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Information for HIP Members

Beginning January 1, 2027, Indiana Medicaid will implement work requirements for new applicants and existing Medicaid members eligible under the Healthy Indiana Plan (HIP). These requirements emphasize a balanced, values-driven approach: pairing compassion with member responsibility, ensuring that access to healthcare is supported by work, job training, education, and community participation. Certain HIP participants may be exempt.

What are the Work Requirements 

Work requirements are activities HIP members and applicants must complete to be eligible. Work requirements activities include:

  • Employment
  • Attending school at least half-time
  • Participating in an apprenticeship
  • Participating in a work program
  • Volunteering in the community

HIP members and applicants must spend at least 80 hours every month doing one of these activities or attending school or an apprenticeship at least half time. Members and applicants can combine activities to get to 80 hours during a month.

Who must meet work requirements:

Adults enrolled in HIP must meet the work requirements if all of these are true:

  • Are ages 19-64
  • Are not pregnant
  • Are not enrolled in or eligible for Medicare


Work requirements exemptions:

HIP members do not have to meet the work requirements for a month if, for at least one day that month, you:

  • Are under 26 and were formerly in foster care.
  • Are a member of a federally recognized Tribe.
  • Are a parent or caregiver of a child age 13 or younger.
  • Are a caregiver of a person with a disability.
  • Are a veteran with a total (100%) disability rating.
  • Are pregnant, or it has been 12 months or less since your pregnancy ended.
  • Are in jail or prison or were released in the last 90 days.
  • Are following the work rules for SNAP or TANF.
  • Are in a drug or alcohol treatment program.
  • Are medically frail or have special medical needs. This includes:
    • Being blind or having a disability.
    • Having a substance use disorder.
    • Having a serious mental health condition
    • Having a serious physical, intellectual, or developmental disability.
    • Having another serious or complex medical condition.
  • Other exemptions may also apply.

HIP Work Requirements Pre-Screening Tool

The HIP Work Requirements Pre-Screening Tool allows individuals to fill out a form to see if they would but subject to or exempt from HIP Work Requirements. 

Click here for HIP Work Requirements Pre-Screening Tool

HIP member communications

Town Halls

The Indiana Family and Social Services Administration, in partnership with Covering Kids & Families, will host a series of public town halls across the state to help Healthy Indiana Plan (HIP) members, providers, and community partners learn more about the upcoming HIP work requirements.

Current town halls are listed below and additional ones will be announced throughout the year.

  • September 1 – Ivy Tech Fort Wayne
    • Auditorium - 3800 N Anthony Blvd. Ft. Wayne, IN 46805
    • Time: 6 to 7:30 p.m. ET
  • September 4 - Ivy Tech Muncie
    • Fisher Building - F110 - 345 S High Street, Muncie, IN 47305
    • Time: 6 to 7:30 p.m. ET
  • September 14 - Ivy Tech Terre Haute
    • Sue Ellspermann Community Room - E102 - 8000 S. Education Drive, Terre Haute, IN 47802
    • Time: 6 to 7:30 p.m. ET
  • September. 18 - Ivy Tech Evansville
    • Vectren Auditorium 3501 N First Avenue, Evansville, IN 47710
    • Time: 6 to 7:30 p.m. CT
      • Note: Please use the entrance at Door C, the North side of the building on Colonial Drive.
  • September 21 - Indianapolis - Indiana Government Center South
    • Conference Room A - Indiana Government Center South - 402 W. Washington St. Indianapolis, IN 46207
    • Time: 1 to 2:30 p.m. ET
  • September 24 - South Bend - South Bend Technology Resource Center 
    • Community Common Space - 1165 Franklin St. #100 - South Bend, IN 46601
    • Time: 9 - 10 a.m. ET
  • October 1 - Ivy Tech Sellersburg
    • Building Ogle – Door 8 - Community Room 179 - 8204 Highway 311 -Sellersburg, IN 47172
    • Time: 6 to 7:30 p.m. ET


Notice of Healthy Indiana Plan Work Requirements
Starting July 1, 2026, some HIP members will begin receiving an initial notice about HIP work requirements. A sample of the notice is available is below:

Text messages

FSSA will periodically text Healthy Indiana Plan members general information about HIP Work Requirements. The text message will be sent from the phone number 43816 and will not contain or ask about case information or have an impact on an individual’s HIP benefits or application.

Texts sent:

  • July 31, 2026 - Healthy Indiana Plan (HIP) Work Requirements are starting on January 1, 2027. Please visit myfssa.in.gov for additional information.

Informational videos

FAQ

You can meet the rule by working/volunteering/training for 80 hours, earning enough money, or being in school at least half time.

Requirements begin for new applicants and redeterminations initiated on or after January 1, 2027. For applicants in January, this means that requirements must be fulfilled for October, November, and December. 

Most HIP members ages 19–64 must meet work requirements unless they qualify for an exemption.

People who are pregnant, caring for kids, have disabilities or serious health needs, or drug or alcohol treatment programs, or meet other criteria don’t need to complete hours.

FSSA is still working with the Centers for Medicare and Medicaid Services on the medical frailty requirements for HIP Work Requirements exclusions, including the stipulation that the condition significantly impairs the individual’s ability to comply with work/community engagement requirements. More guidance will be made available.

Yes, it is possible that members in the same household could have different redetermination dates. You can find your redetermination date in the Benefits Portal, under Assistance Group.

You can find your redetermination date in the Benefits Portal, under Assistance Group.

Yes, and you will be notified if it changes. You can also find your redetermination date in the Benefits Portal, under Assistance Group.

For new applicants to be approved for HIP, the lookback period will be three months before the application month.

  • Example: Apply in January, look back will be December, November and October.

For existing HIP members, the lookback period will be three months before the renewal month or three months before the quarterly work requirements review.

  • Example: Renewal month is May, look back will be April, March and February

Correct. The requirement is either 80 hours of qualifying activity or income equal to federal minimum wage multiplied by 80 ($7.25 x 80 = $580).

Coursework at an accredited institution of higher learning, as well as high school or GED courses, can be counted. Classes may take place in-person or online.

An individual can provide documentation of the hours of self-employment and/or earnings by the most recent year’s tax returns or other business documentation.

All income that is counted in Modified Adjusted Gross Income (MAGI) budgeting counts towards meeting work requirements. This would include any income which is taxable, as well as Social Security income.

Any mix of work, volunteering, classes, or job training counts.

The state checks every three months. If they can't confirm your hours or exemption, they’ll send you a notice asking for proof.

Coverage stops, and you must reapply. You also can’t get Marketplace financial help during this time.

You renew HIP every six months, and the state checks your hours every three months.

Report changes in work, school, health, or family within 10 days using the online portal, phone, mail, or a DFR office:

Benefits Portal: Submit information to the Division of Family Resources via your FSSA Benefits Portal account at FSSABenefits.IN.gov

Mail: FSSA Document Center, PO Box 1810, Marion, IN 46952

Phone: Call DFR at 1-800-403-0864

In-Person: Visit your local Office of the Division of Family Resources during regular business hours - 8:00 a.m. to 4:30 p.m., Monday – Friday, except for State Holidays

The Benefits Portal is the easiest way to report hours and manage your HIP coverage.

Make sure your info is correct, check if you have an exemption, plan how you’ll meet the rules, and set up an Benefits Portal account.