Indiana Medicaid Program Overview
Enrollment, funding, and managed care facts for Indiana Medicaid.
Get Indiana's Medicaid Fee Schedule →Enrollment
Indiana Medicaid covered approximately 1.38-1.97M people. Two independent sources give different-period figures for total Indiana Medicaid/CHIP enrollment: KFF's state indicator (1,378,365, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (1,972,638 total Medicaid enrollees, July 1, 2024). A third source, healthinsurance.org, reports 1,598,204 as of October 2025, falling between the two and tracing the same declining trend. Consistent with continued post-pandemic 'unwinding' enrollment decline, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Indiana has adopted ACA Medicaid expansion, effective 2015-02-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Indiana's Federal Medical Assistance Percentage (FMAP) is 64.74%.
Delivery system & managed care
A large share of Indiana Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 80.1-81.6% of Medicaid enrollees.
Waivers
Indiana operates Medicaid managed care under the Healthy Indiana Plan (HIP), a Section 1115 demonstration waiver. Indiana's ACA expansion vehicle and consumer-directed Medicaid model for adults ages 19-64, built around a Personal Wellness and Responsibility (POWER) account (similar to an HSA); HIP Plus members who make monthly contributions get an enhanced benefit package (vision, dental, chiropractic). Current 10-year extension approved for January 1, 2021 through December 31, 2030; the demonstration's Substance Use Disorder (SUD) and Serious Mental Illness (SMI) components are on a separate, shorter renewal cycle (extension requested December 2024).
Frequently Asked Questions
Get Indiana's Free Medicaid Fee Schedule
Request actual Indiana Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Indiana
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- Indiana FSSA - Healthy Indiana Plan 1115 Waiver Extension Application
- Medicaid.gov - Indiana Healthy Indiana Plan Support 2.0, Section 1115 Demonstration
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.