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CMS Approves Indiana Medicaid Work Requirements

The Centers for Medicare & Medicaid Services (CMS) approved Indiana’s request to incorporate work requirements and higher premiums in their Section 1115 Medicaid expansion waiver, known as the Healthy Indiana Plan (HIP).

Newly confirmed Secretary of Health and Human Services Alex Azar, along with Indiana Governor Eric Holcomb (R), made the announcement on Feb. 2 at Eskenazi Health in Indianapolis. This is the second waiver with work requirements approved by CMS; the agency approved Kentucky’s waiver request in January.

With this approval, the state will incorporate work requirements, higher Medicaid premiums on tobacco users, and expanded coverage for substance-base treatment services into policies under its existing expansion waiver. To have coverage under the new work requirements, able-bodied adult beneficiaries will have to work at least 20 hours a week or enroll in job-training or educational programs. Beneficiaries risk loss of coverage for noncompliance.

Contact Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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About the Author

Gontscharow is a senior policy analyst for America's Essential Hospitals.