Medicaid indiana faq. This pause will end July 1, 2024, and Indiana will restart cost sharing for Medicaid, including the Children’s Health Insurance Program (CHIP); and the MEDWorks program for employed individuals with a disability. Click here for more information about OMPP . The Indiana Health Coverage Programs (IHCP) delivers training on the state’s electronic visit verification (EVV) system, Sandata, through self-paced training. Overview. 0. The most recent federal spending bill ended Medicaid coverage protections, which means Indiana Medicaid is returning to normal operations. Elderly Indiana seniors can apply for Medicaid online by completing the “Indiana Application for Health Coverage” on the FSSA (Family and Social Services Administration) Benefits Portal. 1. Welcome to Indiana Medicaid. Cost-Share Restart begins July 1, for HIP, CHIP and MEDWorks members. Provider Education Indiana Medicaid provides a healthcare safety net to Hoosier children, aged, disabled, pregnant women, and other eligible populations under the umbrella of Indiana Health Coverage Programs (IHCP). Medicaid Redetermination FAQs Use these frequently asked questions to quickly understand key aspects of the redetermination process. Stay involved in decisions about your treatment choices. Documents are no longer being accepted via the previous fax number, but they can still be submitted by uploading them through the Benefits Portal. Am I Eligible for Medicaid Medicaid eligibility is determined by several factors and can be complicated. They can also apply in person at their local FSSA DFR (Division of Family Resources) office. BOX 7083 INDIANAPOLIS, IN 46207-7083 April 3, 2024 . gov and additional information may also be found on the Indiana Medicaid website, at www. No longer qualify for Medicaid? We can connect you to a plan that’s right for you. Learn more about plans Watch English video Watch Spanish video Be aware of scams and fraud during Medicaid renewals. As of June 1, 2018, the Family and Social Services Administration began working with a company called Verida to manage all non-emergency transportation for Traditional Medicaid members (you may also see this called “fee-for-service” Medicaid. What is HIP? The Healthy Indiana Plan is the state of Indiana’s signature, consumer-driven health coverage program for non-disabled Hoosiers ages 19-64. FAQs | Login Home. FAQs – Top 10 Questions. 0, September 2022 . com. $800 for cemetery expenses . Traditional Medicaid. Indiana Health Coverage Programs – Electronic Visit Verification FAQs 1 Version 5. HIP requires you to make a minimal monthly contribution to your coverage based on the amount of your income. Hoosier Healthwise. For Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect Members: Please remember that if you are enrolled in the Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect, you will need to choose a Primary Medical Provider (PMP) within your health plan. Breadcrumbs. The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. Friday 09/13/2024 11:44 AM Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage. Call the Indiana PathWays for Aging Helpline at 87-PATHWAY-4 (877-284-9294) to select your PathWays Medicaid health plan. If you think you may be eligible, the best thing to do is apply. The following frequently asked questions (FAQs) pertain to Indiana Health Coverage Programs (IHCP) providers and electronic data interchange (EDI) vendors that send and receive data electronically using a software developer, clearinghouse or billing service. 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. Yes, individuals may voluntarily withdraw from Medicaid, including HIP, at any time. To do so, please write down the individual’s full name, date of birth, last four numbers of their Social Security Number and their case number, if known, and either upload it to their Benefits Portal account by clicking here, fax it to 800-403-0864, or mail it to FSSA Document Center, PO Box 1810, Marion, IN To become a Medicaid provider under the A&D waiver, a provider must first be certified by the Indiana Family and Social Services Administration, Division of Aging (FSSA, DA). Providers using the IHCP Provider Healthcare Portal (Portal) should view the Portal FAQs. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost Breadcrumbs. There are many unfamilar health care terms that you will encounter while you are member of Indiana Medicaid or many of the other Family and Social Services Administration's programs. MM. The FSSA Office of Medicaid Policy and Planning (OMPP) is now certifying providers for home and community-based services (HCBS) through the Indiana PathWays for Aging, Health & Wellness (H&W), and Traumatic Brain Injury (TBI) waivers. Home. This document provides concise answers to frequently asked questions regarding electronic visit verification (EVV) for the Indiana Health Coverage Programs (IHCP). Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. P. Visit this page to access additional resources, including code tables, companion guides for electronic transactions, the Indiana State Plan, and answers to frequently asked questions about the IHCP. INDIANA HEALTH COVERAGE PROGRAMS . 