Indiana offers health coverage for the disabled through the Medicaid for the Disabled program.  Individuals must meet income, resource, and medical requirements in order to receive the health coverage.

For some, the most difficult hurdle is understanding and meeting the definition of disabled.  Indiana is considered a “1634 state” which means they use the same definition of disability as the Social Security Administration (SSA) when determining eligibility for the Medicaid program.

Supplemental Security Income (SSI) is a benefit for those that meet the Social Security definition of disabled and have very little or no countable income and resources.  Therefore, those individuals who are eligible for SSI benefits should also meet the requirements for the Medicaid for the Disabled health coverage program.

While having a disability approval from SSA is valuable, an important fact to know is that individuals can request the state Medicaid Medical Review Team make an eligibility determination for Medicaid for the Disabled benefits based on medical evidence while the individual is waiting for a Social Security Disability (SSD) decision.  Proof of SSD application or appeal request may be requested by the state.

ClaimAid Patient Advocates are trained to assist individuals through this process from beginning to end.  They have the knowledge and resources to gather and submit necessary documentation to have a Medicaid determination made under this condition.  ClaimAid also offers assistance with the SSD appeal process if needed.

For more information regarding ClaimAid Comprehensive Eligibility Services, please call 800.842.4052.