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 Indiana Medicaid

What is Medicaid?Medicaid is a health insurance program. The program is funded by the state and federalgovernment. It pays for necessary medical coverage for low income citizens. Several programsare part of Medicaid in Indiana. Some are Hoosier Healthwise, Care Select, Children’s HealthInsurance Program (CHIP), M.E.D. Works and Packages A, B or C. For these Medicaid programseligibility is determined, in part, by income. It is a good idea to learn about the programs.Your child or family member may qualify for different programs at different times.

What might my child(ren) qualify for?

Program Ages Family incomelimits(see incomechart on back)

Cost Other eligibilityrequirements

Package A Birth - 18 Up to 208% ofpoverty (0-1 yr);158% FPL (1-18yrs)

No-premiums;Low co-paysmay apply

Package C(CHIP)ChildrenOnly

Birth - 18 Approximately158-250% ofpoverty

Monthlypremiums rangebased uponincome andfamily size

May not beeligible foremployer-sponsoredhealth insurance

What about the adults in our family?Several programs provide coverage to adults who are caregivers of children who qualify forMedicaid.

Program Ages Family incomelimits(see income

chart on back )

Cost Other eligibilityrequirements

Package A Adult caregiversof childrenunder 18

 Approximately22% of poverty

No premiums;Low co-paysmay apply

Package A(PregnantWomen)

PregnantWomen

Up to 208% ofpoverty (includeunborn child infamily size)

No premiums;Low co-paysmay apply

Healthy IndianaPlan (HIP)

19 - 64 Up to 100% ofpoverty and noteligible forPackage A.

No more than2% of grossfamily income.The amount willdepend on

income andfamily size.

Must be a legalresident.

Must submit aseparate

application,available here:http://www.in.gov/fssa/hip/index.htm. 

Family PlanningEligibilityProgram

Up to 141% ofpoverty, nototherwiseeligible forMedicaid

Apply online,

by telephone, or

by visiting a

local Division ofFamily

Resources

Office. Locate

an office by

dialing 2-1-1 or

calling the

Indiana Family

Helpline at

1-855-435-7178.

 Access the

online

application by

visiting

www.in.gov/fss

a/dfr/2999.htm 

and clicking

 Apply for

Benefits Online.

To learn more

about these

and other

programs,

contact Family

Voices Indiana.

We will assist

you as you

navigate health

care systems

and services,

especially

those availableto individuals

with special

health care

needs.317-944-8982

Fvindiana.org

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Updated 12/2013

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 How to ApplyYou may submit an application for the programs described above by applying online(https://www.ifcem.com/CitizenPortal/application.do , click Apply for Health Coverage, SNAP,and/or Cash Assistance online) by phone 1-800-403-0864, or by visiting a local Division of FamilyResources (DFR) office. Applications for Hoosier Healthwise may also be submitted at EnrollmentCenters, which may be located by calling the Hoosier Healthwise Helpline 1-800-889-9949.To complete an application, you will need the following documents for each member of thehousehold:

  Names and dates of birth  Social Security number, proof of citizenship and/or immigration status  Proof of income from jobs and training

  Information about tax filing status and dependents  Proof of private medical insurance or any coverage for members of the household

  If anyone in the household is pregnant, a statement signed by a licensed health careprofessional or the name of the health care professional who can verify the pregnancyand the date the pregnancy began

Income Limits All of the programs mentioned use the Federal Poverty Definition to set income limits. It isimportant to note that these limits are updated each year. Families whose income is close to alimit are encouraged to be aware of changes. Income eligibility is determined based upon the

family’s tax filing status and taxable income. For most programs, resource limits and nontaxableincome, such as veterans’ compensation and child support, are no longer counted towardhousehold income when determining eligibility.

2013-2014 Federal Poverty Guidelines

For More Information

Contact Family Voices Indiana, Indiana’s Family to Family Health Information Center, supportingfamilies who have children with disabilities and special health care needs as they navigate

systems and services. Visit www.fvindiana.org or call 317.944.8982.

Please note: Programs and systems change often. It is important to ensure that you are using the

most current information. This Fact Sheet was updated December 2013. Please check with

Family Voices Indiana (www.fvindiana.org) for the most recent edition.

FamilySize

22% ofPoverty

100% ofPoverty

150% ofPoverty

200% ofPoverty

250% ofPoverty

1 $2,528 $11,490 $17,235 $22,980 $28,725

2 3,413 15,510 23,265 31,020 38,775

3 4,297 19,530 29,295 39,060 48,825

4 5,181 23,550 35,325 47,100 58,875

5 6,066 27,570 41,335 55,140 68,925

6 6,950 31,590 47,385 63,180 78,975

7 7,834 35,610 53,415 71,220 89,025

8 8,719 39,630 59,445 79,260 99,075

To learn more

about programs

that cover

children, call

the Hoosier

Healthwise

Helpline,

1-800-889-9949 

To learn more

about theHealthy Indiana

Plan (HIP), call1-877-438-4479,

or visit:

http://www.in.go

v/fssa/hip/index.

htm.