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Medicaid / Indiana

Medicaid for Home Care in Indiana

Medicaid Certified Home Care Agency in Indiana

Claiming Medicaid in Indiana requires an agency to be a certified HHA (Home Health Agency). This means the homecare agencies now need to follow the guidelines and regulations that vary from state to state for reimbursement of Medicaid. Detailed information is available with the Bureau of Licensing and Certification or state’s Department of Human Services.

Governing Body: Hoosier Healthwise


Indiana Medicaid is a wide-ranging health care program funded by the state and federal governments to provide health coverage to low-income individuals. Medicaid in Indiana provides health care coverage for the elderly, blind, and disabled people and is also known as Hoosier Care Connect. For children under 19 and pregnant women, Hoosier Healthwise provides Medicaid coverage.

Medicaid Programs:

  • Healthy Indiana Plan
  • Aged and Disabled (A&D) Waiver
  • Indiana Structured Family Caregiving (SFG)
  • Family Planning Eligibility Program
  • End-Stage Renal Disease Treatment
  • Emergency Services (for certain medical emergencies only)

Income Requirements:

  • Pregnant women with income from $2,815 to $4,989
  • Children with family income from $2,513 to $5,996
  • Adults with income from $1,404 to $3,350
  • Seniors and disabled up to $3,518 per month

Application Process:

The application process for accessing Medicaid for Indiana residents is easy, and anyone can apply for the available Medicaid programs by visiting the Family and Social Services Administration.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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