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  1. 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.

    • Presumptive Eligibility

      Am I Eligible for Medicaid. Medicaid eligibility is...

    • Indiana Medicaid

      Medicaid eligibility is determined by several factors and...

    • FSSA

      Welcome to the Healthy Indiana Plan! The Healthy Indiana...

    • FAQs

      How does a Medicaid member arrange for transportation? What...

    • Programs

      Programs - Indiana Medicaid: Members: Eligibility Guide -...

    • Contact US

      Member Services (Healthy Indiana Plan) 866-408-6131. Member...

    • Pharmacy Benefits

      The PDL shows drugs covered under the pharmacy benefit that...

    • Hoosier Care Connect

      Covered Services. IMPORTANT: All Indiana Medicaid programs...

  2. Nov 18, 2022 · To qualify for Hoosier Healthwise, applicants must meet the following eligibility criteria: Income/Household Size. Income limits are adjusted to account for the number of household members.

  3. Each program uses a different set of measures to determine if a person qualifies for that program. To qualify, applicants must meet four main eligibility criteria: Income/household size: This applies to both earned income (example: wages from a job) and unearned income (example: Social Security Disability payments).

  4. To qualify, applicants must meet four main eligibility criteria: Income/Household Size. This applies to both earned income (example: wages from a job) and unearned income (example: Social Security Disability payments). Income limits that are adjusted to account for the number of household members.

  5. On this site, you can learn about the different Medicaid programs and how to apply. Check out our Eligibility Guide to learn about eligibility for certain programs and see if you may qualify. Cost-Share Restart begins July 1, for HIP, CHIP and MEDWorks members. Learn more here.

  6. • Eligibility: Income less than or equal to 300% of the maximum Supplemental Security Income (SSI) federal benefit rate • If income exceeds this threshold a member may establish a Miller Trust • If under age 18: Does not include parental income or resources Meets “Level of Care” • Example: Complex medical condition, intellectual

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  8. Medicaid eligibility is based on your income relative to the Federal Poverty Level (FPL), which adjusts with household size. To qualify, your income must fall below the specified limit as percentage of the FPL. The Medicaid income limit for adults age 19 to 64 is 138% of the federal poverty level.

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