enrolled with Anthem to receive their Medicaid benefits through the Indiana PathWays for Aging program, they will be default enrolled in Anthem’s D-SNP when they become eligible for Medicare. Hoosier Healthwise Indiana Medicaid plans covers medical care like doctor visits, prescription medicine, mental health care, dental care The PathWays Waiver is administered by the Office of Medicaid Policy and Planning. The plan covers Hoosiers ages 19 to 64 who meet specific income levels. To grant Medicaid eligibility, the Division of Family Resources (DFR) needs some information about your income and assets. You can learn about each program by clicking on the links below: Traditional Medicaid - for children receiving Home and Community-Based Services Hoosier Care Connect - for aged, blind, or disabled children Hoosier Healthwise - for most children who qualify for Medicaid Sep 18, 2025 · Don't risk losing your Medicaid benefits Complete your Indiana Medicaid renewal on time to keep your benefits. The method used to determine income eligibility (Modified Adjusted Gross Income MAGI/non-MAGI), the type of coverage (traditional fee-for-service or managed care), and the scope of the benefits provided all vary based on the category under which individuals are Important information about Presumptive Eligibility This bulletin clarifies certain procedures and policies pertaining to the Indiana Health Coverage Programs (IHCP) Presumptive Eligibility (PE) process, including hospital-based presumptive eligibility. May 20, 2025 · Free Healthcare and Insurance Programs Healthcare costs deplete retirement savings quickly for Indiana seniors. Reflects Medicaid state plan coverage of the eligibility group for parents and other caretaker relatives. Parents and caretaker relatives with income over the income standard for coverage under this group may be eligible for coverage in the adult group in states that have expanded to cover the adult group. E. Indiana Medicaid What is Medicaid? Medicaid is a health insurance program funded by the state and federal government. Apr 18, 2025 · Thousands of Hoosiers could lose access to Medicaid under the contentious priority bill Indiana lawmakers sent Gov. If you think you may be eligible, the best thing to do is apply. Overview To apply for Medicaid, you will need to fill out and submit an application, also known as an Indiana Application for Health Coverage. Find comprehensive resources at Paid. Medicaid Waivers allow an individual to use the traditional Medicaid State Health Plan along with the additional services available through the Medicaid Waiver program. Jul 3, 2025 · An overview of Hoosier Care / Indiana Medicaid’s long term care programs and eligibility requirements including nursing home care, assisted living and in-home care. The Indiana Medicaid program includes Traditional Medicaid, Hoosier Healthwise, Medicaid Waivers Indiana Medicaid Indiana Medicaid is a set of different insurance programs that cover eligible Indiana residents and qualified aliens. Jun 5, 2025 · Learn about Indiana’s new mandatory managed care Medicaid program, Pathways for Aging, the potential long-term services and supports, functional and financial eligibility criteria, and how application and enrollment works. Be prepared for an interview that will determine your eligibility, providing accurate Indiana Medicaid provides coverage to children through several programs. The change comes […] Find out if you may be eligible for Medicaid and CHIP in Indiana If the person reapplies at least 95 days after being denied for not verifying citizenship, they are eligible for a new ROP. Important: Redetermination and Eligibility Checks Indiana Medicaid members must have their eligibility renewed every 12 months. The Indiana Partnership policy asset disregard applies to resources. Hoosier Care Connect is a coordinated health care program for certain aged, blind, and disabled individuals eligible for the Medicaid program. As of June 1, 2014, Indiana will automatically enroll Explore Indiana Medicaid Waivers: Pathways, Health & Wellness, Family Supports, and CIH. The Indiana Family and Social Services Administration said the criteria hasn’t changed, but some children may no longer qualify based on the new assessment Low-income individuals who don't qualify under another eligibility category may qualify for family planning services under the Family Planning Eligibility Program. Discuss your Indiana Medicaid eligibility, as Indiana Medicaid is required to participate in the Health and Wellness Waiver. Each program uses a different set of measures to determine if a person qualifies Medicaid eligibility is determined by several factors and can be