Indiana Medicaid renewals and redeterminations: Coverage changes
If you have Medicaid in Indiana, your eligibility has to be rechecked each year. And starting in 2027, adults who are covered under Medicaid expansion in Indiana (Healthy Indiana Plan) will have their eligibility redetermined every six months, due to changes in federal law. Learn how the Medicaid redetermination process may impact you and your family. We can help you understand how to stay covered.
How does Medicaid renewal work in Indiana?
When your annual renewal date is approaching, Indiana Medicaid will first attempt to renew your coverage automatically (ex parte), using data the state already has on file.
If the coverage can’t be automatically renewed, Indiana Medicaid will send you a renewal form about 45 days before your renewal date. You’ll need to complete this form so that the state can determine whether you’re still eligible for Medicaid.1
For perspective, when eligibility redeterminations resumed in 2023 after a three-year pandemic-related pause, 69% of the people whose coverage was renewed in Indiana were renewed via the ex parte process. But nearly 500,000 Indiana residents were disenrolled from Medicaid during the year-long process of checking everyone’s eligibility, and more than three-quarters of those disenrollments were “procedural,” which means the state didn’t have enough information to determine whether the person was still eligible.2
So if you get a renewal form, it’s crucial that you provide the necessary information. If you don’t, your coverage will be discontinued.
How complete a renewal to keep your Medicaid coverage in Indiana
- Verify your contact information – Go to FSSABenefits.IN.gov and check that the contact information listed for you in the FSSA Benefits Portal is correct. You can also call 800-403-0864 if you need help.
- Keep an eye on your mailbox – If you are covered by Indiana Medicaid (including the Health Indiana Plan), you may need to fill out a redetermination (renewal) form. This will help the state determine whether you are still eligible for Medicaid.
- Respond to notices regarding your coverage – If you receive a notice, read it carefully to understand potential changes to your health coverage. Respond right away to any requests for information from the Indiana Family and Social Services Administration (FSSA). You should keep any notices you receive from the FSSA.
- You can provide any necessary renewal information in various ways, including online or by mailing your documents to FSSA Document Center, PO Box 1810, Marion, Indiana 46952. You can also go to your local DFR office to complete the renewal process in person.
- Appeal the decision, if necessary – If you no longer qualify for Medicaid coverage, you will be mailed a final notice from the Indiana Family and Social Services Administration (FSSA). If you believe you are still eligible, you can appeal to try to keep health coverage. You can also reapply for Medicaid at any time.
No longer eligible to renew Medicaid in Indiana? You have options for health insurance in IN.
Get coverage through your job
Find out if you can get coverage through your employer, or the employer of your spouse or parent. There is a special enrollment window for employer-sponsored coverage if you lose your Medicaid coverage. That window typically lasts for 60 days for people who have lost Medicaid coverage.d
Get an ACA Marketplace plan
You will qualify for a special enrollment period in the Indiana health insurance Marketplace (HealthCare.gov) if you lose Medicaid coverage. That means you can apply for coverage immediately and do not have to wait for the annual open enrollment window. Even if you no longer qualify for Medicaid, you may qualify for financial help to lower the cost of Marketplace health insurance.
See if you qualify for financial help
If coverage through your job is unaffordable or not available, you may be eligible for financial help if you choose an ACA Marketplace plan instead of an employer-sponsored plan.
See if you qualify for Medicare
You may qualify for Medicare, a federal health insurance program, if you are 65 or older. People younger than 65 may qualify if diagnosed with a permanent disability, including end-stage renal disease or Lou Gehrig’s disease (ALS). A special enrollment period is available to help you transition to Medicare when your Medicaid ends.
Frequently Asked Questions about Indiana Medicaid redeterminations and renewals
When might I lose Medicaid coverage?
If Indiana can’t automatically renew your Medicaid coverage, you’ll receive a renewal form about 45 days before your renewal date. The deadlines and renewal date will be indicated on the form.
If you don’t complete your Indiana Medicaid renewal form, or if you do complete it and the state determines that you’re no longer eligible, your coverage will terminate on your renewal date instead of renewing.
How can I check eligibility for Indiana Medicaid or the Healthy Indiana Plan?
The state of Indiana has an eligibility guide that covers basic eligibility rules for programs including:
- Traditional Medicaid or Hoosier Care Connect
- Healthy Indiana Plan (adults who are covered under Medicaid expansion)
- Hoosier Healthwise (children and people who are pregnant)
Footnotes
- “Medicaid Redetermination FAQs” Indiana Family and Social Services Administration. Accessed Mar. 27, 2026 ⤶
- “Medicaid Enrollment and Unwinding Tracker” KFF.org. Mar. 2, 2026 ⤶
