Children
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Pregnant Women
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Adults
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Aged Blind & Disabled
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Indiana PathWays for Aging
A new managed care program beginning July 1, 2024, for eligible Hoosiers age 60 and older.
Home- and Community-Based Services (HCBS)
HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.
Programs
Traditional Medicaid
Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...
Healthy Indiana Plan
The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...
Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Children who are wards of the State, receiving adoption assistance, foster children and former...
Hoosier Healthwise
Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...
Indiana PathWays for Aging
A new managed care Medicaid program beginning July 1, 2024, for eligible Hoosiers age 60 and older.
Medicare Savings Program
The Medicare Savings Program provides assistance paying Medicare Part A (Hospital) and Medicare Part B (Medical Insurance) premiums, deductibles, coinsurance, and copayments for qualifying individuals. Some members will qualify for both Traditional...
HoosierRx
HoosierRx is a program that can help low income residents aged 65 years or older pay for their monthly Medicare Part D premiums.
State Health Insurance Assistance Program (SHIP)
The State Health Insurance Assistance Program is a free and impartial counseling program for people with Medicare. SHIP is provided by the Administration on Community Living and the Indiana Department of Insurance.
What is Covered by Indiana Medicaid
Pharmacy Benefits
Home- and Community-Based Services (HCBS)
HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.
Apply for Coverage
Apply for Coverage
To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage.
Am I Eligible for Medicaid
Medicaid eligibility is determined by several factors and can be complicated. There are several different Medicaid programs, each with slightly different eligibility requirements. If you think you may be eligible, the best thing to do is apply.
Presumptive Eligibility
This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.
Eligibility Guide
This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.
Resources
Member Rights & Responsibilities
As a Medicaid member, there are many things that you need to know in order to keep your benefits and get the most out of the services that are available to you.
Provider Directory
Start here to find a Medicaid provider near you.
Managed Care Health Plans
Depending on your eligibility, you may be enrolled with a health plan to help coordinate and manage your healthcare. Find out more about health plan options and how to contact them.
Authorized Representative Form
In certain cases, you may need to have an authorized representative communicate with your caseworker or Medicaid staff. In order for the State to discuss your case or history with your representative, you will need to give written permission.
Member Appeals
You have the right to appeal decisions made about your eligibility for programs or certain decisions made about your care.
Understanding Terms
You can find some definitions to some more commonly used words throughout Indiana Medicaid.
Other Important Social Services
You can learn about other social services available to you.
FAQs
Have a question? You can find answers to frequently asked questions here.
Contact Us
A complete list of phone numbers for coverage and benefit questions.
Please select the category that best describes you or the person who needs medical coverage.
This is only a guide and is intended to show basic eligibility rules for several typical Medicaid member groups. You must apply for coverage to know for sure whether you qualify.
Note: The following income limits include income before taxes and not take-home pay.
Pregnant individuals typically fall into the Hoosier Healthwise program. Please review all eligibility criteria below.
| Family size | Income limit (per month) | Additional details |
|---|---|---|
| 2 | $3,754.15 | Family size is based on the tax household, including the unborn child(ren). If you do not file taxes, the household includes the pregnant individual, their child(ren) (biological, adopted, and step), their unborn child(ren), and their spouse, if married. These income standards are effective March 1, 2025. |
| 3 | $4,731.05 | |
| 4 | $5,707.00 | |
| 5 | $6,682.90 |
You can receive immediate medical attention by applying for Presumptive Eligibility for Pregnant Women while you wait for your Medicaid application to be completed.
Children who are not disabled and not living in an institution will be served through Hoosier Healthwise. If your child is disabled or living in an institution, please refer to the aged, blind, and disabled section.
| Family size | Income limit (per month) | Additional details |
|---|---|---|
| 1 | $3,326.25 | Family size is based on the tax household. If you do not file taxes, the household includes the child(ren), the child(ren)'s parent(s) (biological, adopted, and step), and the child(ren)'s sibling(s) (biological, adopted, and step). These income standards are effective March 1, 2025. |
| 2 | $4,495.15 | |
| 3 | $5,664.05 | |
| 4 | $6,832.00 | |
| 5 | $8,000.90 |
Based on income, you may have a monthly premium. You can learn more about the premiums by visiting the Hoosier Healthwise and M.E.D. Works premium payments webpage.
Generally, adults who are not disabled or institutionalized will be served through the Healthy Indiana Plan. If you are disabled or living in an institution, please refer to the aged, blind, and disabled section.
| Family size | Income limit (per month) | Additional details |
|---|---|---|
| 1 | $1,800.25 | Family size is based on the tax household. If you do not file taxes, the household includes the child(ren), the child(ren)'s parent(s) (biological, adopted, and step), and the child(ren)'s sibling(s) (biological, adopted, and step). These income standards are effective March 1, 2025. |
| 2 | $2,433.15 | |
| 3 | $3,065.05 | |
| 4 | $3,698.00 | |
| 5 | $4,329.90 |
If eligible for HIP, you will be required to make a monthly contribution of 2% of your family income to receive HIP Plus benefits. To learn more about HIP Plus and HIP Basic, visit the Healthy Indiana Plan webpage.
Individuals who are aged, blind, or disabled, including those who are institutionalized, will be served through one of the following programs:
| Family size | Income limit (per month) | Additional details |
|---|---|---|
| 1 | $1,304.17 | Family size is based on the tax household. If you do not file taxes, the household includes the child(ren), the child(ren)'s parent(s) (biological, adopted, and step), and the child(ren)'s sibling(s) (biological, adopted, and step). These income standards are effective March 1, 2025. |
| 2 | $1,762.50 | |
| 3 | $2,220.83 | |
| 4 | $2,679.17 | |
| 5 | $3,137.50 |
Disabled individuals who are institutionalized or eligible for Home and Community-Based Waiver services may qualify with monthly income of up to $2,901. This income standard is based on the individual only; income of the spouse and other household members is not counted. Depending on their countable income, these individuals may be responsible for paying a monthly patient or waiver liability.
Working disabled individuals may be eligible for MEDWorks with slightly higher income and will be required to pay a monthly premium.
Institutionalized, disabled individuals may be eligible with slightly higher incomes and be required to pay a monthly patient liability.
Maximum of $2,000 (single) or $3,000 (married) in assets.
What is counted as an asset? This includes items such as a bank account balance, cash on hand, stocks and bonds, and property (other than your family home).
What does not count as an asset? One vehicle, a home (if it is where you live), and burial spaces.
Home- and Community-Based Services allow individuals with special medical or developmental needs to live in the least restrictive setting while receiving the medical care and supports they need.
If you do not qualify for any of the above Indiana Medicaid programs, you may qualify for one of the following specialized programs:
Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.