complicated. This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. Indiana Medicaid provides a healthcare safety net to over 1 million Hoosiers who are aged, disabled, blind, pregnant or meet other eligibility requirements. Several programs are part of Medicaid in Indiana, including: Indiana PathWays for Aging, a Medicaid managed care program for individuals aged 60 and over also launched on July 1. Medicaid for elderly: what’s covered and who qualifies Medicaid covers nursing home care and home-based services for The Indiana Health Coverage Programs (IHCP) member identification card, called the Hoosier Health Card, is used to identify enrollment in IHCP fee-for-service (FFS) programs, including Traditional Medicaid, Emergency Services Only, Medicare Savings Programs and the Family Planning Eligibility Program. The IHCP Provider Healthcare Portal is an internet-based solution that offers enhanced reliability, speed, ease of use, and security to providers and other partners doing business with the IHCP. Jan 1, 2014 · The agency has procedures to take applications, assist applicants and perform initial processing of applications for the eligibility [ZI groups listed below at locations other than those used for the receipt and processing of applications for the title IV -A program, including Federally-qualified health centers and disproportionate share hospitals. Are you on Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect or Indiana PathWays for Aging? Call your health plan, also known as a managed care entity (MCE), for any coverage or benefit questions. Members have a small monthly IHCP Presumptive Eligibility benefits, coverage categories and effective dates As described in Code of Federal Regulations 42 CFR 435. It includes checks of your income to make sure you still qualify. Understanding eligibility, application processes, and benefits is crucial for those seeking assistance. Medicaid Policy About OMPP About OMPP The FSSA Office of Medicaid Policy and Planning efficiently and effectively administers Medicaid programs for the state of Indiana. Several programs are part of Medicaid in Indiana, including: Hoosier Healthwise (Packages A and C) Heathy Indiana Plan (HIP) Hoosier Care Connect and M. It ensures access to necessary medical care, promoting healthier pregnancies and outcomes for mothers and babies. 1 day ago · What can you do in the Provider Healthcare Portal? Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims Check on the status of their claims Inquire on a patient's eligibility View their Remittance Advices Managed Care Entities can: Enroll, disenroll, and update primary medical providers Review their encounter claims Medicaid eligibility is determined by several factors and can be complicated. Some individuals on the PathWays program will qualify for additional services based on their needs and will be eligible for the PathWays Medicaid Waiver. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Indiana Medicaid office. Are you a member without a health plan? Traditional Medicaid members should contact the Traditional Medicaid Member Services and This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. Provider updates and announcements, important reference materials, and general program information are all available through links and webpages located on this website. Applicants falling within a specific Medicaid program will have to meet its criteria in order to receive medical insurance through Indiana Medicaid program. Hoosier Healthwise Indiana Medicaid plans covers medical care like doctor visits, prescription medicine, mental health care, dental care Nov 13, 2025 · Some 300,000 people covered by the Indiana Medicaid program will have less than two months to change their health insurance company as state officials are kicking MDwise off the provider list. The IHCP Eligibility Verification System (EVS), that includes AVR, OMNI, and Provider Electronic Solutions, is designed to inform a provider of a member’s Traditional Medicaid/QMB dual eligibility status when spend-down has not been met for the month. There are many categories of eligibility and several different Medicaid programs. Learn who’s eligible to enroll in Indiana's Medicaid program, Hoosier Healthwise, how to apply, the status of Medicaid expansion and the effects of Medicaid disenrollment. It is the State of Indiana’s health care program for children, pregnant women, and families with low income. gov) along with pregnancy Medicaid coverage from the State of Indiana. Healthcare. Some are Hoosier Healthwise Packages A and C, Hoosier Care Connect (Anthem, MHS, United Healthcare), and M. indianamedicaid. Medicaid Policy Health Coverage Health Coverage Indiana offers several health