Which QHP issuers will offer plans on the Marketplace for Indiana in 2017?

The options for Indiana residents on the Federal Marketplace will become less for 2017. The Indiana Department of Insurance (IDOI) submitted approved 2017 federal Marketplace filings to Health and Human Resources on August 23, 2016.  The information revealed the following regarding Qualified Health Plan Issuers: QHP Issuers that will not continue their participation in 2017: […]

Marketplace Open Enrollment for 2017 Coverage

Open enrollment for 2017 health coverage through the Marketplace begins November 1, 2016.  In preparation for this event, please review the Quick Start Guide below provided by CMS. Quick Start Guide for Marketplace Application   If you are assisting an individual with a Marketplace application or renewal, please remember the following: You must have them […]

Social Security Disability vs. Early Retirement Benefits

Many disabled applicants nearing the age of 62 ask whether to apply for disability or take early retirement benefits. Here are the implications of each option: Early Retirement Benefits If a disabled worker starts collecting Social Security retirement benefits early, their monthly benefits are reduced for each month before they reach their designated full retirement […]

Managed Care Entities (MCEs) for 2017

FSSA announced earlier this year that they would be adding a fourth Managed Care Entity (MCE) as an option for HHW and HIP members.  The MCE options will be Anthem, CareSource, MDwise, and MHS. All four MCEs will undergo a readiness evaluation to ensure they provide quality operations and adequate access to quality health care.  Upon […]

What happens when IHCP members reach their cost-sharing limit?

Indiana Health Coverage Programs (IHCP) members reaching 5% of the Medicaid household income in a given quarter will receive written notice informing them that cost-sharing obligations are suspended for the remainder of the current quarter. The written notice will name the affected member, and the date of the notice will establish the calendar quarter affected. […]

Medicare/HIP Dual Coverage

In some situations, an individual’s Medicare coverage may temporarily overlap with Healthy Indiana Plan (HIP) coverage. Some members may gain Medicare coverage while on HIP by turning the age of 65 or by qualifying for Medicare based on a Social Security Administration (SSA) determination. Sometimes, Medicare benefits may be approved with a retroactive effective date, leading […]

New RID #s to include “120” Prefix

Beginning July 17, 2016, RID numbers issued to newly eligible members will include a “120” prefix instead of the “100” prefix. New RIDs continue to follow the same 12-digit format of 12xxxxxxxx99. All previously assigned “100” RIDs remain intact. Presumptive Eligibility RIDs are also unaffected.   Please read the full announcement here.  

2016 IHCP Annual Provider Seminar

  In a recent IHCP bulletin, the FSSA and Hewlett Packard Enterprise announced they will hold a seminar for IHCP providers on October 18-20 in Indianapolis. Topics include program overviews and specific program billing guidelines, as well as a preview of the new Provider Healthcare Portal.   Who:          FSSA and Hewlett Packard Enterprise (HPE) […]

2016-2017 Scholarships of Iowa

ClaimAid, in coordination with Iowa Association of School Boards (IASB) is, again this year, offering two scholarships to graduating seniors who will be continuing their education at a college or university. To be eligible the student must: Graduate in 2017; Continue his/her education at a college or university; Attend a school within a school district […]