How Do I Apply For Medicaid In Indiana

Can Children Be Eligible For Medicaid And Medicaid Waivers If The Parents Arent Low

When a child, whos under 18 years old, with a disability applies for Medicaid that childs income may be the only income used for the determination. Since most children dont have income theyll be able to pass the financial tests for Medicaid.

This is explained further in the Indiana Medicaid Policy Manual :

2035.20.00 HOME AND COMMUNITY-BASED SERVICE WAIVERS

Parental income and resources are not considered when determining the Medicaid eligibility of individuals less than 18 years of age who are being considered for Home and Community-Based Services . Parents should be asked early in the interview if they want retroactive Medicaid coverage for the child. If retroactive coverage prior to the waiver effective date is requested, the parents must provide verification of their income and resources. Generally most parents do not want retroactive coverage for the child prior to the waiver and are resistant about being asked any questions about themselves. If the parents do not want the retroactive coverage, they are not required to provide information about their own finances for those retroactive months.

As each screen is completed, the questions will relate to the situation of the child only, if retroactive coverage is not desired.

Apply For Hoosier Healthwise

Hoosier Healthwise is the State of Indianas health care program for children, pregnant women, and families with low income.

Based on family income, children up to age 19 may be eligible for coverage. HHW covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the members family.

How to apply? Call or visit in.gov/fssa

Information Required To Complete The Indiana Medicaid Application

For each person in your household, you will need to know:

• Names and dates of birth
• Social Security Numbers
• Income from jobs or training
• Benefits you get now , such as Social Security, Supplemental Security Income , veteran’s benefits, or child support
• Family and tax relationship information
• If you are aged, blind, disabled, or receiving Medicare, the amount of money in your checking accounts, savings accounts, or other resources you own
• Payments for adult or child care health coverage and/or medical benefits you currently have

Go to the Find My Local DFR Office website to get the specific Indiana Medicaid application instructions based on your county of residence.

View a list of enrollment centers around the state where you can go to apply for Hoosier Healthwise .

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See If Your Children Qualify And Apply For Chip

Each state program has its own rules about who qualifies for CHIP. You can apply right now, any time of year, and find out if you qualify. If you apply for Medicaid coverage to your state agency, youll also find out if your children qualify for CHIP. If they qualify, you won’t have to buy an insurance plan to cover them.

See Why Hoosiers Choose Unitedhealthcare

Whatever plan you choose, UnitedHealthcare will help you get the care you need.

• Large variety of network providers
• Low- or no-cost prescription drugs
• Well visits, routine shots, community health events and more
• Dental and vision services

Its your health. Its your choice.

Everyone deserves affordable health care, including you.

People who are aged, blind or disabled and caretakers of children in foster care, should check out UnitedHealthcare Community Plan.

We have the Medicaid benefits and extras that can make a real difference in your life. All at no cost to you.

• Dental coverage
• Transportation for medical appointments and other approved trips
• A NurseLine available 24/7 to answer your health questions

Sometimes, you might need a little extra help. Get extras not covered by Medicaid.

• Dedicated support from the same Member Services advocate every time you call us
• As a new member, earn a $50 gift card when you complete your health assessment
• Our On My Way program provides helpful tips to prepare for adulthood
• Learn about our referral programs for low-cost internet or a free mobile phone

We also offer resources to help you make the most of your plan, including:

• Diabetes supplies
• Mental health and substance use treatment

Visit IN dot gov slash Medicaid for more information.

Helping you live a healthier life.

We are here for you, Indiana.

Remember to choose UnitedHealthcare Community Plan.

And get the plan that gets you more.

To learn more about UnitedHealthcare Community Plan,

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Forms Included In The Medicaid Waiver Application Packet

• Application for Developmental Disability Services : This one-page form is the application form. There are timelines for processing an application once it’s received, so it’s important to track when your application was received by the Bureau of Developmental Disability Services.

• Confirmation of Diagnosis : This one-page form is signed by a Medical Doctor or a Doctor of Osteopathy to confirm a person’s medical diagnosis. The doctor who confirms the diagnosis doesn’t necessarily need to be the doctor who initially made the diagnosis.

• : In order for the Developmental Disability Rehabilitation Services to communicate with medical providers, you’ll need to authorize the disclosure of your personal information. This is a two-page form that you’ll complete during the application process.

If You Need Help Applying for a Waiver Program

If you need assistance completing the waiver application, contact The Arc of Indiana at 317-977-2375 or 800-382-9100 and ask to speak to a Family Advocate. You can also reach out to The Arc of Bartholomew County to receive an application.

Indianas Alternative To Medicaid Expansion

Under the Affordable Care Act, Medicaid expansion is a vital strategy to make health care accessible to more people and to reduce the nations uninsured rate. Through the ACA, the federal government paid 100% of the cost of covering low-income adults, up to 138% of FPL, through the Medicaid program until 2016. The federal portion gradually dropped to 90% by 2020, where it will remain.

Although Indiana expressed willingness to consider a modified version of Medicaid expansion, both Governor Pence and the head of the Indiana Family and Social Services Administration took the position that Medicaid must be reformed, not just expanded. But there was significant federal money available to states that expand Medicaid. If Indiana had not expanded coverage at all, the state would have missed out on $17.3 billion in federal funding in the decade from 2013 to 2022.

Indiana did not adopt straight Medicaid expansion as structured under the ACA. However, the state did receive a federal waiver to continue its then seven-year-old Healthy Indiana Plan, a health insurance program for uninsured adults with income at or below the federal poverty level, in which participants helped pay the first $1,100 of care. However, the program didnt cover as much as Medicaid does, and there was a limit on the number of people that could be covered. As of late August 2014, the Healthy Indiana Plan was closed to new enrollment.

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Indianas Family Supports Medicaid Waiver

The Family Supports Waiver is the basic entry point to receive waiver services for a child or adult with a developmental disability . Applications for the Family Supports Waiver are accepted through the Bureau of Developmental Disabilities Field Services Office .The Family Supports Waiver- Fast Facts: Limit of an individuals budget at $17,300 Provides a newer service called Participant Assistance and Care which provides another level of support for the individual in their own home or in the family home Provides Case Management as a distinct activity to waiver participants and Allows eligible individuals ages 18 through 24, who have aged out, graduated, or permanently exited from their school setting, to enter waiver services without waiting, if funded slots are available. The local BDDS office will determine who qualifies.Below are all services that are approved under Indianas Family Supports Waiver as of August 1, 2020: Adult Day Services Case Management Day Habilitation Environmental Modifications Extended Services Facility Based Support Psychological Therapy Recreational Therapy Remote Supports Respite Specialized Medical Equipment and Supplies Speech/Language Therapy Transportation Services: Level 1, 2, and 3 Workplace Assistance

Quitting Smoking Or Vaping

Quitting is hard, but we can help. Did you know that 20 minutes after you quit smoking, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.

Talk to your doctor about quitting. Or call to get free coaching, counseling and supplies to help you quit.

• IN Medicaid plan

Also Check: Anthem Blue Cross Medicaid Nevada

Unitedhealthcare Senior Care Options Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Medicaid Eligibility In Indiana

Eligibility is one of the first things that needs to be decided when deciding to apply for Medicaid. Every state has a required set of criteria that they must follow in order to determine in someone is eligible for the program. Medicaid in Indiana has several different programs all of which have differences in their eligibility. However, there are four main aspects that they all look at:

• The size of the applicants family and their income
• The applicant’s age
• The number of resources and assets owned by the applicant
• The applicant’s medical needs

Once you have determined your eligibility and are ready to move on you will need to apply for the program. There are three ways in which you can do this. You may apply online, in person, or by phone. Once you have applied it may take up to 90 days before you are approved. You may check the status of your application at any time online simply by going to the site. Keep in mind you will need to have a case number ready in order to verify yourself and get your status update.

Recommended Reading: Southern Nevada Medicaid Phone Number

Will You Be Eligible For Medicaid

Before applying for Medicaid you should understand some of the basic eligibility guidelines. Medicaid is a needs based program, which means you must demonstrate a financial need for benefits because it is intended to help low income families, pregnant women, children, the disabled and the aged with healthcare costs. Consequently, an applicant cannot have income nor assets that exceed the program limit. The income limit is tied to the Federal Poverty Level for your area and household size and changes each year.

In addition, an individual cannot have countable resources that are worth more than $2,000 while a married couple cannot have resources valued at more than $3,000. Although some assets are exempt, the very low countable resources limit can be problematic. If your assets do exceed the program limit, your application will be denied, and you will be expected to spend-down your assets. What this means is that you are expected to sell those assets and use the proceeds to pay your LTC expenses until the value of your assets falls below the program limit. With LTC costs averaging around $8,500 per month in Indiana, it is easy to see how your retirement nest egg could be depleted rather quickly if you are forced to pay out of pocket for LTC.

Unitedhealthcare Connected General Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

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Why Should I Submit A Medicaid Application

Approval for PE is NOT the same as being approved for ongoing health coverage. Your PE coverage is only temporary while you submit an Indiana application for health coverage and your application is pending. Your PE will be discontinued if you do not apply for coverage by the last day of the month following the month your PE was established.

