INDIANA NAVIGATOR QUESTIONS AND ANSWERS
IHCP (Indiana Health Coverage Programs) - Answers- Indiana Medicaid services are
offered through this program on if their are eligible
Office of Medicaid Policy and Planning (OMPP), which is under FSSA - Answers- IHCP
is addiminister by who
What do Indiana Health Coverage Programs cover? - Answers- Mandatory Service and
most of the optional services established by the federal government
8 types of Medicaid - Answers- Hoosier Healthwise, Traditional Medicaid, Care Select,
M.E.D. Works, HIP(Healthy Indian Plan, Waivers, Presumptive Eligibility, Family
Planning Eligibility Program
Traditional Medicaid - Answers- Low Income program that offers coverage for medical
services
Waivers - Answers- coverage that allows members to live in a community and avoid
institutional placement.
What are the 5 waiver programs? - Answers- Aged and Disabled Waiver, Trauatic Brain
Injury Waiver, Community Integration and Habilitation Waiver, Family supports Waiver,
and the Psychiatric Residential Treatment Facility Transition Waiver
What does HCBS stand for - Answers- Home and Community Based Services
Presumptive Eligibility - Answers- (PE) a program for low income women who are
pregnant and apply for medicaid. Coverage that allows pregnant women to receive
important prenatal care while waiting for medicaid to approve them.
Can PE be appealed? - Answers- No
When is the ending date for PE? - Answers- The last day of the following month after
apply for PE OR the day Medicaid approves or denies the application.
Hospital - Answers- What entity make the Presumptive Eligibility Determination?
Family Planning Eligibility Program - Answers- program allowing men and women the
ability to receive certain family planning services
Package A - Answers- Standard- Full Medicaid Coverage
Package B - Answers- "pregnancy" medicaid
, Package C (CHIP) - Answers- Children Health Insurance Plan- for children to age 19
What is the FPL for CHIP? - Answers- up to 250%
Package E - Answers- Emergency Services Only
Package P - Answers- Presumptive Eligibility
What does MAGI stand for? - Answers- Modified Adjusted Gross Income
Hoosier Healthwise - Answers- Health Care program offered to low income families,
pregnant women, and children. Children may be covered up to age 19. Often no or little
cost for coverage.
Care Select - Answers- Coverage to serve aged, blind, disabled, wards of courts foster
children, or children receiving adoptive services. Also may have Asthma, diabetes, heart
failure, congestive Heart failure, Hypertensive Heart Disease, Hypertensive Kidney
Disease, Rheumatic Heart Illness, Severe Mental Illness, Serious Emotional
Disturbance (SED) for wards or fosters, Depression
M.E.D. Works - Answers- Medicaid for people with disabilities that are employed. May
be a small monthly premium based on income.
Healthy Indiana Plan (HIP) - Answers- Health Coverage Plan for individual who have
income that is too high (up to 100% of FPL or $23,550 annually for family of 4), doesn't
have access to insurance through work or has been uninsured for 6 months, and
enrollment is limited
What is MAGI? - Answers- How income is counted and how household composition
and family size are determined
Not a number on a tax return
Base on Federal Tax rules
No Asset Test or diregards - Answers- exception of 5% across the board bring income
standard to 138% instead of 133%
What is counted towards MAGI for Medicaid and CHIP? - Answers- taxable income,
self employment an farm income after depreciation and deduction of capital losses
counted
What isn't counted towards MAGI? - Answers- Child Support, non taxable income
How is household determined? - Answers- by the principles of tax dependency
IHCP (Indiana Health Coverage Programs) - Answers- Indiana Medicaid services are
offered through this program on if their are eligible
Office of Medicaid Policy and Planning (OMPP), which is under FSSA - Answers- IHCP
is addiminister by who
What do Indiana Health Coverage Programs cover? - Answers- Mandatory Service and
most of the optional services established by the federal government
8 types of Medicaid - Answers- Hoosier Healthwise, Traditional Medicaid, Care Select,
M.E.D. Works, HIP(Healthy Indian Plan, Waivers, Presumptive Eligibility, Family
Planning Eligibility Program
Traditional Medicaid - Answers- Low Income program that offers coverage for medical
services
Waivers - Answers- coverage that allows members to live in a community and avoid
institutional placement.
What are the 5 waiver programs? - Answers- Aged and Disabled Waiver, Trauatic Brain
Injury Waiver, Community Integration and Habilitation Waiver, Family supports Waiver,
and the Psychiatric Residential Treatment Facility Transition Waiver
What does HCBS stand for - Answers- Home and Community Based Services
Presumptive Eligibility - Answers- (PE) a program for low income women who are
pregnant and apply for medicaid. Coverage that allows pregnant women to receive
important prenatal care while waiting for medicaid to approve them.
Can PE be appealed? - Answers- No
When is the ending date for PE? - Answers- The last day of the following month after
apply for PE OR the day Medicaid approves or denies the application.
Hospital - Answers- What entity make the Presumptive Eligibility Determination?
Family Planning Eligibility Program - Answers- program allowing men and women the
ability to receive certain family planning services
Package A - Answers- Standard- Full Medicaid Coverage
Package B - Answers- "pregnancy" medicaid
, Package C (CHIP) - Answers- Children Health Insurance Plan- for children to age 19
What is the FPL for CHIP? - Answers- up to 250%
Package E - Answers- Emergency Services Only
Package P - Answers- Presumptive Eligibility
What does MAGI stand for? - Answers- Modified Adjusted Gross Income
Hoosier Healthwise - Answers- Health Care program offered to low income families,
pregnant women, and children. Children may be covered up to age 19. Often no or little
cost for coverage.
Care Select - Answers- Coverage to serve aged, blind, disabled, wards of courts foster
children, or children receiving adoptive services. Also may have Asthma, diabetes, heart
failure, congestive Heart failure, Hypertensive Heart Disease, Hypertensive Kidney
Disease, Rheumatic Heart Illness, Severe Mental Illness, Serious Emotional
Disturbance (SED) for wards or fosters, Depression
M.E.D. Works - Answers- Medicaid for people with disabilities that are employed. May
be a small monthly premium based on income.
Healthy Indiana Plan (HIP) - Answers- Health Coverage Plan for individual who have
income that is too high (up to 100% of FPL or $23,550 annually for family of 4), doesn't
have access to insurance through work or has been uninsured for 6 months, and
enrollment is limited
What is MAGI? - Answers- How income is counted and how household composition
and family size are determined
Not a number on a tax return
Base on Federal Tax rules
No Asset Test or diregards - Answers- exception of 5% across the board bring income
standard to 138% instead of 133%
What is counted towards MAGI for Medicaid and CHIP? - Answers- taxable income,
self employment an farm income after depreciation and deduction of capital losses
counted
What isn't counted towards MAGI? - Answers- Child Support, non taxable income
How is household determined? - Answers- by the principles of tax dependency
