May Update

Indiana announces its plan to expand the Healthy Indiana Plan (HIP) to provide coverage to uninsured Hoosiers and Medicaid for the Aged, Blind & Disabled moves towards managed care. On June 1st, Medicaid for the Disabled will also require a federal application for Social Security Disability Benefits. Our goal remains to provide you and your patients / clients / consumers with the ClaimAid Advantage.

Governor Announces Details to Expand HIP as Alternative to Medicaid

  • Indiana plans to expand the Healthy Indiana Plan as an alternative to Medicaid to cover uninsured individuals in Indiana.
  • What you need to know: “HIP 2.0” was announced today by Governor Mike Pence. The proposal will be submitted to the Centers for Medicare and Medicaid Services (CMS) for approval in late June after the required public comment period. The expansion is projected to provide coverage to 350,000 uninsured Hoosiers. Key elements of the plan include three HIP plan types: A subsidy for those who choose to access employer-sponsored insurance, a HIP plus plan that requires a $3-$25 monthly contribution and includes vision and dental coverage, and a HIP Basic plan that has no monthly contribution but requires co-payments and has reduced benefits. If you or your patients / clients have questions about a how this new plan will impact insurance options, you may direct them to a ClaimAid advocate or CONTACT US.

 

Indiana Aged, Blind and Disabled Medicaid moving toward Managed Care

  • Indiana plans to have approximately 75,000 Hoosiers in the Aged, Blind and Disabled Medicaid category to be enrolled in managed care beginning in 2014.
  • What you need to know: Many of the first individuals to transfer will come from the current “Care Select” program along with those who reside in the community and are not also eligible for Medicare. Individual who will transition to full Medicaid eligibility with the State’s 1634 transition will also be included. Moving forward, Dually Eligible, Institutionalized, & HCBS Waiver Enrollees will be excluded from the managed care program. More details of the state’s proposal may be located HERE.

 

1634 Transition on Track for June 1st, 2014

  • Beginning June 1, all new Medicaid for the Disabled applications will require a concurrent federal application to the Social Security Administration (SSA) for disability benefits.
  • What you need to know: Applications for Supplemental Security Income (SSI) and Social Security Disability Income (SSDI) are complex and typically take longer than the state Medicaid Disability process. The Indiana Office of Medicaid Policy & Planning (OMPP) has stated that they will not eliminate the state Medical Review Team (MRT) process, though the SSA determination will receive priority for program eligibility. For the updated 1634 FAQ, please CLICK HERE. If you or your patients / clients have questions about this notification, you may direct them to a ClaimAid advocate or CONTACT US.

 

For more details and up-to-date information, please contact J Hopkins, Vice President at 800.842.4052 x126 or by email at jhopkins@claimaid.com.