Healthy Indiana Plan (HIP): What You Need to Know
Important changes begin January 1, 2027
The rules for the Healthy Indiana Plan (HIP) are changing. Some HIP members ages 19–64 will need to meet new work and community engagement requirements to keep their health coverage.
Raphael Health Center is here to help you understand these changes and prepare.
What You Need to Know
Starting January 1, 2027, some HIP members will need to complete 80 hours each month of approved activities.
These activities may include:
- Working
- Volunteering
- Job training
- An apprenticeship
- School or education
- Other approved community engagement activities
You may be able to combine different activities to reach 80 hours each month.
Not everyone will have to meet these requirements. There are several exemptions.
Who May Need to Meet the Requirements?
You may need to meet the new requirements if you:
- Are 19 through 64 years old
- Are enrolled in HIP
- Are not pregnant
- Are not enrolled in or eligible for Medicare
- Do not qualify for another exemption
Use the FSSA HIP Work Requirements Pre-Screening Tool to learn if you meet the requirements.
There are several reasons a person may be exempt.
You May Be Exempt If You:
- Are pregnant or recently had a pregnancy
- Are a parent or caregiver of a young child
- Care for someone with a disability
- Have certain disabilities or health conditions
- Are medically frail
- Are a member of a federally recognized Tribe
- Are a veteran with a 100% disability rating
- Are in an approved drug or alcohol treatment program
- Are under age 26 and were formerly in foster care
- Meet certain SNAP or TANF work requirements
- Have certain other circumstances listed by FSSA
This is not a complete list. Other exemptions may apply.
Learn more about HIP work requirements and exemptions
Watch Your Mail
Make sure FSSA has your current mailing address.
FSSA may send you important letters about:
- Your HIP coverage
- Work requirements
- Exemptions
- Documents you need to provide
- Renewing your coverage
Check your mailbox often and open all letters from FSSA.
If your address changes, make sure FSSA has your new address.
Keep Records of Your Hours
If you are required to meet the new rules, keep records that show your qualifying activities.
For example, you may want to keep information about:
- Hours worked
- Volunteer hours
- School attendance
- Job training
- Apprenticeship hours
- Other approved activities
You may need to provide proof of these activities to FSSA.
How to Submit Documents
If FSSA asks you for documents, you can submit them in several ways.
Online
Upload your documents through the FSSA Benefits Portal.
Visit the FSSA Benefits Portal
By Mail
FSSA Document Center
P.O. Box 1810
Marion, IN 46952
In Person
Take your documents to your local Division of Family Resources (DFR) office.
By Fax
888-436-9199
Check Your HIP Eligibility
If you are not currently enrolled in HIP, you can check to see if you may qualify.
You can also visit a Division of Family Resources (DFR) office in person.
Raphael Health Center Can Help
Understanding Medicaid rules can be confusing. You do not have to figure it out alone.
Raphael Health Center has designated staff who can help you with questions about:
- HIP eligibility
- Applying for HIP
- HIP enrollment
- Redetermination and renewal
- The new work requirements
- Possible exemptions
- What documents you may need to provide
Need Help?
Call Raphael Health Center at 317-926-1507 to make an appointment.
Our team can sit down with you and help you understand the steps you may need to take.
Don’t wait until you receive a notice or lose coverage. Start preparing now.
Stay Up to Date
HIP rules and requirements may change as more information becomes available. Raphael Health Center will continue to share updates with our patients and community.
For the most current information, visit: