Covering Kids & Families of Indiana Newsletter   
January 19, 2023
Legislators Focus on Medicaid, Behavioral Health & Public Health
The Indiana General Assembly (IGA) has convened and legislators have introduced a variety of measures hoping to impact the health and well-being of Hoosiers. Some issues, such as a proposed large-scale increase to our state's public health funding and adjusting Medicaid spending for rate equalizations and increased enrollment, will be discussed at length within the biennial budget bill House Bill 1001. Also supporting Public Health is Senate Bill 4, which delineates core public health services and state level supports to assist in their delivery.

Other legislation addressing health, heath care and coverage include:

Senate Bill 1 - Behavioral Health Matters. Provides that the Family and Social Services Administration (FSSA) shall apply to the United States Department of Health and Human Services for a Medicaid state plan amendment, a waiver, or an amendment to an existing waiver to require reimbursement for eligible certified community behavioral health clinic services or to participate in the expansion of a community mental health services demonstration program.

The legislation also requires the Division of Mental Health and Addiction (DMHA) to establish and maintain a help line: (1) to provide confidential emotional support and referrals to certain resources to individuals who call the help line; and (2) that is accessible by calling a toll free telephone number. The bill also seeks to reestablish the Indiana Behavioral Health Commission.

Senate Bill 197 - Student Health. Would require schools to excuse a student due to the student's mental or behavioral health concerns, with up to 3 days allowed per year without documentation supporting the concern. The legislation also would requires that a school selected to participate in the United States Centers for Disease Control and Prevention's Youth Risk Behaviors Survey must participate in the survey.

Additionally, the bill provides that the Commission for Higher Education shall work with the statewide suicide prevention coordinator to develop a suicide prevention training for students at each state educational institution and requires each student at an educational institution to participate in the training in the student's first year at the institution. Establishes a mental health and suicide prevention in higher education task force and provides that the task force shall create a statewide suicide prevention resource guide for educational institutions.

Senate Bill 207 - FSSA Matters. Seeks to limit work requirements for Supplemental Nutrition Assistance Program (SNAP) recipients to no more than the minimum required by federal law. Changes the requirements for submitting eligibility information for Medicaid or Children's Health Insurance Program (CHIP) enrollees less than 19 to no more than once annually. Current law concerning the submission of eligibility information in the programs applies only to individuals less than three years of age. The legislation also would prohibit FSSA from requiring a participant of the Healthy Indiana Plan to cost share or otherwise make copayments in order to participate in HIP and would prohibit FSSA from requiring an individual to work or be a student in order to participate in the Plan. 

Senate Bill 376 Lawfully Residing Immigrants and Eligibility. Provides Medicaid eligibility for pregnant women and children under 21 who are lawfully residing immigrants and meet all other Medicaid eligibility requirements. This provision also provides eligibility for the Children's Health Insurance Program (CHIP) for lawfully residing individuals who are less than 19 years of age. Under current law, eligibility is limited to those who have lawfully resided in the United States for at least 5 years, with the above groups eligible for emergency only (Package E) Medicaid.

House Bill 1091 - Continuous eligibility under Medicaid and CHIP. Changes the requirements for submitting eligibility information for Medicaid or Children's Health Insurance Program (CHIP) enrollees less than 19 to no more than once annually.

House Bill 1205 - Medicaid reimbursement for school services. Adds a school psychologist as a qualified provider for purposes of the Medicaid program. Requires the Family and Social Services Administration to apply for a Medicaid state plan amendment before September 1, 2023, to allow school corporations to obtain Medicaid reimbursement for specified services. Provides that a school psychologist does not need supervision or authorization from another qualified provider in order to obtain Medicaid reimbursement for certain services provided to a Medicaid recipient.
Public Health Day: Investing in Hoosier Lives
Join the Governor's Public Health Commission from 11:00am to 1:00 pm in the North Atrium of the Indiana Statehouse and help champion the biggest transformation in public health in Indiana in decades. Scheduled speakers include Gov. Eric J. Holcomb, State Health Commissioner Kris Box, M.D., FACOG, former state Sen. Luke Kenley, Dr. Judy Monroe, a former state health commissioner who serves as CEO of the CDC Foundation, and former Congresswoman Susan Brooks.

Attend to learn about why public health matters and discuss the efforts underway to ensure that every Hoosier has access to the same core public health services. This initiative is the product of a months-long study of Indiana’s public health system conducted by the Governor’s Public Health Commission, which produced recommendations on issues ranging from funding and workforce to emergency preparedness, childhood and adolescent health, governance and services, and data integration.
Marketplace Enrollment Continues to Grow
Marketplace enrollment for 2023 plans rose to over 15.8 million prior to the final week of open enrollment, already surpassing 2022's open enrollment total of 14.5 million. According to data released by the Centers for Medicare and Medicaid Services (CMS), Indiana's enrollment through January 7th was 179,482, compared to 156,926 for open enrollment 2022 and 136,593 for open enrollment 2021.
Medicaid Unwinding
On December 29, 2022, the Consolidated Appropriations Act (CAA) separated the Medicaid continuous enrollment requirement from the end of the federal public health emergency (PHE). Beginning April 1, 2023, states may begin terminating coverage for Medicaid members who are no longer eligible. Stay tuned to this newsletter for more information and updates. For now, navigators and others are encouraged to remind consumers that they should:

  • Make sure the State has their correct contact information.
  • Open all mail/email from the Family & Social Services Administration (FSSA) and their health plan (Anthem, CareSource, MDwise, MHS, or United Healthcare).
  • Seek help from an Indiana Certified Navigator to answer questions and concerns.
Off-Marketplace Plans
2023 open enrollment for Marketplace is over. Consumers who need coverage should still see if they qualify for a special enrollment period. Consumers with expected incomes at or below 150% of the federal poverty level (FPL) can enroll anytime but others are limited to 60 days before and 60 days after a qualifying event.