coverage options to qualified low-income individuals and families, individuals with disabilities and the elderly with limited financial resources. Eligibility Rules for 2025 To join Indiana’s SFC program, both the caregiver and the person receiving care must meet specific requirements. Its current Medicaid contract with Indiana was awarded in 2023, and it manages care for 300,000 state residents, the Indiana Capital Chronicle reported. Sep 12, 2024 · The Indiana Medicaid Program provides medical benefits to low-income individuals without medical insurance or adequate medical insurance. -based McLaren Health Care. For example, if spend-down has not been met on the date of service, the AVR, OMNI, and Provider Electronic Solutions informs the provider that Jun 25, 2024 · When applying for Indiana Medicaid, ensure you meet eligibility requirements based on income and assets. Jul 1, 2025 · Explore significant changes to Indiana's Medicaid, pre-K voucher eligibility, speed limits, and more effective July 1. When the Indiana Health Coverage Programs (IHCP) Eligibility Verification System (EVS) identifies a member as having only Qualified Medicare Beneficiary coverage (without also having Full Medicaid or Package A coverage), the provider should contact Medicare to confirm medical coverage. care. Health Plan Comparisons Indiana Medicaid Indiana Medicaid for Members Programs Health Plan Comparisons Welcome to Indiana Medicaid Welcome to Indiana Medicaid. Overview This is a general description of the benefits available to members with Package A (Standard Plan or Full Medicaid) and Package C. fssabenefits. The Family Planning Eligibility Program provides only family planning services to qualifying men and women, per Indiana Code IC 12-15-46 Medicaid Waivers and State Plan Amendments. Sep 5, 2025 · MHS Indiana offers comprehensive Hoosier Healthwise health insurance plans that fit your unique needs. Apr 18, 2024 · An Indianapolis Medicaid planning attorney at Frank & Kraft discusses Medicaid eligibility for seniors in Indiana. Oct 3, 2025 · Hoosier Healthwise (HHW) is one of the Indiana Medicaid programs. A complete list of phone numbers is provided below. in. 1. Following the eligibility determination, county offices enroll individuals meeting eligibility standards and maintain eligibility files using the Indiana Client Eligibility System (ICES) for the IHCP member population. . It pays for necessary medical coverage for low income citizens. Learn about the new Health & Wellness Waiver in Indiana and what it means for Hoosier family caregivers that are familiar with the Age & Disabled Waiver. 05). Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. e. Or they want to age independently in their communities. Medicaid is a health insurance program funded by the state and federal government. May 14, 2025 · Learn how to qualify for Medicaid for long-term care in Indiana, including income limits, asset rules, medical eligibility, and the application process. Medicaid pays for necessary medical coverage for low-income individuals and families. During each succeeding ROP, Medicaid must be authorized if all other eligibility requirements are met (Refer to 2035. These services are offered through a variety of programs, including Nursing Home Medicaid, HCBS Medicaid Waivers, and Regular Medicaid (Aged, Blind, and Disabled The Medicaid program uses the term resources to mean assets. Indiana Medicaid Indiana Medicaid is a set of different insurance programs that cover eligible Indiana residents and qualified aliens. Nov 13, 2025 · Some 300,000 people covered by Indiana’s Medicaid program will have less than two months to change their health insurance company. If you do not make a health plan selection on this application, you will have sixty (60) days in which to select a Nov 13, 2025 · Indiana is removing MDwise as a managed care health plan offered within the state’s Medicaid programs, effective Jan. Feb 1, 2024 · Loss of pregnancy Medicaid coverage for any reason such as an increase in income, will not qualify you for a special enrollment period. Explore the essential eligibility criteria, financial requirements, and program specifics. The IHCP recently expanded the PE process, to include additional eligibility groups and additional provider types to perform PE determinations Introduction The Presumptive Eligibility (PE) process allows qualified providers (QPs) to make determinations for certain eligibility groups to receive temporary health coverage under the Indiana Health Coverage Programs (IHCP) until official IHCP eligibility is determined. MHS is here to help. Waivers provide funding for children and adults with disabilities to receive support and services in the