Indiana's Medicaid Lockout Provision

Indiana's Medicaid Expansion Waiver Raises Lockout Concerns
– Modern Healthcare

Modern Healthcare interviewed Manatt's Deborah Bachrach, a partner in the firm's Healthcare practice, for an article on Indiana's approved conservative plan to expand Medicaid, which locks low-income residents out of coverage or reduces their benefits if they don't pay their premiums.

Modern Healthcare reports that Gov. Mike Pence's proposal, known as the Healthy Indiana Plan, or HIP 2.0, provides different levels of coverage for residents living above and below the poverty line. Those below the federal poverty level can get basic coverage, with the option of paying $3 to $15 a month, depending on their income, for enhanced coverage. If they don't pay the premium, they will not receive dental or vision benefits, and will face copayments for care.

Indiana's lockout provision is the most stringent in the nation, said Bachrach. The only exceptions under Indiana's HIP model are for those who obtain and subsequently lose private insurance coverage, are victims of domestic violence, reside in a county subject to a disaster declaration, or have been deemed medically frail.

Read the article here



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