Open Enrollment
Medicaid may have contacted you and mentioned something called “Open Enrollment”.
Open enrollment means:

• You will be able to choose MHS as your health plan and
• Remain in your chosen health plan for one year as long as you remain eligible for Hoosier Healthwise.

With open enrollment, you can change your health plan:

• Anytime during your first 90 days with MHS
• Each year during open enrollment
• If your doctor changes to another health plan and you want to stay with him or her
• When you have a good reason called, “just cause”

Just Cause
If you think you have a just cause reason to change your health plan, let us try to help. You must first contact MHS so that we can try to fix the problem.

If you are still unhappy after contacting MHS, you can call the Hoosier Healthwise Helpline at (800) 889-9949. They will review your request and give you forms to fill out to make a change.

For more information on open enrollment, view the below PDF from the FSSA Web site:
Common Questions about Open Enrollment (PDF)

Presumptive Eligibility
Presumptive Eligibility (PE) is a program that offers temporary coverage of outpatient prenatal care services to low-income pregnant women while their Medicaid applications are pending. The goal of the PE program is to offer healthcare to women early in their pregnancies, so they stay healthy and have healthy babies.

PE is for pregnant women who do not receive Medicaid. You must be a U.S. citizen and live in Indiana to participate.

For more information on presumptive eligibility, click on the link below and then choose “Member FAQ” on the Indiana Medicaid Web site:
Presumptive Eligibility Home Page, Indiana Medicaid.com