home and community rather than in an institutional setting. Learn how to apply for Medicaid in Indiana at MHS Indiana. Important: Our calculator is solely an estimation tool, and any information resulting from its use should be used accordingly Oct 3, 2025 · Healthy Indiana Plan is a Medicaid program for Indiana Health Coverage Programs (IHCP) members age 65 and over, or with blindness or a disability. Collect vital documents like proof of identity, income, and assets for a smooth process. Aug 16, 2025 · Find out who qualifies for Medicaid in Indiana. Waivers are a part of the federally and state funded Medicaid program that provides for reasonable and necessary medical care for persons meeting eligibility requirements. 19 hours ago · Indiana’s Medicaid agency currently considers Brader “medically frail,” giving her access to an expanded set of benefits, such as physical therapy. 3 days ago · What can you do in the Provider Healthcare Portal? Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims Check on the status of their claims Inquire on a patient's eligibility View their Remittance Advices Managed Care Entities can: Enroll, disenroll, and update primary medical providers Review their encounter claims Introduction June 1, 2014: Indiana implements eligibility changes to the aged, blind, and disabled (ABD) Medicaid program The Family Supports HCBS waiver provides limited, non-residential supports to individuals with developmental disabilities who live with their families or in other settings with informal supports. Therefore, individuals may wish to obtain subsidized health coverage via the federal health exchange (www. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who ls authorized to determine a child's eligibility under the Medicaid state plan or for child health assistance under the Children's Health Insurance Program (CHIP) ls authorized to determine a child's eligibility under the Medicaid state plan or for child health assistance under the Children's Health Insurance Program (CHIP) The Program of All-Inclusive Care for the Elderly (PACE) was implemented by the state of Indiana to provide quality community-based care for Indiana Health Coverage Programs (IHCP) members who: Are 55 years old or older Are certified by the state to qualify for nursing facility level of care Are able to live safely in the community at the time of enrollment Live in a PACE service area PACE MAGI Medicaid is required to use the monthly income for the month of application to determine initial eligibility, but for ongoing MAGI and all other Medicaid budgeting, the income of permanent seasonal workers should always be annualized to establish a monthly amount. This guide explores key aspects of Indiana Medicaid, from eligibility criteria to compliance requirements, helping individuals secure and maintain their benefits. Overview Presumptive eligibility (PE) is a process that offers short-term coverage of health care services for those with limited incomes who are not currently receiving Medicaid. The Family Planning Eligibility Program provides only family planning services to qualifying members, per Indiana Code IC 12-15-46 Medicaid Waivers and State Plan Amendments. Mar 1, 2025 · This page has eligibility information for the most common Indiana Medicaid eligibility pathways for children and adults up to 65 who do not have a disability (in other words, for someone generally not Medicare eligible). Package C is a full-service plan for children enrolled in Children's Health Insurance Program (CHIP). Health coverage applications are processed by the Family and Social Services Administration (FSSA), Division of Family Resources (DFR). IHCP providers, including organizations and individual practitioners within designated specialties, can become certified Sunday 11/23/2025 07:20 AM HCP Provider Portal Oct 14, 2019 · Learn how to view member eligibility in the Indiana Medicaid Provider Healthcare Portal for efficient access to important healthcare information. 1103, Presumptive Eligibility (PE) allows individuals to be determined presumptively eligible by a qualified entity and have access to Medicaid-covered services while their full Indiana Health Coverage Programs (IHCP) application is being processed. This is an assistance program that provides medical coverage for low-income people of all ages. Your short-term coverage will end if you do not complete an Indiana application for Medicaid Policy Health Coverage Health Coverage Indiana offers several health coverage options to qualified low-income individuals and families, individuals with disabilities and the elderly with limited financial resources. Changes in health status such as pregnancy or certain medical conditions may also cause changes in plan eligibility. 