Indiana Medicaid Eligibility Requirements

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Indiana Medicaid helps financially needy residents of Indiana afford medical insurance.
Indiana Medicaid helps financially needy residents of Indiana afford medical insurance. (Image: syringe-medical image by JASON WINTER from <a href='http://www.fotolia.com'>Fotolia.com</a>)

Indiana Medicaid helps financially needy residents of the state afford medical insurance. However, to receive benefits under this program there are specific requirements each individual and household must meet. There are other state-sponsored programs for those who do not qualify for Indiana Medicaid, such as the State Children's Health Insurance Program (S-CHIP) and Spenddown program.

Covered Groups

To qualify for Indiana Medicaid, an applicant must fall within one of several categories. These categories are pregnant women, families with children, women with breast or cervical cancer, qualified and unqualified aliens, elderly, blind and disabled, qualified disabled and working, qualified Medicare beneficiaries, Medicaid for employees with disabilities and those receiving Temporary Assistance for Needy Families (TANF) or Supplemental Social Income (SSI).

Income Limits

Each qualified group has a specific income limit. Pregnant women and children are eligible for Indiana Medicaid if their income does not exceed 150 percent of the federal poverty limit (FPL). For families with children and qualified Medicare beneficiaries, the limit is 100 percent of the FPL. For women with breast or cervical cancer, the limit is 250 percent of the FPL. For qualified disabled and working, it is 200 percent of the FPL. For employees with disabilities, the limit is 350 percent of the FPL. For blind and disabled there is no listed income limit.

Resource Limits

In addition to the income limits, some groups have resource limits. For pregnant women, children, families with children, women with breast or cervical cancer and blind and disabled, there is no resource limit. For employees with disabilities to be eligible for Indiana Medicaid, the resources cannot exceed $2,000 for a single person and $3,000 for a couple. For qualified Medicare beneficiaries and qualified disabled and working, the resource limit is $4,000 for a single person and $6,000 for a couple.

Automatic Eligibility

People who receive TANF or SSI also qualify to receive Medicaid benefits. If applicants meet the TANF or SSI program requirements, they are automatically accepted into Indiana Medicaid.

Qualified Aliens

Qualified aliens are eligible for Medicaid if they fall into one of the covered categories and meet the income and resource limits for that category. Unqualified aliens are eligible for emergency room care only.

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