Consumers who missed these deadlines or receive advertisements about other options might have questions about considering off-Marketplace plans. Here are some things that consumers should know:

  • Coverage may be less comprehensive, and the consumers out-of-pocket costs may be much higher even if the premium is lower.
  • Plans may not meet the same minimum coverage and quality standards as Marketplace plans.
  • Policies that pay per day rates (i.e. $100 a day if injured) are not health insurance.
Federal Poverty Levels
The Office of the Assistant Secretary for Planning and Evaluation of the U.S. Department of Health and Human Services released the 2023 Federal Poverty Guidelines. It is expected that the Indiana Family and Social Service Administration will raise Medicaid guidelines in March as they have in the past - stay tuned!
News from the Indiana School Health Network
ISHN Conference Exhibitor Opportunity

We invite you to join us for the 15th annual Indiana School Health Network Conference as a sponsor.  As a conference sponsor, your organization can raise awareness of your services while connecting to and networking with conference attendees.  

Deadline to Register as an Exhibitor is May 1, 2023
ISHN Conference Call for Proposals

The Indiana School Health Network (ISHN) is inviting school health professionals and advocates to submit proposals to present at the 2023 Indiana School Health Network Conference June 14-15, 2023. The conference will be in person at the Embassy Suites Plainfield. This year's theme is "School Health: Connecting the Pieces."
All sessions are 60 minutes long, including time for Q&A and evaluation. Proposals will be selected based on the speaker's knowledge and expertise of the subject. Proposals of interest include but are not limited to the following:
  • Policies, practices, or programs that promote cross-sector collaboration
  • Managing health & behavioral health conditions affecting educational achievement, especially proposals on chronic diseases, suicide and substance use disorder
  • Role of school-based health centers in children's health
  • Emerging trends in early childhood education and health
  • Promising practices advancing diversity, equity, and inclusion
  • Neuroscience-based tools to transform challenging childhood behaviors
  • Care of children with special health care needs in school
  • Best practices addressing ethics and professional boundaries
  • Policies and legislation that advance school health outcomes for all students
  • Effective Navigator outreach and enrollment practices
  • Innovative Whole School, Whole Community, Whole Child (WSCC) Model implementation

Special consideration will be given to proposals focused on alignment and coordination of services and resources, social justice in education, social-emotional learning and social influencers of health and education.

For more information or questions on submitting a proposal, please contact Sarah Thompson at

Deadline for submission is January 13, 2023
Project AWARE Goes to the Park Grant Program
Project AWARE, in partnership with the Indiana Department of Health (IDOH) Division of Nutrition and Physical Activity (DNPA), will be offering funds and technical assistance to support local parks departments and community organizations in supporting youth mental health in outdoor park spaces. School administrators are encouraged to share this opportunity as this grant will provide funding to local parks departments, not-for-profits, and community groups. Applicants are eligible to apply for up to $10,000 for each funding stream. Applications can be found here. Contact with questions.
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Information for Immigrant Families has a new flier (product number 12127) in English and nine other languages for immigrant families. Medicaid has strong protections in place to keep families’ information private. For example, state Medicaid agencies can only collect, use, and disclose information needed for the person applying for coverage. Families do not need to share citizenship or immigration status for family members not applying.
IPHCA Webinar Series
Indiana Primary Care Association (IPHCA) is offering a series of webinars:

Medicaid Waivers - January 31 at 11:00am EST
Brian Gilbert, Program Administration Manager and Nonis Spinner, Director of Eligibility and Member Services will discuss Indiana’s Medicaid waivers and sub-waivers.

Public Charge - February 21 at 11:00am EST
Sarah Burrow, Director with Lewis Kappes will present on public charge. Sarah is a sought after thought leader on immigration matters. Her practice focuses on handling challenging removal and deportation defense cases and transactional immigration cases.

Pregnancy Promise - February 28 at 11:00am EST
The Indiana Pregnancy Promise program is a free, voluntary program for pregnant Medicaid members who use or have used opioids. It provides extra support during the prenatal period and for 12 months after the end of the pregnancy. The program also has a childcare benefit.
Health Equity Grand Rounds
The inaugural National Health Equity Grand Rounds event, History of Racism in U.S. Health Care: Root Causes of Today’s Hierarchy and Systems of Power is a free event being held on Tuesday, February 7th @ 2:00pm EST. Speakers will explore the history of unethical medical experimentation and explain how we must understand the past to work towards a better future for all. Join experts for a discussion of the root causes of present-day health inequities in the United States and opportunities for health care professionals to advance individual, institutional, and structural solutions.
Online & On-Demand Navigator Pre-Certification & Continuing Education Courses
Covering Kids & Families of Indiana invites you to view our online and on-demand Navigator Pre-Certification & Continuing Education Courses. Each course is approved by the Indiana Department of Insurance. The Pre-Certification Course is for those hoping to become a certified Indiana Navigator, and the Continuing Education Course is for current Indiana Navigators. There is no charge for these courses.
Enrollment Trends

Total Membership increased again in November. With 2,145,829 members, there were 16,012, or 0.75%, more members in November 2022 than in October 2022.
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