40. You may also check for current income limits or see if you qualify online at the Division of Family Resources Benefits Portal by visiting www. gov and additional information may also be found on the Indiana Medicaid website, at www. Research shows that most older adults want to age at home. Whether a resource or income is counted, and how it affects eligibility, depends on many If the individual does file an Indiana Application for Health Coverage, his or her presumptive eligibility period lasts until a final eligibility determination from the Indiana Family and Social Services Administration (FSSA) has been made. Jun 4, 2025 · Indiana Medicaid Long-Term Care Definition Medicaid provides low-income individuals of all ages with health care coverage. Oct 22, 2025 · Find the 2025 Indiana Medicaid income limits for adults, children, pregnant women, and seniors. Works. Mike Braun's desk, which calls for more stringent eligibility checks, work Indiana Medicaid Long Term Care Eligibility in 2025 Indiana Long Term Care Indiana Medicaid provides comprehensive long-term care services for seniors and individuals with disabilities who meet the state’s eligibility requirements. 255, to the following The Eligibility Guide, found under the “Apply for Coverage” tab at www. This is called renewal or redetermination. Indiana has various types of Home and Community Based Apr 24, 2025 · The Indiana Medicaid eligibility income chart is a crucial resource, offering a clear guide to income limits for various categories. Learn about services, waitlists (1-2 years typical), and how to apply. Care Recipient Must: Be an Indiana resident Be eligible for Medicaid Require a Nursing MEDICAID ELIGIBILITY CATEGORIES SUMMARY There are 35 categories under which individuals may be eligible for Medicaid coverage. In general, to qualify for Medicaid under this category, individuals must meet three qualification criteria: income limits, resource limits, and the Social Security Administration’s definition of disability. Several programs are part of Medicaid in Indiana. Jun 23, 2025 · Indiana is introducing new tools on July 1 to evaluate if children and infants qualify for home- and community-based services through Medicaid. It ensures residents understand their eligibility, covering health care costs and providing essential support for those in need. Medicaid is more than just health coverage—it provides a vital safety net to one in five Hoosiers. The Indiana Medicaid program includes Traditional Medicaid, Hoosier Healthwise, Medicaid Waivers Nov 15, 2025 · Some 300,000 people covered by Indiana’s Medicaid program will have less than two months to change their health insurance company. Dec 5, 2019 · Source: Medicaid and CHIP Payment and Access Commission (MACPAC), MACStats: Medicaid and CHIP Data Book, December 2018, Exhibit 35: “Medicaid and CHIP Income Eligibility Levels as a Percentage of the Federal Poverty Level for Children and Pregnant Women by State, April 2018,” and information from the state. If you do not have Indiana Medicaid, you will be referred to a Medicaid specialist at your Area Agency on Aging, who will assist with this process. gov/medicaid/members, is a resource tool that can provide eligibility information to assist individuals in understanding if they are more likely or less likely to qualify for any Medicaid benefits. Learn about our Healthy Indiana Plan. There are, however, some over-arching eligibility principles. Welcome to Indiana Medicaid Welcome to Indiana Medicaid. Learn more about eligibility and coverage. Types Medicaid Waivers, sometimes called Home and Community Based Services, allow Medicaid to fund supports and services for children and adults with disabilities in their family homes or communities instead of institutions. Dear Indiana HCBS Provider, On July 1, 2024, the Aged and Disabled Waiver split into two new waivers, the Health and Wellness Waiver for individuals 59 and under and the PathWays Waiver for individuals 60 and older. Indiana Medicaid provides coverage to the aged, blind, and disabled through three programs. If you’re married, DFR may need some information about your spouse’s finances as well. Individuals waiting for a Medicaid eligibility determination should continue to be assessed for changes to their functional eligibility at their local AAA to ensure the initial service plan is current and can be implemented upon approval of an individual’s Medicaid eligibility. At Anthem, we offer benefit plans for four Indiana Medicaid programs: Hoosier Healthwise (HHW), Healthy Indiana Plan (HIP), and Hoosier Care Connect (HCC), and Indiana PathWays for Aging. Retroactive payments for waiver