Traditional Medicaid
Overview
Traditional Medicaid, also called fee-for-service (FFS), provides full health care coverage to individuals with low income. This includes, but is not limited to, members who are:
- Under the age of 60
- Eligible for a Home- and Community-Based Services (HCBS) waiver program other than the Indiana PathWays for Aging Waiver
- Under the age of 60 who are eligible for both Medicare and Medicaid (dually eligible)
- Under the age of 60 residing in a nursing facility, or persons of any age residing in an intermediate care facility for individuals with intellectual disability (ICF/IID) or other non-nursing-facility institution
Covered Services
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.
Member Information
The Eligibility Guide provides you with eligibility information, including income requirements for Traditional Medicaid.
Traditional Medicaid members must go to an Indiana Medicaid provider.
To locate providers in your area, you can use the Provider Locator.
Traditional Medicaid members can get transportation case management for your Medicaid-covered rides to doctor’s offices, pharmacies or other health care offices. You can read about this service on the Non-Emergency Transportation page.
Provider Information
Providers serving Traditional Medicaid members must be enrolled with the Indiana Health Coverage Programs (IHCP). Refer to the Become a Provider webpage.
Providers are reimbursed by the IHCP for services rendered to Traditional Medicaid members, on a fee-for-service (FFS) basis.
Additional provider resources regarding Traditional Medicaid services include:
Member Eligibility and Benefit Coverage provider reference module