MedicaidCoverageLow impact
BT202176: Presumptive Eligibility changing for pregnant adults who were formerly in foster care
Indiana Medicaid (IHCP)·IN · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Aug 25, 2021
We identified it
Jun 19, 2026
Summary
Effective August 25, 2021, pregnant adults ages 18-25 who were in Indiana foster care at age 18 will receive more comprehensive Presumptive Eligibility Package A Standard Plan coverage instead of the limited Presumptive Eligibility for Pregnant Women (PEPW) benefit plan. Qualified providers should use the general PE Application rather than the pregnancy-specific application to ensure these patients receive full benefits.
Action Required
Immediately: Front desk staff and billing team should identify pregnant patients ages 18-25 who were in Indiana foster care at age 18 and ensure they are processed under Presumptive Eligibility Package A Standard Plan rather than PEPW. Update patient eligibility verification procedures to screen for former foster care status. This affects a very small patient population but ensures proper comprehensive coverage.