Starting Jan. 1 in most of the country, some enrollees — mainly adults without dependents — must prove they’re working or performing other qualifying activities 80 hours a month.
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The move to remove Meridian from Anthem’s Medicaid network will take effect July 25 and impact about 18,000 patients.
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In January, the Centers for Medicare & Medicaid Services, or CMS, removed 285 procedures — mostly musculoskeletal, like revision hip and knee replacements — from its Medicare Inpatient-Only list.
Rural hospitals in Indiana are facing a crisis that could lead to more health deserts across the state, hospital leaders say.
The case against Lilly centered on the rebates that drug companies must pay to state Medicaid programs to subsidize some of the cost.
Federal approval cleared the way for Indiana to revamp hospital Medicaid payments, with larger increases going to providers that keep commercial prices lower.
The hiring spree comes as FSSA prepares to comply with new state and federal work requirements, including more frequent eligibility checks.
The Trump administration has pledged to root out what it calls rampant fraud in state Medicaid programs. But thus far, it has focused almost exclusively on Democratic-led states.
An audit found improper payments and compliance failures at five attendant care providers.
The latest issues are causing more concern for Indiana’s controversial Pathways for Aging program.
A proposed rule change introduced in February would eliminate access to a federal drug discount program known as 340B, which supporters say is a lifeline for rural hospitals and health clinics serving low-income patients.
The change is expected to save the state’s Medicaid program approximately $63 million annually, but safety-net care providers say the cuts could put them in jeopardy.
States face an immense task to prepare for the Jan. 1 kickoff of new Medicaid eligibility mandates affecting millions of lower-income adults in the government-funded health care program.
In a Tuesday press conference, Rokita said the money comes from 89 separate recoveries, some through civil settlements and others via criminal prosecutions.
Democrats argued that new rules could push eligible Hoosiers out of coverage.
Although supporters of the effort promised more than $100 million in annual savings, opponents — including Indiana’s top Medicaid official — warned the proposal could undermine care coordination efforts just weeks after other key reforms launched.
FSSA plans to put out a proposal request for managed care services for the Healthy Indiana Plan, Pathways for Aging, Hoosier Care Connect and Hoosier Healthwise.
Rural hospitals are among those that are most affected by the financial challenges facing health care institutions in Indiana, according to a new report released by the Indiana Hospital Association.
Indiana was awarded $206.9 million for fiscal 2026 from the rural health care fund. States will be forced to undergo a re-scoring process every year with the Office of Rural Health Transformation.
Since 2016, the Department of Health and Human Services’ inspector general has conducted 18 audits on a selection of state programs.
Despite Thursday’s positive forecasts, Republican state fiscal leaders showed no signs of any spending boosts for the tight budget that took effect July 1.
Indiana health officials are extending open enrollment for two major Medicaid programs, giving more time for hundreds of thousands of Hoosiers facing a forced plan change to select another option from the state’s managed care lineup.
