During the COVID-19 federal public health emergency (PHE), due to federal requirements, Indiana Medicaid members were able to keep their coverage, regardless of a change in income, resources, or Medicaid category. Congress passed legislation in December, 2022 that ends the continuous coverage requirements on March 31, 2023.
This means that Medicaid eligibility redeterminations begin again on April 1, 2023. For some Medicaid recipients this could result in actions to adjust, reduce or eliminate coverage. The first possible disenrollments for people assessed in April is April 30, 2023, with loss of coverage effective May 1, 2023.
It is important to note that individuals who continued to receive Medicaid coverage solely due to the PHE continuous coverage requirements will be reassessed when their scheduled annual redetermination is due. Individuals in this group cannot have their coverage discontinued or moved to a lesser-coverage category before their full redetermination process is completed.
Anyone who is currently in one of Indiana Medicaid’s health coverage programs, including the
Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect or traditional Medicaid, should take action now to help stay covered.
To help keep you covered, or help you find the right coverage for you and your family, the Indiana Family and Social Services Administration needs all Medicaid members to take these steps to ensure they have current information:
- Go to FSSABenefits.IN.gov
- Scroll down to the blue “Manage Your Benefits” section
- Click on either “Sign in to my account” or “Create account”
- Check that your contact information is accurate
- Call 800-403-0864 if you need assistance
- Watch your mail! Be sure to respond with any request for information
Right to appeal
Medicaid recipients who believe the decision to remove them from Medicaid is incorrect can request an appeal to contest the decision. In general, individuals can keep their Medicaid coverage while the hearing is pending.
People who lose Medicaid eligibility because they no longer meet the requirements for the Medicaid category they applied under may qualify under a different Medicaid category, but only have 13 days to appeal. An appeal can also be made if Medicaid incorrectly assessed an individual’s or family’s income or incorrectly assessed a person’s disability status.
Premium Payments and Power Accounts
Some forms of Medicaid, such as CHIP, MED Works, and HIP 2.0, require either a premium payment or a Power Account contribution. Those premiums and contributions will begin again on July 1, 2023.
Click here to find additional information and updates from Indiana Medicaid.
Contact Us – We’re Here to Help
The Arc of Indiana’s family advocates are here to help with questions, guidance and resources. Contact us at 317-977-2375 or 800-382-9100.