Redetermination
Indiana Medicaid members must have their eligibility renewed every 12 months. Make sure your patients renew on time to avoid a lapse in their care.
What your patients need to know
As a healthcare professional, your patients look to you for expert advice. Be sure to remind them that they are required to verify their eligibility every year or they risk losing their Medicaid coverage. Also educate them on what other options might be available if they no longer qualify.
Let your patients know:
- They should receive a letter a few months before their Medicaid anniversary date with instructions for verifying their eligibility with the Family & Social Services Administration (FSSA).
- It’s very important that they follow the FSSA’s instructions or they risk having their coverage cancelled.
- If their eligibility is confirmed, they can continue their existing coverage. If they are no longer eligible for Medicaid, they can explore our Marketplace (Ambetter) and Medicare (Wellcare) options.
Impact
- Patients can lose eligibility due to changes in age, household income, and other state-specific criteria.
- Loss of coverage could make it harder for patients to get medical care and result in expensive medical bills.
Your patients trust you. Your voice can make a difference!