Indiana Medicaid right away: presumptive eligibility at a hospital, clinic or doctor's office

Get these first

live in Indiana; not on Indiana Medicaid now; then a full application by the last day of the next month

Steps

1. At a hospital, clinic or doctor's office, ask: 'Can you check me for presumptive eligibility?'
2. Answer a few questions.
3. Get your eligibility letter the same day.
4. Apply for full coverage before the end of next month (at that provider, online, by phone 800-403-0864, or at a DFR office), or PE stops.

Official details

What you can get

short-term coverage of health care services for those with limited incomes who are not currently receiving Medicaid Official source

Who can get it

You must live in Indiana, and your family income must be below a certain amount. Official source

What to bring

You will be asked a few questions at the hospital, clinic, or doctor's office. Official source

How to apply

Over the phone at 800-403-0864 Official source

Where to apply

At the provider where you were found presumptively eligible Official source

Who decides

allows qualified providers to make PE determinations Official source

How fast they decide

a PE determination will be made immediately, and an eligibility letter is generated Official source

Sources

• https://www.in.gov/medicaid/members/apply-for-medicaid/presumptive-eligibility checked 2026-10-28
• https://secure.in.gov/medicaid/providers/business-transactions/qualified-provider-presumptive-eligibility-pe checked 2026-10-28