Medicaid Programs

There are several program options available under Indiana Medicaid.  Each program is designed to meet the medical needs of a certain group of people.  Each program has different eligibility criteria; this means that a different set of measures are used to determine if a person qualifies for that program. This list provides a general overview of available programs.  You can learn more about each program by selecting a specific program area.

Hoosier Healthwise

Hoosier Healthwise is Indiana's health care program for low income parents/caretakers, pregnant women, and children. Based on family income, children up to age 19 may be eligible for coverage. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries, and family planning at little or no cost to the member or the member's family.

Hoosier care connect

Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare.  In Hoosier Care Connect, you select a health plan that works with you and your doctor to understand your health care needs.  These health plans will make sure that you get the most appropriate care based upon your individualized needs.

Hoosier Care Connect covers a variety of individuals who are not eligible for Medicare, including:

  • Aged individuals;
  • Blind individuals;
  • Disabled individuals;
  • Individuals receiving Supplemental Security Income (SSI); and
  • Individuals enrolled through M.E.D. Works.

M.E.D. Works

M.E.D. Works is Medicaid for Employees with Disabilities. Many disabled people feel that they may be able to return to work but are fearful of losing their Medicaid benefits. M.E.D. Works is a program designed to allow disabled employees to work without fear of losing their Medicaid. M.E.D. Works offers the same coverage levels as regular Medicaid. There may be small monthly premiums based on the amount of money a worker earns. If you are receiving SSDI and no cash benefits and feel that you may be able to return to work, M.E.D. Works may be the program that would be best for you.


The Healthy Indiana Plan (HIP) covers adults age 19-64 whose incomes are less than approximately 138% of the federal poverty level and who are not eligible for Medicare or another Indiana Medicaid category.  HIP requires you to make a minimal monthly contribution to your coverage based on the amount of your income.  For more information about the Healthy Indiana Plan, click here.


Traditional Medicaid is a low income health care program that offers coverage for medical services, such as doctor visits, prescription drugs, dental and vision care, family planning, mental health care, surgeries, and hospitalizations. The Traditional Medicaid program is for individuals who have both Medicaid and Medicare or are refugees.


Waiver services allow members to live in a community setting and avoid institutional placement.  To be eligible for any waiver program, you must meet Medicaid guidelines and waiver eligibility guidelines.  Indiana offers five waiver programs that target specific groups: the Aged and Disabled Waiver, the Traumatic Brain Injury Waiver, the Community Integration and Habilitation Waiver, the Family Supports Waiver, and the Psychiatric Residential Treatment Facility Transition Waiver.

Presumptive Eligibility (PE)

Presumptive Eligibility (PE) is a process that offers short-term coverage of services.  The program is available to children, parents/caretakers, and other adults.  The goal of the program is to make sure you have immediate access to health care..  Your short-term coverage will end if you do not complete a Medicaid application.

Presumptive Eligibility for Pregnant women

Presumptive Eligibility for Pregnant Women (PEPW) offers temporary coverage of prenatal care services to pregnant women while their Medicaid applications are pending.  The goal of PEPW is to offer health care to women early in their pregnancies, so they stay healthy and have healthy babies. Presumptive Eligibility means that we presume you are eligible for the Hoosier Healthwise program based on some preliminary information that you provide.

Family Planning Eligibility Program

The Family Planning Eligibility Program is a program allowing men and women the ability to receive certain family planning services. The Family Planning Eligibility Program provides services and supplies to men and women for the primary purpose of preventing or delaying pregnancy.


Indiana Medicaid has three programs for individuals with serious mental illness, emotional disturbance, and substance use disorders that help them remain in the community.  These programs are the Child's Mental Health Wraparound (CMHW), the Behavioral & Primary Healthcare Coordination (BPHC), and the Adult Mental Health and Habilitation (AMHH) programs.