Indiana Hospital Association pushes retroactive Medicaid coverage mandate
The Indiana Hospital Association released its 2027 legislative priorities, calling for codified retroactive Medicaid coverage for Hoosiers eligible at time of service or disenrolled for administrative reasons, elimination of duplicative reporting requirements, and greater insurer transparency including a statewide review of Medicaid managed care claims. The push comes as federal work reporting requirements take effect in January for Healthy Indiana Plan enrollees, with the state estimating 58,000 Hoosiers at risk of losing coverage, and after FSSA already disenrolled more than 500,000 Hoosiers from Medicaid over the past two years. IHA also wants hospital assessment fee revenue preserved for HIP and Medicaid reimbursement as federal provider tax caps take effect, and raised concerns about a pending rule redirecting 340B Medicaid savings to the state. Lawmakers convene in January for a budget session with new health committee leadership in both chambers.