07/06/2025
For my Medicare clients that may be concerned about the impact of the Big Beautiful Bill on Medicaid in Indiana.
🏛 Indiana Medicaid Changes Under the “One Big Beautiful Bill”
Effective by end of 2026
📌 WHO THIS AFFECTS
You may be impacted if you:
✅ Are age 19 to 55
✅ Receive Medicaid through HIP (Healthy Indiana Plan)
✅ Are able-bodied and not otherwise exempt
✅ WHAT YOU MUST DO
To keep coverage, you must now verify that you complete:
➡️ 80 hours per month of one or more of the following:
Working (part-time or full-time)
Looking for a job or job training
Going to school or job-readiness classes
Volunteering in your community
Caring for someone with a medical need (if approved)
📆 You will need to report your hours at least every 6 months.
🚫 WHO IS EXEMPT
You do not have to meet the work requirement if you are:
Under 19 or over 55
Pregnant
Receiving disability benefits (like SSI or SSDI)
Diagnosed as medically frail by a doctor
The primary caregiver for a child or disabled adult
Living in a rural area with very limited job access (some ZIP codes only)
📄 You may be asked to prove your exemption regularly.
⚠️ WHAT HAPPENS IF YOU DON’T MEET THE RULE
You will receive a warning and have 30 days to provide proof of work hours or request an exemption.
If you don’t respond, your HIP coverage could be suspended or terminated.
You may reapply, but coverage will be delayed until you meet the requirements again.
📊 HOW MANY HOOSIERS MAY BE AFFECTED
Indiana could see 174,000 to 290,000 people lose HIP or Medicaid coverage over the next 10 years.
Many may lose coverage due to missed paperwork, confusion, or life changes—even if they are eligible.
🧾 WHAT YOU SHOULD DO NOW
Keep your address and phone number updated with Indiana Medicaid.
Keep records of work, school, or volunteer hours.
If you believe you’re exempt, gather documents now (such as disability paperwork, caregiver letters, pregnancy verification).
Respond to all Medicaid mail or texts right away.
Bottom line:
🛑 December 31, 2026 is the federally mandated deadline for states (including Indiana) to begin enforcing these new Medicaid rules. Indiana may roll these out early—but no later than the end of ’26. Affected individuals should prepare documentation and track their hours accordingly.