MedicaidCoverageMedium impact
BT2020116: IHCP clarifies HIP Maternity benefits
Indiana Medicaid (IHCP)·IN·Managed Care
Effective date
Nov 5, 2020
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) clarified HIP Maternity benefits, specifying that pregnant HIP members receive comprehensive coverage with no copayments or POWER Account contributions during pregnancy and 60 days postpartum. After the 60-day postpartum period, members transfer to HIP Basic unless they make POWER Account contributions for HIP Plus.
Action Required
Immediately: Billing team must verify HIP Maternity member status before billing to ensure no copayments are collected during pregnancy and 60 days postpartum. Update patient account systems to flag HIP Maternity members for zero copayment collection. Train front desk staff to identify HIP Maternity coverage and update encounter forms to reflect comprehensive benefits including dental, vision, chiropractic (50 units/year), and therapy services (12 visits every 30 days without prior auth).