Traditional Medicaid

Traditional Medicaid, also called fee-for-service (FFS), provides full health care coverage to individuals with low income. This includes, but is not limited to, members who are:

• Under the age of 60
• Eligible for a Home- and Community-Based Services (HCBS) waiver program other than the Indiana PathWays for Aging Waiver
• Under the age of 60 who are eligible for both Medicare and Medicaid (dually eligible)
• Under the age of 60 residing in a nursing facility, or persons of any age residing in an intermediate care facility for individuals with intellectual disability (ICF/IID) or other non-nursing-facility institution

Covered Services

Traditional Medicaid benefits include all services that are covered under Package A – Standard Plan. Refer to the Indiana Medicaid Covered Services webpage for a list of covered services.

Member Information

• The Eligibility Guide provides you with eligibility information, including income requirements for Traditional Medicaid.
• Traditional Medicaid members must go to an Indiana Medicaid provider.
• To locate providers in your area, you can use the Provider Locator.
• Traditional Medicaid members can get transportation case management for your Medicaid-covered rides to doctor’s offices, pharmacies or other health care offices. You can read about this service on the Non-Emergency Transportation page.

Provider Information

• Providers serving Traditional Medicaid members must be enrolled with the Indiana Health Coverage Programs (IHCP). Refer to the Become a Provider webpage.
• Providers are reimbursed by the IHCP for services rendered to Traditional Medicaid members, on a fee-for-service (FFS) basis.
• Additional provider resources regarding Traditional Medicaid services include:
  • Member Eligibility and Benefit Coverage provider reference module
  • IHCP provider Bulletins, Banner Page and Reference Modules

  Get Important News & Updates

  Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.