Medicaid Work Requirements in Indiana
Indiana enforces HIP work requirements for new applicants and current members starting January 1, 2027. Indiana law sets a 3-month look-back, and FSSA reviews compliance every quarter.
Check your situation in Indiana
When it starts in Indiana
- June–July 2026: FSSA notified more than 500,000 HIP members and held town halls. Some members got a first notice starting July 1, 2026.
- January 1, 2027: enforcement starts for new applications and redeterminations started on or after this date.
Who has to meet it
The rule applies to people ages 19 to 64 in Healthy Indiana Plan (the adult expansion group), unless they are pregnant, have Medicare, or are exempt. You meet it in a month with 80 hours of work, community service, a work program, or school (in any mix), by going to school at least half-time, or with at least $580 in monthly income.
You are exempt if, for example, you care for a child 13 or younger or a person with a disability, are pregnant or postpartum, are American Indian or Alaska Native, are medically frail, are a veteran with a total (100%) VA disability rating or TDIU, were in foster care at 18 and are under 26, are in drug or alcohol treatment, meet SNAP or TANF work rules, or left jail or prison in the last 3 months. See the full exemption list.
Court ruling, October 29, 2026. In Massachusetts v. Oz, a federal court struck down the CMS rule's extra "significantly impairs" test for the medically frail exemption. If you are in any of the five medically frail groups in the law, you qualify. The January 1, 2027 start date did not change, and CMS may appeal. What the ruling means.
How Indiana checks and how to report
Months checked: Applicants in January 2027 must show they met the rule in October, November, and December 2026. Current members: any 3 months since their last redetermination. FSSA also reviews compliance quarterly.
Report hours, upload documents, and check exemptions in the FSSA Benefits Portal. You can also mail papers to the FSSA Document Center, P.O. Box 1810, Marion, IN 46952, call the Division of Family Resources, or visit a local office. Report changes in work, school, health, or family within 10 days.
Other things to know in Indiana
- FSSA estimated on October 5, 2026 that more than 58,000 HIP members were not yet meeting the rule or exempt.
- FSSA sends text reminders from short code 43816.
- FSSA checks wage and program data first and sends a notice asking for documents only when it cannot verify electronically.
Official tools and contacts
- Check if it applies: HIP Work Requirements Pre-Screening Tool
- Report and upload: FSSA Benefits Portal
- Division of Family Resources: 1-800-403-0864
- FSSA: HIP work requirements
- FSSA: info for HIP members
- FSSA: medical frailty
- Agency: Indiana Family and Social Services Administration (FSSA)
Federal protections that apply in Indiana
- The state must check its own records before asking you for proof.
- If it can't confirm you meet the rule, you get a notice and at least 30 days to respond, and your coverage continues meanwhile.
- You get written notice and the right to a fair hearing before coverage ends, and you can reapply at any time.
- If you lose Medicaid for not meeting the rule, you cannot get marketplace premium tax credits for those months. Learn more.
Frequently asked questions
When do Medicaid work requirements start in Indiana?
January 1, 2027 (3-month look-back). Current members are usually checked at their first renewal on or after that date.
How many months does Indiana check?
Applicants in January 2027 must show they met the rule in October, November, and December 2026. Current members: any 3 months since their last redetermination. FSSA also reviews compliance quarterly.
How do I report my hours or an exemption in Indiana?
Report hours, upload documents, and check exemptions in the FSSA Benefits Portal. You can also mail papers to the FSSA Document Center, P.O. Box 1810, Marion, IN 46952, call the Division of Family Resources, or visit a local office. Report changes in work, school, health, or family within 10 days.
Who do I call about Healthy Indiana Plan work requirements?
Division of Family Resources: 1-800-403-0864
Can I lose Healthy Indiana Plan right away if I don't meet the requirement?
No. Federal law requires a notice, at least 30 days to show you comply or are exempt, continued coverage during that time, and fair hearing rights before coverage ends.
Sources
- Indiana FSSA: HIP work requirements
- Indiana FSSA: info for HIP members
- Indiana FSSA press release (July 6, 2026)
- Indiana FSSA: noncompliance estimate (Oct. 5, 2026)
- Public Law 119-21 (H.R. 1), sec. 71119: community engagement requirement (GovInfo)
- CMS interim final rule, Medicaid community engagement requirement, 91 FR 33348 (June 3, 2026)
- Massachusetts v. Oz, No. 1:26-cv-12962-RGS (D. Mass.), memorandum and order (Oct. 29, 2026)