State Profiles

Indiana

Total Number of Enrollees
1,409,228

Total Number of Enrollees in Managed Care
1,127,382

Indiana

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The 2017 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis, August 2017

Medicaid Expansion
Yes

Population Description

State Medicaid Waivers

  • Establishing premiums through monthly contributions to a Personal Wellness and Responsibility (POWER) health savings account for most newly eligible adults with income from 0-138% FPL, with services delivered through capitated managed care organizations (MCOs). Premiums are a condition of eligibility for non-medically frail beneficiaries from 101-138% FPL and are limited to 2% of income ($27/month for those at 138% FPL); premiums for those with income below 5% FPL ($49 or less per month for an individual in 2015) are $1.00 per month.
  • Waiving non-emergency medical transportation (NEMT) for most newly eligible adults for one year, to be extended based on the results of an evaluation assessing the impact on access to care
  • Establishing a two year demonstration under §1916(f) with a control group to evaluate whether graduated co-payments (first instance $8, subsequent $25) discourage non-emergency use of the ER by non-expansion parent/caretakers and newly eligible adults; and
  • Offering optional Medicaid premium assistance for newly eligible adults with employer-sponsored insurance.

State Medicaid Website

State CHIP Program

Member Health Plans

Managed Health Services Indiana (CENTENE)

Total Number of Enrollees
1,409,228

Total Number of Enrollees in Managed Care
1,127,382

Indiana

Return to main U.S. map page.

The 2017 OPEN MINDS Medicaid Managed Care Update: A State-By-State Analysis, August 2017