Requirements for Medicaid in Indiana

The Indiana Division of Family Services oversees the Medicaid program for the state. It determines eligibility requirements for Medicaid and process applications. Indiana residents may apply for Medicaid benefits online on the Family and Social Services Administration website, by telephone or by visiting a local Division of Family Services office depending on where they live.

Indiana Medicaid Requirements

• Low-income Indiana residents may apply for Medicaid programs and each has its own set of eligibility requirements. The general requirements for all programs include earned and unearned income as well as family size and the number of people living in the household. Age is another determining factor and the applicant's resources and assets are assessed as well. Applicants with specific medical needs may qualify for a specific program based on their medical needs.

  Medicaid applications must contain the names and ages of everyone in the household, social security numbers, income, bank account balances, mortgage or rent payments and utilities, and any benefits received such as child support or Social Security.

Traditional Medicaid

• Traditional Medicaid in Indiana is offered to low-income families and provides them with medical care including doctor's visits, prescription drugs, family planning, surgeries, and hospitalizations as well as mental health, dental and vision care. Applicants eligible for both Medicare and Medicaid meet the requirements for Indiana Medicaid and applicants that are refugees or have a spend down monthly deductible are also eligible.

Medicaid Care Select

• Indiana residents who meet the requirements for Medicaid Care Select have special health needs and have certain medical conditions that require special attention. Eligible participants suffer from one of the qualifying health conditions such as heart failure, diabetes, asthma, severe mental illness, rheumatic heart illness, depression, hypertensive heart and kidney disease or congestive heart failure. Individuals served by this Medicaid program also include those who are disabled, blind and aged as well as foster children, children receiving adoptive services or wards of the court.

Presumptive Eligibility Requirements

• Presumptive eligibility offers prenatal care to pregnant women who have applied for Medicaid in Indiana and are waiting for a determination to be made on their application. Pregnant women who do not have health insurance through a job or their own individual policy may be able to receive health care through the Presumptive Medicaid program to maintain a healthy pregnancy. Program participants must meet income and residency requirements as well. Once their Medicaid applications are approved, pregnant women may qualify for one of two plans based on their income, with one covering the family and the other only covering pregnancy.