Medicaid Disability (MAD)/Traditional

Traditional Medicaid is a healthcare program for low-income individuals that offers medical care such as doctor visits, prescription drugs, dental and vision care, family planning, mental health care, surgeries and hospitalizations.

When you apply for Medicaid Disability, starting June 1, 2014, you will need to apply at the Social Security Administration office to determine disability eligibility.  Once that has occurred, then Medicaid will be notified and you will be directed about insurance options.

Eligibility Criteria
  • Must meet disability requirements
  • Does count resources/assets over $2000 Single or $3000 Couple, except for house and 1 vehicle
  • Resources include savings, retirement (401K) plans, life insurance with cash value, land, farming equipment, etc.
  • Does not count parent's income/resources for children over age of 18, regardless of school status
  • Comprehensive plan with no cap for Durable Medical equipment (DME) 
  • Children CAN be enrolled in Medicaid Disability (MAD)

Who is eligible?
Like other health care programs, eligibility and coverage are based on the member's aid category. The following members will be covered by Traditional Medicaid:

  • Aged
  • Blind
  • Physically and mentally disabled
  • Members in the waiver program
  • Members dually eligible for Medicare and Medicaid
  • Members in nursing homes, intermediate care facilities for the mentally retarded and state-operated facilities
  • Members in the hospice program
  • Undocumented aliens

TRADITIONAL MEDICAID SERVICES

Generally, the following services are covered by Traditional Medicaid. This list does not include everything Medicaid covers.

Preventive Services - This includes medical services like:
Family Planning
Prescription Drugs
Doctor Office Visits

Behavior and Mental Health Services - Coverage includes outpatient mental health services you receive from:
Physicians
Local Center for Mental Health
Social workers in your community

Eye Care - Coverage includes exams and glasses every two years

Diabetes Self Care Management Training - Activities include:
Nutrition
Medication counseling
Blood glucose self-monitoring
Insulin injection
Foot, skin and dental care

Inpatient/Outpatient Hospital Care - Services include:
Rx Drugs
Laboratories,
X-rays
Other diagnostic tests that are considered medically necessary during the stay

Home Health Care & Services - Medicaid covers:
Durable Medical Equipment (DME)
Incontinence Supplies
Medical supplies, equipment, and appliances

Transportation - Medicaid will pay for up to 20 one-way trips without prior authorization.

Dental - Covered services include annual exams and preventive care.

Pregnancy Care - Medicaid covers:
Prenatal Care
Delivery
Midwife Services

Emergency Care - Medicaid benefits include
Hospital Admittance
Transportation
Medically necessary screening services

Please contact 1-800-457-4584 for specific questions about your medical coverage under Traditional Medicaid.

How to Apply

Additional Programs Under Medicaid Disability:

Hoosier Care Connect
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