14. Indiana Medicaid provides a healthcare safety net to Hoosier children, aged, disabled, pregnant women, and other eligible populations under the umbrella of Indiana Health Coverage Programs (IHCP). Package A is a full-service plan for children and pregnant individuals. g. CCBHC in Indiana In 2022, House Enroll Act 1222 directed the Division of Mental Health and Addiction to develop a plan to strengthen the use of Certified Community Behavioral Health Clinics (CCBHCs) statewide by implementing the CCBHC model at the state level. In order to continue your coverage beyond the temporary PE timeframe, you will need to complete a full Indiana application for health coverage as soon as possible. Provider Education With PathWays, you get support your way – to live life your way. Jun 25, 2024 · As discussed in Section IV. With regard to payment data, the state should use actual amounts, to the extent available, then calculate a claims completion factor based on historic utilization. It is not a final determination. ELECTRONIC VISIT VERIFICATION FAQs. ) May 30, 2024 · The Healthy Indiana Plan (HIP) covers adults age 19-64 whose incomes are less than 138% of the federal poverty level and are not eligible for Medicare or another Medicaid Plan. Ask The Arc – Finalized 2024 Medicaid Waiver Changes – 6. Yes. Persons must qualify for institutional care in order to be eligible for home- and community-based services. For providers planning to use an alternate EVV system, self-paced training on the Aggregator — which all IHCP EVV systems must feed data into — is also available. On this site, you can learn about the different Medicaid programs and how to apply. O. in. Mar 12, 2018 · Medicaid & You: Frequently Asked Questions Medicaid is a health coverage program operated by states, within broad federal guidelines. Members do not have any cost-sharing obligations. C of the 2023 Comprehensive Guide to Medicaid Services and Administrative Claiming, State Medicaid/CHIP agencies may share applicant and beneficiary information with schools enrolled as Medicaid or CHIP providers, or other Medicaid or CHIP providers, when the use or disclosure of the information is for purposes directly connected with the administration of the Indiana offers several health coverage options to qualified low-income individuals and families, individuals with disabilities and the elderly with limited financial resources. You must live in Indiana, and your family income must be below a certain amount. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage. Below you will find a listing of common terms and their meanings. Jul 1, 2024 · During the COVID-19 federal public health emergency, due to federal requirements, Indiana Medicaid members were able to keep their coverage without interruption. Wednesday 09/18/2024 12:35 AM Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare You can get PE coverage if you are not currently receiving Indiana Medicaid coverage. Verida Trip Reservation Line 855-325-7586. This is a general description of the benefits available to members with Package A (Standard Plan or Full Medicaid) and Package C. There is no cost to complete a Medicaid renewal and if we reach out to you about renewing your coverage, we will never ask for money. fssabenefits. The Healthy Indiana Plan expanded Medicaid eligibility in Indiana to non-elderly, non-disabled adults, but with state-specific variations from the expansion outlined by the ACA. To apply for Medicaid, you will need to fill out and submit an application, also known as an Indiana Application for Health Coverage. May 2, 2024 · The following FAQs are designed to share information about what care managers and providers can expect with Structured Family Caregiving (SFC) beginning in July 2024 for the Health & Wellness (formerly Aged & Disabled), the Traumatic Brain Injury (TBI), and Indiana PathWays for Aging IMPORTANT: All Indiana Medicaid programs started covering over-the-counter Covid-19 tests on February 1, 2022, through the pharmacy benefit: 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. FL 1/20 1-877-647-4848 l TTY/TDD: 1-800-743-3333 l mhsindiana. Get timely answers to your complaints or appeals. Welcome to Indiana Medicaid. The Indiana Family and Social Services Administration Division of Family Resources' new fax number to submit documents is now 888-436-9199. . Waiver providers can be certified to provide multiple waiver services. In January 2015 —a year after many other states had expanded Medicaid — Indiana won approval from CMS for its amended Healthy Indiana Plan, known as HIP 2. FSSA; Current: Medicaid Strategies Medicaid Strategies. There are several different Medicaid programs, each with slightly different eligibility requirements. Traditional Medicaid members can get transportation case management for your Medicaid-covered rides to doctor’s offices, pharmacies or other health care offices. Be given privacy for you and your medical records. Wednesday 09/18/2024 04:21 AM Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare Office of Medicaid Policy & Planning The FSSA Office of Medicaid Policy and Planning oversees health coverage programs, including the Healthy Indiana Plan and other Indiana Medicaid programs. MA A: Medicaid for the Aged MA D: Medicaid for the Disabled MA DW: Medicaid for the Disabled Working MA B: Medicaid for the Blind MA SI: Medicaid for the SSI MA R: Medicaid for Room / Board Nursing Home. To locate providers in your area, you can use the Provider Locator . Learn more here. gov/Medicaid/members, call 1-800-403-0864, or visit a local FSSA office. The Eligibility Guide, found under the “Apply for Coverage” tab at in. You can also call this number if you need help with choosing a Medicaid health plan. Each program is designed to meet the medical needs of that specific group of individuals. You may also check for current income limits or see if you qualify online at the Division of Family Resources Benefits Portal by visiting www. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost Hoosier Healthwise. gov/medicaid/members, is a resource tool that can provide eligibility information to assist individuals in knowing if they are more likely or less likely to qualify for any Medicaid benefits. New Fax Number. Medicaid eligibility is determined by several factors and can be complicated. Get care 24 hours a day, 7 days a week. Medicaid Policy; Current: Medicaid HCBS Certification Medicaid HCBS Certification. Individuals will have the chance to change their MCE: within ninety (90) days of starting coverage; at any time their Medicare and Medicaid plans become unaligned (e. What is Covered by Indiana Medicaid. What is the redetermination process, and why do I need to go through it? By Federal law, Indiana Medicaid members must have their eligibility renewed every 12 months. Covered Services. To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage. Additionally, providers (and their delegated representatives) can use the IHCP Provider Healthcare Portal to check the status of a claim or claim adjustment at any time. The Arc of Indiana Webinars. IMPORTANT: All Indiana Medicaid programs started covering over-the-counter Covid-19 tests on February 1, 2022, through the pharmacy benefit:. To find out if you qualify or have questions about your current coverage, visit in. 29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. Traditional Medicaid members must go to an Indiana Medicaid provider. 24 Ask The Arc – Structured Family Caregiving Session I Kelli Tungate and Lisa Bennett from Careforth, Indiana’s largest Structured Family Caregiving provider agency, discuss how Structured Family Caregiving works and what families should think about when considering Structured Family Caregiving. Health coverage applications are processed by the Family and Social Services Administration (FSSA), Division of Family Resources (DFR). indianamedicaid. Indiana Medicaid programs support more than 2 million Hoosiers, including some of the most vulnerable, such as children and people with disabilities, by providing access to quality healthcare and supports and services to live self-sufficient and productive lives. Check out our Eligibility Guide to learn about eligibility for certain programs and see if you may qualify. WASHINGTON STREET, P. The Indiana Family and Social Services Administration will launch a new program in 2024 for Hoosiers aged 60 and over who receive Medicaid (or Medicaid and Medicare) benefits. Be given easy-to-understand explanations of your medical problems and treatment choices. Jan 9, 2019 · In accordance with Medicare cost reporting, the state must use 12 months of cost data reported by each facility. Current: Frequently Asked Questions; Frequently Asked Questions. The Family and Social Services Administration’s Division of Aging is announcing today that it During the federal COVID-19 public health emergency, Indiana paused cost sharing to keep health coverage open for our members. Healthy Indiana Plan Sep 30, 2020 · FREQUENTLY ASKED QUESTIONS Indiana Medicaid and Pregnancy This publication is supported by Funding Opportunity Number CMS-171-19-001 from the US Department of Health & Human Services, Centers for Medicare & Medicaid Services. How a return to normal will impact As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57. Q: What is the maximum amount the burial assistance program will offer? A: $1200 for funeral expenses. Although the federal government pays a portion of the costs, Medicaid is administered and operated by states, and each state's program is a little different depending on the needs and goals of that state. Aug 26, 2024 · How to Apply for Indiana Medicaid. Waiting list implemented for Aged and Disabled Waiver. This annual Healthy Indiana Plan. If you are not enrolled in Indiana Medicaid, you may be eligible. HIP continues to build on the successes of the original design and lessons learned since initial implementation in 2008. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of 1219. This program allows Indiana Medicaid programs to pay for services that are provided in a person’s home or other community setting, rather than a Medicaid-funded facility or institution. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based Processed claims and claim adjustments appear on the provider’s monthly Remittance Advice (RA) or 835 electronic transaction. com Allwell from MHS l Ambetter from MHS l Healthy Indiana Plan (HIP) l Hoosier Care Connect l Hoosier Healthwise You can get PE coverage if you are not currently receiving Indiana Medicaid coverage. How can someone apply for Medicaid? How can I become a Medicaid provider? How can I update my provider information (address, taxpayer identification number, specialty, electronic funds transfer and so on) on file with the IHCP? What codes should I use to bill my claim? Programs. member disenrolls from one MA plan to another during quarterly Special Enrollment Period (SEP); once per calendar year for any reason; at any time using the just process; and Additionally, during a plan selection period Traditional Medicaid members must go to an Indiana Medicaid provider. Alternatively, seniors can State of Indiana Indiana Family and Social Services Administration 402 W. zktsanamtlbvhssryshurduvywlajmiaeicrorkpihmmemszsj