Bill > SB0116

This bill introduces several new provisions to improve transparency and accountability in Indiana's Medicaid program. The bill requires the Office of the Secretary of Family and Social Services to publicly post on its website the criteria for determining who is considered "medically frail" and provide examples of Medicaid-related notices with explanations. It mandates that Medicaid termination notices be sent at least 21 days before service discontinuation and prohibits including information about program conditions not currently being implemented. The bill also requires that before terminating a recipient's coverage, the office must thoroughly review all timely submitted information during the eligibility redetermination process. Additionally, managed care organizations must provide quarterly reports on claim denials and monthly reports detailing recipient numbers, removals, reinstatements, and help line call statistics. The bill further stipulates that the Healthy Indiana Plan (HIP) must now include at least 30 days of retroactive coverage, ensuring that eligible individuals can receive medical services coverage for a short period before their official enrollment. These changes are designed to enhance communication, protect beneficiaries, and increase transparency in the state's Medicaid administration.

Health and Social Services

https://iga.in.gov/legislative/2026/bills/senate/116/details