Indiana Medicaid Program Overview

Enrollment, funding, and managed care facts for Indiana Medicaid.

Get Indiana's Medicaid Fee Schedule →
1.38-1.97M
Enrolled
Expanded
ACA expansion status
64.74%
Federal match (FMAP), FFY2026
80.1-81.6%
In managed care

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

Yes. Indiana has adopted ACA Medicaid expansion. Effective 2015-02-01.

Get Indiana's Free Medicaid Fee Schedule

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