Medicaid Disability (MAD) / Traditional 

 We offer FREE, LOCAL and unbiased help to get individuals and families connected to healthcare coverage programs.  Click here for the map to find local help. 

Traditional Medicaid is a healthcare program for low-income individuals with disabilities that offers medical care such as doctor visits, prescription drugs, dental and vision care, family planning, mental health care, surgeries and hospitalizations.

When you apply for Medicaid Disability, you will need to apply at the Social Security Administration office to determine disability eligibility.  Once that has occurred, then Medicaid will be notified and you will be informed about insurance options. 
Eligibility Criteria
  • Must meet disability requirements
  • Does count resources/assets over $2000 Single or $3000 Couple, allowing for house and 1 vehicle
  • Resources include savings, retirement (401K) plans, life insurance with cash value, land, farming equipment, etc.
  • Does not count parent's income/resources for children over age of 18, regardless of school status
  • Comprehensive plan with no cap for Durable Medical equipment (DME) 
  • Children CAN be enrolled in Medicaid Disability (MAD)
Who is eligible?
Like other health care programs, eligibility and coverage are based on the member's aid category. The following members will be covered by Traditional Medicaid:
  • Aged
  • Blind
  • Physically and mentally disabled
  • Members in the waiver program
  • Members dually eligible for Medicare and Medicaid
  • Members in nursing homes, intermediate care facilities for the mentally retarded and state-operated facilities
  • Members in the hospice program
  • Undocumented aliens
Traditional Medicaid Services
Generally, the following services are covered by Traditional Medicaid. This list does not include everything Medicaid covers.
Preventive Services - This includes medical services like:
  • Family Planning
  • Prescription Drugs
  • Doctor Office Visits
Behavior and Mental Health Services - Coverage includes outpatient mental health services you receive from:
  • Physicians
  • Local Center for Mental Health
  • Social workers in your community
Eye Care - Coverage includes exams and glasses every two years

Diabetes Self Care Management Training - Activities include:
  • Nutrition
  • Medication counseling
  • Blood glucose self-monitoring
  • Insulin injection
  • Foot, skin and dental care
Inpatient/Outpatient Hospital Care - Services include:
  • Rx Drugs
  • Laboratories,
  • X-rays
  • Other diagnostic tests that are considered medically necessary
Home Health Care & Services - Medicaid covers:
  • Durable Medical Equipment (DME)
  • Incontinence Supplies
  • Medical supplies, equipment, and appliances
Transportation - Medicaid will pay for up to 20 one-way trips without prior authorization.

Dental - Covered services include annual exams and preventive care.

Pregnancy Care - Medicaid covers:
  • Prenatal Care
  • Delivery
  • Midwife Services
Emergency Care - Medicaid benefits include
  • Hospital Admittance
  • Transportation
  • Medically necessary screening services
Please contact 1-800-457-4584 for specific questions about your medical coverage under Traditional Medicaid.

Hoosier Care Connect

Hoosier Care Connect is a health care program that is designed to serve Medicaid recipients who may have special health needs or benefit from specialized attention. In Hoosier Care Connect you pick a primary doctor and a health plan by choosing one of the Care Management Organizations (CMOs) contracted with the state to coordinate your health care needs. The CMO will assist you in coordinating your health care benefits and tailor them to your individual needs, circumstances and preferences.

Hoosier Care Connect is for Medicaid Enrollees:
  • Aged (65 and older)
  • Blind
  • Disabled
  • Individuals receiving Supplemental Security Income
  • Wards and Fosters
  • M.E.D. Works enrollees
Hoosier Care Connect members receive all Medicaid covered benefits in addition to care coordination services.  Care coordination services will be individualized based on an enrollee’s assessed level of need determined through a health screening.

To Apply

We offer FREE, LOCAL and unbiased help to get individuals and families connected to healthcare coverage programs.  Click here for the map to find local help. 

Applications can also be accepted:

Have more questions? Contact us!

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