Children
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Pregnant Women
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Adults
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Aged Blind & Disabled
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Home & Community
Adult Mental Health Habilitation Services Program
Indiana Medicaid offers coverage for the Adult Mental Health and Habilitation (AMHH) home and community-based services (HCBS). The AMHH HCBS program provides services to adults with serious mental illness who reside in a HCBS setting and who may...
Aged and Disabled Waiver
The Aged and Disabled Waiver allows individuals to remain in their home as an alternative to nursing facility placement for people who are aged, blind, or disabled. The HCBS waiver is designed to provide services to supplement informal supports for...
Behavioral and Primary Healthcare Coordination Program
Indiana Medicaid offers coverage for Behavioral & Primary Healthcare Coordination (BPHC) home and community-based services (HCBS). This service helps members manage their physical and behavioral health care needs through education, support, and advocacy.
Child Mental Health Wraparound Program
Indiana Medicaid offers coverage for the Child Mental Health Wraparound (CMHW) home and community-based services (HCBS). The CMHW HCBS program provides services to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance (SED).
Community Integration and Habilitation Waiver
The Community Integration and Habilitation (CIH) HCBS waiver provides services that enable individuals to remain in their homes or community-based settings as well as assist individuals transitioning from state-operated facilities or other institutions...
Electronic Visit Verification
On or before January 1, 2020, some Indiana Medicaid providers will begin to use a system called Electronic Visit Verification. The pilot part of this new process will begin July 1, 2019, so you may see your provider use the new system soon.
Family Supports Waiver
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.
Traumatic Brain Injury Waiver
The Traumatic Brain Injury Waiver provides HCBS to people of any age who have experienced an external insult resulting in a traumatic brain injury and who require services ordinarily only available in a nursing facility. This waiver is designed...
Programs
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Medicare Savings Program
The Medicare Savings Program provides assistance paying Medicare Part A (Hospital) and Medicare Part B (Medical Insurance) premiums, deductibles, coinsurance, and copayments for qualifying individuals. Some members will qualify for both Traditional...
HoosierRx
HoosierRx is a program that can help low income residents aged 65 years or older pay for their monthly Medicare Part D premiums.
State Health Insurance Assistance Program (SHIP)
The State Health Insurance Assistance Program is a free and impartial counseling program for people with Medicare. SHIP is provided by the Administration on Community Living and the Indiana Department of Insurance.
What is Covered by Indiana Medicaid
Pharmacy Benefits
Apply for Coverage
Apply for Coverage
To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage.
Am I Eligible for Medicaid
Medicaid eligibility is determined by several factors and can be complicated. There are several different Medicaid programs, each with slightly different eligibility requirements. If you think you may be eligible, the best thing to do is apply.
Presumptive Eligibility
This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.
Eligibility Guide
This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.
Resources
Member Rights & Responsibilities
As a Medicaid member, there are many things that you need to know in order to keep your benefits and get the most out of the services that are available to you.
Provider Directory
Start here to find a Medicaid provider near you.
Managed Care Health Plans
Depending on your eligibility, you may be enrolled with a health plan to help coordinate and manage your healthcare. Find out more about health plan options and how to contact them.
Authorized Representative Form
In certain cases, you may need to have an authorized representative communicate with your caseworker or Medicaid staff. In order for the State to discuss your case or history with your representative, you will need to give written permission.
Member Appeals
You have the right to appeal decisions made about your eligibility for programs or certain decisions made about your care.
Understanding Terms
You can find some definitions to some more commonly used words throughout Indiana Medicaid.
Other Important Social Services
You can learn about other social services available to you.
FAQs
Have a question? You can find answers to frequently asked questions here.
Contact Us
A complete list of phone numbers for coverage and benefit questions.
Indiana Medicaid provides coverage to the aged, blind, and disabled through two programs. You can learn about each program by clicking on the links below:
Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.
