HIP 20 Proposal

For more than six years, the Healthy Indiana Plan has delivered quality care to highly satisfied members and achieved measurable results. It has been successful at encouraging the use of preventive care and decreasing the use of the emergency room for non-emergency conditions. In addition, HIP has empowered its members to act as consumers in the health care market and to take responsibility for their health care choices. HIP 2.0 builds on the successes of the original HIP design and adds additional choices that further promote HIP’s consumer-directed model and provide new incentives for members to take personal responsibility for their health. Through the implementation of HIP 2.0 and the availability of HIP to more Hoosiers, Indiana will replace traditional Medicaid for all non-disabled adults ages 19-64, while ensuring that all Hoosiers have access to affordable health insurance.

In addition to the HIP 2.0 waiver, the state submitted a contingency waiver to renew the current Healthy Indiana Plan program for another three years. This request was made to preserve the current HIP program and ensure the continuation of health coverage for the program’s current members in the event the timing of a decision on HIP 2.0 could adversely impact the program. The waiver was approved to continue the program through 2015 on November 14.

To review all documents related to this waiver application, click here.

The Pence administration strongly encourages the Centers for Medicare and Medicaid Services (CMS) to approve the HIP 2.0 program.