Cost-sharing for HIP program to remain paused at this time

FSSA is working with its attorneys and consulting with its federal partners at Centers for Medicare and Medicaid Services and will explore all legal remedies regarding the June 27 ruling regarding the lawsuit against the Healthy Indiana Plan.

At this time, cost-sharing for the HIP program, including POWER account contributions and co-pays, will remain paused. MEDWorks and CHIP co-pays will resume effective July 1 as planned.

Indiana strongly disagrees with the ruling and believes the actions have unintended consequences. The implications of the decision handed down are far-reaching. FSSA is still evaluating the impact for the state and the 762,000 Hoosiers who rely on healthcare coverage through the Healthy Indiana Plan. HIP was designed to provide healthcare coverage to non-disabled adults ages 19-64, empowering them to become engaged and active consumers of their health care.

At this time, individuals on the Healthy Indiana Plan remain covered, but there is uncertainty as to what services are included in that coverage.

While the lawsuit took aim at HIP’s POWER account contributions or premium-like payments, the June 27 decision revoked the entire 10-year waiver approval granted to Indiana in 2020 to operate HIP – creating uncertainty regarding which services are covered for HIP members and removing authority for certain administrative aspects of the program’s operation. The ruling also has implications that conflict with state law.