Following passage of the Affordable Care Act (ACA), states have taken different approaches to Medicaid reform and expansion. Indiana pursued a state-specific model, building on its pre-ACA approach, which incorporates unique aspects such as personal responsibility and financial and non-financial incentives designed to engage beneficiaries in their care.
There are two benefit plans under HIP 2.0 – HIP Plus and HIP Basic. Plus requires monthly contributions, but includes enhanced benefits and no copayments at the time of service, unlike Basic. A large majority of members, even among the lowest income, elected to make monthly contributions for Plus. Plus members accessed primary and preventive care at higher rates than Basic members.