in-20260603-IR-405260164ONA: Notice of Change Requiring Medicare Application as a Condition of Medicaid Eligibility

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES Notice of Change Requiring Medicare Application as a Condition of Medicaid Eligibility In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP), publishes this notice of proposed changes to Medicaid eligibility requirements for participants aged 65 and older. The public notice period is from June 3, 2026, through July 3, 2026. FSSA - OMPP proposes to submit a State Plan Amendment (SPA) to require proof of a Medicare application for anyone 65 or older at an initial Medicaid application or renewal under the authority of the U.S. Supreme Court case New York State Department of Social Services v. Dublino, 413 U.S. (1973). The state agrees to pay any applicable premiums and cost sharing (except those applicable under Part D) for individuals required to apply for Medicare. It is estimated that there will be a decrease in annual expenditures. This change is effective July 1, 2027. A copy of this notice is on file at the Indiana Government Center South, 402 West Washington Street, Room W461, Indianapolis, Indiana and is open for public inspection. A copy is also available for inspection by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at 402 West Washington Street, Room W374, Indianapolis, Indiana. There will be no public hearing. Written comments will be accepted until 5 p.m. on July 3, 2026, and may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Katie Wissel, 402 West Washington Street, Room W374, Indianapolis, IN 46204 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: MEDICARE DUAL APPLICATION REQUIREMENT. Audrey Frenzel Medicaid Director Office of Medicaid Policy and Planning Indiana Family and Social Services Administration