It is very important that you respond promptly to all requests from the state following your application. If you do not apply and respond, you will not be eligible for coverage, and you will be responsible for paying all of your labor and delivery costs.

For pregnant women many health care services are not covered under Presumptive Eligibility for Pregnant Women. If you do not begin the application process for full coverage , you will lose your PEPW and be responsible for the cost of the care when you are admitted to the hospital, including labor and delivery, and any services that are not for your pregnancy or for the health of your baby. The costs of your continuing prenatal care, as well as labor and delivery, will only be covered if your application is submitted and approved. For your health and the health of your baby, take the next step and complete the Indiana application for health coverage right away.

The same doctor’s office or clinic that helped you with your PE determination can help in filling out and submitting your application.

Does Indiana Have A Medicaid Work Requirement

No, Indiana does not have a Medicaid work requirement. A work requirement was approved by the Trump administration but never implemented, and the approval was ultimately revoked by the Biden administration.

In 2019, Indiana began phasing in a work requirement for Medicaid expansion enrollees, and people who werent exempt or in compliance were slated to begin losing Medicaid coverage after the end of 2019. But a lawsuit was filed to block the work requirement, and Indiana paused implementation of the work requirement altogether in November 2019, pending the outcome of the lawsuit.

The COVID pandemic made Medicaid work requirements essentially unworkable, and as of the spring of 2020, there were no Medicaid work requirements in effect anywhere in the country. The Families First Coronavirus Response Act, enacted in March 2020, provided additional federal Medicaid funding but prevented states from terminating coverage for any Medicaid enrollees during the COVID public health emergency period.

In June 2021, the Biden administration notified Indiana that approval for the Medicaid work requirement was being withdrawn, so it will not go into effect after the COVID pandemic ends.

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What Does Medicaid Cover In Indiana

There are different packages that can be chosen when you apply for Medicaid and they usually offer a variety of different things, some cover everything while others may not cover as much. Many of the packages in the Indiana Medicaid cover the following:

• Surgical Footcare
• Chiropractic services

Eligibility based on the income can vary depending on the people or person that is applying for medical assistance at the time. There are four categories that people are split into when looking at income for eligibility:

1. Pregnant Woman

3. Adults

4. Aged, Blind, and Disabled

You can learn exactly what the eligibility for these four categories is by visiting the site and finding the category that you fall under. The income is based on how many people have an income in the home and it is based on before-tax income.

When it comes to the cost of Medicaid, it will vary slightly based on the plan that you choose. There is usually a co-pay for certain things that do not exceed $10. Things that will require a copay are:

• Non-Emergency Transportation
• Emergency Transportation
• Pharmacy- Brand name $3.00/$10.00 per prescription)
• Non-emergency usage of the ER

The prescription plan for Indiana Medicaid has a copay for most of the plans it is just $3.00 and covers a wide variety of drugs that your doctor can prescribe to you. Such as:

How Do I Apply For Medicaid In Indiana

June 24, 2020Medicaid

Do you need to apply for Medicaid for seniors in Indiana for yourself or for a loved one? If so, and you are unfamiliar with the Medicaid program, it can be a little intimidating. To help get you started, the Plainfield area Medicaid lawyers at Frank & Kraft explain how to apply for Medicaid in Indiana.

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How Much Does Medicare Cost

Original Medicare

Original Medicare is divided into Part A and Part B .

• Part A helps pay for inpatient hospital care, some skilled nursing care, home health care and hospice care.
• Part B helps pay for doctor services, outpatient hospital care, durable medical equipment, home health care not covered by Part A, and other services. Medicare was never intended to pay 100% of medical bills. Its purpose is to help pay a portion of medical expenses. Medicare beneficiaries also pay a portion of their medical expenses, which includes deductibles, copayments, and services not covered by Medicare. The amounts of deductibles and copayments change at the beginning of each year.

Part A – Monthly Premium

If you are eligible, Part A is free because you or your spouse paid Medicare taxes while you were working. You earn Social Security “credits” as you work and pay taxes. For each year that you work, you earn 4 credits.

You are 65 or older, and you receive or are eligible to receive full benefits fr om Social Security or the Railroad Retirement Board

You are under 65, and you have received Social Security disability benefits for 24 months You are under 65, and you have received Railroad Retirement disability benefits and you meet Social Security disability requirements You or your spouse had Medicare-covered government employment You are under 65 and have End-Stage Renal Disease