MedicaidAdministrativeMedium impact
BT202107: FSSA to resume standard rules for calculating patient and waiver liability March 1, 2021
Indiana Medicaid (IHCP)·IN · Geriatrics·Specialty Services
Effective date
Mar 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will resume calculating patient liability and waiver liability based on current monthly income starting March 1, 2021, reversing temporary COVID-19 policy that froze liability amounts since March 2020. This affects nursing facility patients and home/community-based waiver recipients who will see their required contributions toward care costs adjusted based on their current income.
Action Required
By March 1, 2021: Billing team must update patient liability calculations for Indiana Medicaid members in nursing facilities and on home/community-based waivers to reflect current monthly income rather than frozen March 2020 amounts. Monitor for updated eligibility notices being sent to affected members in early February. Adjust billing systems to account for new liability amounts that will be prospective only with no retroactive changes.