How to Apply For Medicaid
Updated: Feb 18, 2019
All Medicaid applications and eligibility materials are processed by the Family and Social Services Administration (FSSA) Document Center in Marion, Indiana. The Document Center is responsible for scanning all submitted materials and storing the information electronically. An individual should never send an original document to the Document Center.
The applicant/recipient can go online or call the Document Center to confirm that his/her documentation has been received and processed. There is no one specific caseworker assigned to an individual’s case. Instead, the case is processed by multiple staff, known as “Eligibility Specialists.” An Eligibility Specialist can be reached between 8:00 am and 4:30 pm Monday through Friday.
An applicant can obtain an application form online, by telephoning the FSSA Document Center at 1-800-403-0864, or by going to a local Division of Family Resources (DFR) office and using the computer there. If an individual is not physically or mentally able to complete the application, then it may be completed by the person’s spouse, guardian, attorney-in-fact, attorney, or other interested person. Our attorneys are very familiar with the application process for individuals age 65 and older and would be happy to help someone you love apply for Medicaid.
Once the application is completed, the applicant may receive a call or notice from the Document Center to schedule an interview. Interviews are conducted by Eligibility Specialists by telephone or in person, whichever the applicant chooses. The interview should be scheduled within two weeks of when the application is filed. The law requires that Medicaid act on a Medicaid application within 45 days, or, if the applicant is under age 65, within 90 days of the date the application is received by FSSA.
Each applicant/recipient receives an individual bar code to ensure that each document that is submitted to the Document Center is correctly linked to his/her electronic file. Once a case number has been assigned, the applicant/recipient can go online to access bar-coded cover sheets. These cover sheets should be used when submitting any further documentation in the case.
If an application is denied, Medicaid must state the reason. If the applicant disagrees, he/she has the right to appeal. If the application is approved, a blue credit-card sized Medicaid (“Hoosier Health”) card will be mailed to the applicant within about two weeks of approval. This card should be given to all medical care providers, including doctors, hospitals, pharmacists, etc. every time the recipient needs services. Medicaid can pay for necessary medical care as far back as three months, if the applicant was eligible during that time.
Medicaid will check at least once a year to make sure the recipient continued to be eligible. Typically, Medicaid will send a “Medicaid/Hoosier Healthwise Eligibility Review Form,” which the recipient must complete. In addition, Medicaid may check on a recipient’s eligibility if it learns that circumstances have changed. A recipient has the duty to tell Medicaid within ten days when there is a change in circumstances that may affect Medicaid eligibility.
Source: Indiana Laws of Aging by Indiana State Bar Association