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Learn About Requirements for Medicaid in Indiana

“What are the requirements for Medicaid in Indiana?” is the first question an individual interested in receiving medical assistance from the state should ask. This is because discovering how to qualify for Medicaid in IN helps potential beneficiaries determine if they have a chance of receiving medical assistance through the Medicaid program. Additionally, applicants tend to ask, “What are the income requirements for Medicaid in Indiana?” because they want to know if their salary falls within the income limits established by the federal government for Medicaid. There are many other Medicaid eligibility requirements to satisfy along with the income requirements in order to receive benefits in Indiana. Find out more about these requirements below.

Who qualifies for Medicaid in Indiana?

In short, Indiana Medicaid eligibility extends to anyone who meets the standard requirements. The standard Medicaid requirements are a set of restrictions every Medicaid applicant must meet in order to qualify for assistance. They are as follows:

  • All applicants must be residents of Indiana.
  • All applicants must either be United States Citizens or legal immigrants of the U.S.
  • All applicants must meet Medicaid income requirements.

Once an applicant has determined he or she meets the above IN Medicaid benefits eligibility guidelines, then the state will process which particular Medicaid program he or she is qualified to receive benefits under.

Indiana Medicaid eligibility rules now extend beyond traditional Medicaid requirements since the program expanded after the Affordable Care Act Medicaid expansion was passed. When Indiana decided to expand its Medicaid program, the state broke up the program into five subgroups to specially accommodate each beneficiary’s health concerns. It is easier to determine if you fulfill Medicaid benefits eligibility in Indiana by understanding who is covered under each plan.

Families and individuals who meet basic Medicaid requirements fall under the Healthy Indiana Plan (HIP), which provides health care assistance to adults who are between the ages of 19 and 64. Additionally, recipients may exceed the Medicaid income requirements and still be eligible for this plan’s health care coverage.

Eligibility for Indiana Medicaid benefits extends to senior citizens older than 65 years of age, blind residents and disabled residents through the Hoosier Care Connect plan. These recipients typically do not qualify for Medicare, a counterpart to Medicaid. Therefore, Indiana developed Hoosier Care Connect to provide them with health care coverage.

Pregnant women and any child younger than 18 years of age who is eligible for Medicaid can qualify for Hoosier Healthwise, which consists of Indiana’s Child Health Insurance Program (CHIP). Hoosier Healthwise aims to provide pregnant mothers with prenatal and postnatal care while giving developmental care to newborns and infants.

Once they qualify for Medicaid in Indiana, beneficiaries who are in need of special health care services can be enrolled in the Home and Community-Based Services program. These beneficiaries include senior citizens, individuals suffering from mental illness and individuals with a qualifying disability. In order to meet this program’s Medicaid eligibility requirements, participants must be willing and able to work, as the program’s focus is to integrate its beneficiaries into the community as productive citizens.

The MED Works program is designed for beneficiaries who qualify for IN Medicaid through having a disability but are able to return to work. This program ensures working disabled residents do not lose their health care assistance.

What are the income requirements for Medicaid in Indiana?

Because Medicaid aims to provide health care to low-income households, meeting Indiana income requirements for Medicaid is a crucial step in determining who is eligible to receive medical assistance in Indiana. To qualify for Medicaid, all applicants should be categorized as low- or very low-income. This status is determined by a household’s gross monthly income in relation to the number of members living in the house. To learn more about Medicaid income guidelines, you can download our free guide.

What are the Medicaid application guidelines in Indiana?

Fulfilling the application guidelines for Medicaid in Indiana begins with supplying sufficient documentation that proves an applicant is eligible to receive benefits. Proving an applicant meets IN Medicaid eligibility requirements typically consists of providing a copy of tax returns, a Social Security Number and even alien registration documentation. Along with providing this thorough information, there are many more steps to ensuring successful completion of the Medicaid application. To learn more about the entire application process, download our free guide.