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Traditional Medicaid

Overview

Traditional Medicaid provides full health care coverage to individuals with low income. Eligibility is based on the member's aid category. Members in the following categories will be covered by Traditional Medicaid:

  • Members eligible for home and community-based services

  • Members who are dually eligible for Medicare and Medicaid

  • Members in nursing homes, intermediate care facilities for the intellectually disabled, and state-operated facilities

Covered Services

IMPORTANT: All Indiana Medicaid programs started covering over-the-counter (OTC) Covid-19 tests on February 1, 2022 through the pharmacy benefit:

  • If you are on Traditional Medicaid, you may go to any Indiana Medicaid-enrolled pharmacy and request up to two tests per member per seven days.
  • 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.

Traditional Medicaid benefits include all services that are covered under Package A – Standard Plan. Refer to the Indiana Medicaid Covered Services webpage for a list of covered services.

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