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).
Has Indiana expanded Medicaid under the ACA?
Yes. Indiana has adopted ACA Medicaid expansion. Effective 2015-02-01.
How many people are enrolled in Indiana Medicaid?
Approximately 1.38-1.97M people.
What percentage of the federal Medicaid match does Indiana receive?
64.74% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 65 cents of every Indiana Medicaid dollar, and the state pays the rest.
Is most of Indiana Medicaid delivered through managed care?
Estimates range from 80.1-81.6% of Medicaid enrollees in managed care.
What Medicaid waivers does Indiana operate under?
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).
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.