The 590 Program provides coverage for certain healthcare services provided to members who are residents of state-owned facilities. These facilities operate under the direction of the Indiana Family and Social Services Administration (FSSA), the Division of Mental Health and Addiction (DMHA), and the Indiana State Department of Health (ISDH).
The 590 Program operates as follows:
- If a member enrolled in the 590 Program receives services that have a total billed amount per claim of less than $150, the 590 Program facility where the member resides is responsible for payment of the service.
- Prior authorization (PA) is required for all services equal to or greater than $500 per service per claim provided to members enrolled in the 590 Program.
- The 590 Program covers only services rendered outside the 590 program facility.
- Transportation is not a covered service. Transportation must be provided by the facility where the member resides.
- Identification cards are not issued to members enrolled in the 590 Program. An Indiana Health Coverage Programs (IHCP) member who resides in a state-owned facility may have a Hoosier Health Card, but IHCP eligibility is terminated upon entry into the facility unless the member is younger than 21 years old or older than 65 years old.
- All providers must verify that the member enrolled in the 590 Program resides in a state-owned facility.
- All members enrolled in the 590 Program must be chaperoned to off-site providers.
- Individuals who are on probation or incarcerated are not eligible for the 590 Program.
- The 590 Program does not cover targeted case management (TCM) services.
Find more information about the 590 Program in the 590 Program provider reference module.