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Traditional Medicaid

Overview

Traditional Medicaid, also called fee-for-service (FFS), provides full health care coverage to individuals with low income. This includes member who are:

  • Over age 65 or disabled
  • Eligible for home- and community-based services
  • Eligible for both Medicare and Medicaid
  • In nursing homes, intermediate care facilities for the intellectually disabled, and state operated facilities

Covered Services

IMPORTANT: All Indiana Medicaid programs started covering over-the-counter (OTC) Covid-19 tests on February 1, 2022 through the pharmacy benefit:

  • If you are on Traditional Medicaid, you may go to any Indiana Medicaid-enrolled pharmacy and request up to two tests per member per seven days.

Traditional Medicaid benefits include all services that are covered under Package A – Standard Plan. Refer to the Indiana Medicaid Covered Services webpage for a list of covered services.

Member Information

  • The Eligibility Guide provides you with eligibility information, including income requirements for Traditional Medicaid.

  • Traditional Medicaid members must go to an Indiana Medicaid provider.

  • To locate providers in your area, you can use the Provider Locator.

  • Traditional Medicaid members can get transportation case management for your Medicaid-covered rides to doctor’s offices, pharmacies or other health care offices. You can read about this service on the Non-Emergency Transportation page.

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