MedicaidAdministrativeMedium impact
BT202091: IHCP updates policy for HIP members transitioning to FFS when moving into a nursing facility
Indiana Medicaid (IHCP)·IN · Geriatrics·Medical Policy
Effective date
Oct 1, 2019
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs updated policy so that HIP (Healthy Indiana Plan) members moving to nursing facilities can now transition from managed care to fee-for-service Medicaid coverage starting the first day of the month following the reported admission. Nursing facility providers must report admissions within 10 days and follow specific contact procedures to facilitate coverage transitions.
Action Required
For nursing facility admissions of HIP members: Within 10 days of admission, submit written notice to Division of Aging via Path Tracker tool at assessmentpro.com AND to Division of Family Resources via Benefits Portal at fssabenefits.in.gov. Billing team must coordinate with member/representative to request FFS transition and eligibility interview simultaneously. If FFS coverage isn't backdated within 3 weeks, escalate to DFR regional office, then to OMPP Provider Relations at OMPPProviderRelations@fssa.in.gov after additional 3 weeks.