in-20260805-IR-405260267ONA: INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION

INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION Healthy Indiana Plan 3.0 Notice of Public Hearing 1115 Demonstration Summary Indiana Family and Social Services Administration (FSSA) is seeking federal authority to implement the Healthy Indiana Plan (HIP) 3.0 through this new demonstration waiver. Under HIP 3.0, the state would remove HIP expansion coverage from the Medicaid state plan and instead cover the adult expansion population through this Section 1115 demonstration. The demonstration would include copayments that align with new federal requirements and allow individuals to earn reduced copayment amounts through a healthy behavior incentive program. Indiana is also seeking authority to implement enrollment caps to manage program growth based on available state funding and to support the program's long-term viability. The purpose of this demonstration is to test and evaluate state-specific policy approaches for covering expansion adults as an optional Medicaid population, consistent with the United States Supreme Court's recognition that states may choose whether and how to cover that population. In addition to the HIP 3.0 demonstration, Indiana seeks to continue to allow an expanded set of providers to make presumptive eligibility determinations for children, pregnant women, and adults while adding a requirement to verify citizenship prior to granting presumptive eligibility. Non-expansion adults previously included in the HIP 2.0 waiver will retain their state plan eligibility and be moved into the Hoosier Healthwise program. Expansion adults will be moved into this new 1115 demonstration waiver known as HIP 3.0. Public Comment and Hearing Information This notice provides details about the waiver submission and serves to open the 30-day public comment period that will open on August 5, 2026 and close on September 4, 2026. In addition to the 30-day public comment period in which the public will be able to provide written comments to FSSA via US postal service or email, FSSA will host two hearings in which the public may provide verbal comments. Hearings will be held at the following dates, times, and locations: Public Hearing #1: Friday, August 7, 2026 Public Hearing #2: Tuesday, August 11, 2026 All information regarding the submission, including the public notice, the waiver, and other documentation regarding the proposal are available for public review at FSSA, Office of Medicaid Policy and Planning, 402 West Washington Street, Room W374, Indianapolis, Indiana. These documents are also available to be viewed online at https://in.gov/fssa/hip/hip-work-requirements/public-notices. Written comments regarding the waiver amendment will be accepted through September 4, 2026, and may be emailed to: Secretary Mitch Roob at HIP@fssa.IN.gov or sent to the FSSA via mail at: