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How a return to normal will impact some Indiana Medicaid members

During the COVID-19 federal public health emergency, due to federal requirements, Indiana Medicaid members have been able to keep their coverage without interruption.

The most recent federal spending bill removed Medicaid coverage protections from federal public health emergency, which means Indiana Medicaid will begin to return to normal operations.

Eligibility redetermination actions will begin in April 2023, with a 12-month plan to return to normal operations. Any extension of the federal public health emergency will not impact the returning to normal operations timeline for Medicaid eligibility.

Many of these redeterminations are done automatically based on information the state has available. In some situations, the state of Indiana will need to ask the member for information about themselves and their family, such as current address, employment status and income, age and family size.

What can members do?

Anyone who is currently in one of Indiana Medicaid’s health coverage programs, including the Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect or traditional Medicaid, should take action now to help stay covered.

To help keep you covered, or help you find the right coverage for you and your family, the Indiana Family and Social Services Administration needs all Medicaid members to take these steps to ensure we have current info.

  • Go to FSSABenefits.IN.gov.
  • Scroll down to the blue “Manage Your Benefits” section
  • Click on either “Sign in to my account” or “Create account.”
  • Call 800-403-0864 if you need assistance
  • Then watch your mail! Be sure to respond with any information you’re asked for.

Click here to see how to navigate FSSABenefits.IN.gov.

Your coverage under the Indiana Medicaid program will never be cut off without you first having the opportunity to give the state new and updated information. But it is important that you respond to requests from FSSA and provide the needed information when you’re contacted.

Planning documents

Member handouts

Outreach materials

You can help by communicating to Hoosiers in your organization’s network about how the recent coverage protection changes will affect Indiana Medicaid members in April. Below are some resources to help you.

To be added to the stakeholder communication listserv, please click here.

Agency portal

Agencies working with clients receiving public assistance through the Indiana Family and Social Services Administration’s Division of Family Resources often need to know whether a client has been approved for benefits. Once authorized, registered agencies may access the Agency Portal 24/7 to check the case status for each of the individuals they support. For more information or to sign up, visit https://www.in.gov/fssa/dfr/provider-information/agency-portal/.

Electronic notices

Medicaid members can sign up for electronic notices through the Benefits Portal at https://fssabenefits.in.gov/bp/#/.  Individuals who have a Benefits Portal account can opt to receive an email notification when an eligibility notice or request for information has been generated for their case and then access the notice in the Benefits Portal. Members can also upload documents for FSSA using their online account, even if they have not opted into electronic notices.

Individuals experiencing homelessness

Indiana residents may use a mailing address of their choosing if they have made arrangements with a friend, family member, or community organization to hold their mail until they can pick it up. Members who do not have an address where they can receive mail may use the address of their local Division of Family Resources office. DFR can work with the resident to help them determine which local office address to use. Notices and requests will be held for them for 30 days after the mail date and can be picked up during business hours (8 a.m. to 4:30 p.m., M-F). Please note: most requests for information will have a 13-day deadline for response, so it is important that they check for mail frequently.

What if I lose my coverage?

If you find out that you are no longer eligible for coverage through the Medicaid program, you could check to see if you qualify for coverage through the Federal Marketplace online at HealthCare.gov or by calling 800-318-2596. If you are over 65, you could look into coverage through the federal Medicare program at Medicare.gov or by calling 800-MEDICARE. Indiana’s State Health Insurance Program can also help you with any questions you have about Medicare. Find them online at medicare.in.gov or call 800-452-4800.

There are also specially trained and certified professionals throughout Indiana who can help you find the right health coverage for you. These are called navigators and application organizations. You can find help in your area by clicking here: https://www.in.gov/healthcarereform/indiana-navigators/find-a-navigator/

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