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children under age 3, add telemedicine to the benefit package, and remove the signature requirement for premium payment.
• Indiana submitted its seventh amendment on September 18, 2009 to increase the income eligibility limit from 250 to 300 percent of the FPL.
• Indiana submitted its eighth amendment on January 14, 2010 to permit Indiana to use administrative funds for a comprehensive study with the goal of developing a strategy to improve access to specialty care for low income children and this SPA also expand mental health services. This SPA has a retroactive effective date of January 1, 2010.
• Indiana submitted its ninth amendment on June 29, 2010 to revise: the effective date of the mental health services expansion to July 1, 2009, and the effective date for the planned expansion to 300 percent of the FPL to July 1, 2011.
Children Covered Under the Program
• The State reported that 77,383 children were ever enrolled in Hoosier Healthwise in FFY 2008. Administration
• Phase I and Phase II are administered by the Office of Medicaid Planning and Policy, Indiana Family and Social Services Administration.
Health Care Delivery System
• The State currently has an approved 1915(b) waiver titled, "Hoosier Healthwise" comprised of a Primary Care Case Management system and a Risk-Based Managed Care system. Primary medical providers provide preventive and primary medical care, and furnish authorizations and referrals for most specialty services.
• Phase I children are and Phase II children are integrated into these managed care networks, thereby assuring they have a medical home.
Benefit Package
• Children eligible for Phase I receive the full Medicaid benefit package.
• Children eligible for Phase II receive benchmark-equivalent coverage. The Phase II benefit package is at least actuarially equivalent to the children's health insurance coverage provided by the standard Blue Cross/Blue Shield preferred provider option service benefit plan offered under the Federal Employees Health Benefits Program.
Cost Sharing