services will not be allowed. MHS wants to make sure you Medicaid Eligibility The state assures that it provides limited Medicaid services for treatment of an emergency medical condition, not related to an lZJ organ transplant procedure, as defined in 1903(v)(3) of the SSA and implemented at 42 CFR 440. It pays for medical costs for members and could even provide vision and dental coverage. MDwise is part of Grand Blanc, Mich. Stay informed and access vital healthcare with this comprehensive chart. The Indiana Health Coverage Program Policy Manual is an integrated eligibility manual that contains information about health coverage under Medicaid, Hoosier Healthwise, Hoosier Care Connect, and the Healthy Indiana Plan. Note: Effective 6/1/24, per CMS guidance, the number of Reasonable Opportunity Period is Costs (copays, premiums, contributions) imposed by the Medicaid program are limited to 5% of countable income per calendar quarter. How to Apply: IHCP Providers The Indiana Health Coverage Programs (IHCP) offers providers easy access to the resources and tools needed to conduct business with Indiana Medicaid. What is Medicaid? Medicaid is a health insurance program. The department that handles the Medicaid program is Indiana Family and Social Services Administration. This guide outlines the 2025 eligibility criteria, income limits, asset rules, and application process for Indiana Medicaid, based on federal and FSSA guidelines, with a focus on long-term care for seniors (aged 65+), as well as other eligibility groups. Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. A child must be approved for Medicaid before waiver services can begin. Check out our Eligibility Guide to learn about eligibility for certain programs and see if you may qualify. Indiana Medicaid income limits vary by program and household size, ranging from 139% to 163% of the Federal Poverty Level. 1 day ago · What can you do in the Provider Healthcare Portal? Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims Check on the status of their claims Inquire on a patient's eligibility View their Remittance Advices Managed Care Entities can: Enroll, disenroll, and update primary medical providers Review their encounter claims Nov 16, 2025 · Access the Indiana Benefits Portal for information on Medicaid, SNAP, and other assistance programs, eligibility criteria, and application processes. Waiver refers to the waiving of certain federal requirements that otherwise apply to Medicaid program services. **To qualify for Medicaid at the higher income eligibility levels, individuals must meet requirements for the buy-in program for working age people with disabilities. Package A is a full-service plan for children and pregnant individuals. Apr 17, 2023 · Find out about Indiana Medicaid programs, including the Healthy Indiana Plan. Each program is designed to meet the medical needs of that specific group of individuals. org Medicaid eligibility is determined by several factors and can be complicated. Works For these Medicaid programs, there are income limits that are Indiana Medicaid What is Medicaid? Medicaid is a health insurance program funded by the state and federal government. IMPORTANT: All Indiana Medicaid programs started covering over-the-counter Covid-19 tests on February 1, 2022, through the pharmacy benefit: If you are in a managed care program (HIP, Hoosier Healthwise, Hoosier Care Connect), you may go to a pharmacy in your health plan’s network and request up to two tests per member per seven days. Jan 8, 2025 · Indiana’s Pregnancy Medicaid program is vital in providing healthcare services to expecting mothers facing financial barriers. The method used to determine income eligibility (Modified Adjusted Gross Income MAGI/non-MAGI), the type of coverage (traditional fee-for-service or managed care), and the scope of the benefits provided all vary based on the category under which individuals are To qualify for Hoosier Healthwise, applicants must meet the following eligibility criteria: Income/Household Size Income limits are adjusted to account for the number of household members. Several programs are part of Medicaid in Indiana, including: Welcome to the Healthy Indiana Plan! The Healthy Indiana Plan is a health-insurance program for qualified adults. This does not apply to any/all healthcare spending by the family or individual, nor does it apply to waiver liability or patient liability. 