Medicaid Programs
IPN has developed the following guides to providers and organizations addressing the health care and insurance needs of low-income Indiana residents.
- Health Care for Uninsured and Low-Income Hoosiers: Frequently Asked Questions coming soon
- Medicaid Application for Pregnant Women: Ten Tips to Streamline the Process
For more information about Presumptive Eligibility, including patient educational brochures and the Notification of Pregnancy Form, visit www.indianamedicaid.com and click on "providers." Click here to download a copy of the new Medicaid Provider Newsletter.
Presumptive Eligibility and Notification of Pregnancy Form
Presumptive Eligibility
Click here for key facts about Presumptive Eligibility.
Click here to find a Presumptive Eligibility Qualified Provider.
What You’ll Want to Know — 3 important facts about Presumptive Eligibility:
- Presumptive eligibility (PE) allows a pregnant woman to receive ambulatory prenatal services while her Hoosier Healthwise application is being processed.
- No documentation is required from the pregnant woman for the Qualified Provider to make the determination that a woman is presumptively eligible.
- Providers that bill for services while a woman is on PE will not have reimbursement taken back if the woman is later found ineligible for Medicaid.
New Notification of Pregnancy Form
Effective July 1, the Office of Medicaid Policy and Planning is launching a new Notification of Pregnancy form for use with pregnant Medicaid recipients.
Click here for key facts about the Notification of Pregnancy form.
What You’ll Want to Know — 3 important facts about the new Notification of Pregnancy form:
- The Notification of Pregnancy (NOP) form is a comprehensive risk assessment used by all three Medicaid managed care organizations. NOPs have been associated with improving birth outcomes for women enrolled in Medicaid.
- Prenatal care providers that complete and electronically submit the NOP using Web interChange may receive $60 for each form submitted within 5 days of seeing the patient.
- The NOP risk assessment includes questions about maternal and obstetrical history, mental health, substance abuse, and social risk factors. The Medicaid MCOs will use this information to identify and address risk factors, and ultimately, to improve birth outcomes.
For more information, contact Caitlin Priest MPH, Director of Special Projects and Public Policy at (317) 924-0825 ext. 4231 or cpriest@indianaperinatal.org.