5. Those individuals were also previously served by the Aged and Disabled Waiver. We will check your eligibility for all our health coverage categories, and you may be enrolled in one of our health plans if you qualify. This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. Mar 9, 2025 · Understand Indiana Medicaid rules, including eligibility, enrollment, renewals, and potential penalties, to navigate the system with confidence. Jan 20, 2025 · Overview Medicaid eligibility is exceedingly complex and to provide the minute details is beyond our mission. Get information on who is eligible to enroll, income limits and how to apply. D. If application includes multiple frequencies (i. Based on family income, children up to age 19 may be eligible for coverage. Sep 24, 2024 · The Indianapolis attorneys at Frank & Kraft discuss what Indiana seniors need to know about Medicare and Medicaid. Individuals must meet home- and community-based services (HCBS) waiver eligibility and Medicaid eligibility guidelines to be eligible for a Medicaid HCBS waiver. You can apply in person, online, by mail, or by phone. See below if The Indiana Family and Social Services Administration will launch a new program in 2024 for Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits. If you are on the waiting list, you should begin gathering the information needed for Medicaid eligibility. com. Learn how HIP Plus and HIP Basic work. The goal of PE is to make sure that those who appear eligible, based on basic information, have immediate access to health care. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage. There are several different Medicaid programs, each with slightly different eligibility requirements. Medicaid Disability Medicaid Disability is a Medicaid aid category designed to serve individuals who are living with a disability. To be eligible, individuals must: Be aged, blind, or otherwise disabled We recommend that you check member eligibility each time a member presents for services, as member eligibility can fluctuate. Medicaid eligibility determination for a child under the age of 18 who is applying for a waiver is based on only the income/assets of the child (NOT the parental/household income or assets). Jan 7, 2025 · Indiana’s Medicaid program is a critical component of the state’s healthcare system, providing essential services to low-income individuals and families. Members do not have any cost-sharing obligations. This guide offers insights into Indiana’s The Indiana Health Coverage Program Policy Manual is an integrated eligibility manual that contains information about health coverage under Medicaid, Hoosier Healthwise, Hoosier Care Connect, and the Healthy Indiana Plan. Medicaid eligibility is determined by several factors and can be complicated. The state offers several assistance programs that many eligible residents don’t know about, providing free or reduced healthcare through specialized initiatives. You can learn about each program by clicking on the links below: Traditional Medicaid – for individuals eligible for Home- and Community-Based Services Hoosier Care Connect – for most aged, blind, and disabled individuals eligible for coverage Indiana PathWays for Aging - for eligible Hoosiers age Dec 10, 2024 · Medicaid eligibility is determined by several factors and can be hard to understand. HIP Am I Eligible HIP Eligibility and Contribution Calculator HIP Eligibility and Contribution Calculator This calculator is provided to allow you to see if you may be eligible for the Healthy Indiana Plan and to estimate what your POWER account contribution would be. monthly and weekly) use the following conversions to determine yearly income: Monthly x 12 / Twice Per Month x 24 / Every Two Weeks x 26 / Weekly x 52 MEDICAID ELIGIBILITY CATEGORIES SUMMARY There are 35 categories under which individuals may be eligible for Medicaid coverage. The programs and services offered are incorporated under the umbrella of the Indiana Health Coverage Programs (IHCP). IHCP Providers The Indiana Health Coverage Programs (IHCP) offers providers easy access to the resources and tools needed to conduct business with Indiana Medicaid. kff. Medicaid eligibility limits as a percent of the federal poverty level (FPL)* *The FPL in 2025 is $26,650 for a family of three and $15,650 for an individual. It also rewards members for taking better care of their health. The program is funded by the state and federal government. The plan is offered by the State of Indiana. On this site, you can learn about the different Medicaid programs and how to apply. Familiarize yourself with the step-by-step application procedure, avoiding errors that could delay approval. While there are multiple coverage groups, our focus is on long-term care Medicaid eligibility for senior Indiana residents (65 years of age and over). This guide provides comprehensive information about Medicaid eligibility in Indiana. lxtpfr wukiyw auqyq esylw aydbmv znmtj ghs pbapny inxq ckns mqvc aezrt kwqi ytqum yubg