Adult Mental Health Habilitation Services Program

Adult Mental Health Habilitation Services Program is sponsored by Indiana Medicaid. Offers coverage for home- and community-based services to adults with a serious mental illness who reside in an HCBS setting.

* Indiana Medicaid for Members * Hoosier Healthwise Hoosier Healthwise Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...

* Hoosier Care Connect Hoosier Care Connect Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare. * Traditional Medicaid Traditional Medicaid Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care.

Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who... * Healthy Indiana Plan Healthy Indiana Plan The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...

* Hoosier Healthwise Hoosier Healthwise Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost...

* Healthy Indiana Plan Healthy Indiana Plan The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...

* Hoosier Care Connect Hoosier Care Connect Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare. * Traditional Medicaid Traditional Medicaid Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care.

Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who... * Hoosier Care Connect Hoosier Care Connect Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare.

* Traditional Medicaid Traditional Medicaid Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...

* Indiana PathWays for Aging Indiana PathWays for Aging A new managed care program beginning July 1, 2024, for eligible Hoosiers age 60 and older. * Home- and Community-Based Services (HCBS) Home- and Community-Based Services (HCBS) HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.

* Traditional Medicaid Traditional Medicaid Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who...

* Healthy Indiana Plan Healthy Indiana Plan The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...

* Hoosier Care Connect Hoosier Care Connect Hoosier Care Connect is a healthcare program for individuals age 59 years and younger who are blind or disabled, not institutionalized or receiving waiver services, and not eligible for Medicare. * Hoosier Healthwise Hoosier Healthwise Hoosier Healthwise is a health care program for children up to age 19 and pregnant women.

The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost... * Indiana PathWays for Aging Indiana PathWays for Aging A new managed care Medicaid program beginning July 1, 2024, for eligible Hoosiers age 60 and older.

* Medicare Savings Program Medicare Savings Program The Medicare Savings Program provides assistance paying Medicare Part A (Hospital) and Medicare Part B (Medical Insurance) premiums, deductibles, coinsurance, and copayments for qualifying individuals. Some members will qualify for both Traditional...

* HoosierRx HoosierRx HoosierRx is a program that can help low income residents aged 65 years or older pay for their monthly Medicare Part D premiums. * State Health Insurance Assistance Program (SHIP) State Health Insurance Assistance Program (SHIP) The State Health Insurance Assistance Program is a free and impartial counseling program for people with Medicare.

SHIP is provided by the Administration on Community Living and the Indiana Department of Insurance.

* What is Covered by Indiana Medicaid What is Covered by Indiana Medicaid * Pharmacy Benefits Pharmacy Benefits * Home- and Community-Based Services (HCBS) Home- and Community-Based Services (HCBS) HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home.

* Apply for Coverage Apply for Coverage To apply for Medicaid, you will need to fill out and submit a Medicaid application, also known as an Indiana Application for Health Coverage. * Am I Eligible for Medicaid Am I Eligible for Medicaid Medicaid eligibility is determined by several factors and can be complicated. There are several different Medicaid programs, each with slightly different eligibility requirements.

If you think you may be eligible, the best thing to do is apply. * Presumptive Eligibility Presumptive Eligibility This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.

* Eligibility Guide Eligibility Guide This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage.

* Member Rights & Responsibilities Member Rights & Responsibilities As a Medicaid member, there are many things that you need to know in order to keep your benefits and get the most out of the services that are available to you. * Provider Directory Provider Directory Start here to find a Medicaid provider near you.

* Managed Care Health Plans Managed Care Health Plans Depending on your eligibility, you may be enrolled with a health plan to help coordinate and manage your healthcare. Find out more about health plan options and how to contact them. * Authorized Representative Form Authorized Representative Form In certain cases, you may need to have an authorized representative communicate with your caseworker or Medicaid staff.

In order for the State to discuss your case or history with your representative, you will need to give written permission. * Member Appeals Member Appeals You have the right to appeal decisions made about your eligibility for programs or certain decisions made about your care. * Understanding Terms Understanding Terms You can find some definitions to some more commonly used words throughout Indiana Medicaid.

* Other Important Social Services Other Important Social Services You can learn about other social services available to you. * FAQs FAQs Have a question? You can find answers to frequently asked questions here.

* Contact Us Contact Us A complete list of phone numbers for coverage and benefit questions. * Interoperability Resource Interoperability Resource Patients can now view their benefits, claims, clinical, and even provider network and formulary data in an application.

## Indiana MedicaidMembers Home * Children - Click to ExpandToggle * Pregnant Women - Click to ExpandToggle * Adults - Click to ExpandToggle * Aged Blind & Disabled - Click to ExpandToggle * Indiana PathWays for Aging * Home- and Community-Based Services (HCBS) * Programs - Click to ExpandToggle * Traditional Medicaid - Click to Expand * Hoosier Care Connect - Click to Expand * Hoosier Healthwise - Click to Expand * Indiana PathWays for Aging * Medicare Savings Program * HoosierRx - Click to Expand * State Health Insurance Assistance Program (SHIP) * What is Covered by Indiana Medicaid - Click to Expand * Pharmacy Benefits - Click to Expand * Home- and Community-Based Services (HCBS) * Apply for Coverage - Click to ExpandToggle * Am I Eligible for Medicaid - Click to Expand * Presumptive Eligibility - Click to Expand * Eligibility Guide - Click to Expand * Resources - Click to ExpandToggle * Member Rights & Responsibilities - Click to Expand * Provider Directory - Click to Expand * Managed Care Health Plans - Click to Expand * Authorized Representative Form - Click to Expand * Member Appeals - Click to Expand * Understanding Terms - Click to Expand * Other Important Social Services - Click to Expand * Contact Us - Click to Expand * Interoperability Resource # Adult Mental Health Habilitation Services Program * Indiana Medicaid for Members * Current: Adult Mental Health Habilitation Services Program # **Adult Mental Health Habilitation Program** Indiana Medicaid offers coverage for home- and community-based services (HCBS) through the Adult Mental Health Habilitation (AMHH) program.

These services are provided to adults with a serious mental illness who reside in an HCBS setting and may benefit from AMHH services to live a safer lifestyle. AMHH services are also available for eligible adults with both mental illness and addiction disorders. Individuals must meet both HCBS eligibility and Medicaid eligibility guidelines to be eligible for AMHH services.

To be eligible, individuals must be: * Residing in or transitioning to a setting that meets federal setting requirements for HCBS (noninstitutionalized) * AMHH-eligible with a Division of Mental Health and Addiction (DMHA)-approved diagnosis * Demonstrating a level of need by meeting the following criteria: * Receive a score of 3 or higher on the DMHA-approved assessment tool * Not be a danger to self or others * Without ongoing habilitation services, is likely to deteriorate and be at risk of institutionalization * Needs significant assistance in major life domains related to their mental illness (for example, physical problems, social functioning, basic living skills, self-care, and potential for harm to self or others) * Significant needs related to their behavioral health * Significant impairment in self-management of their mental illness or needs assistance with mental illness management * Lack of sufficient natural supports to assist with mental illness management In addition to Medicaid-covered services, individuals receiving AMHH services are eligible for the following: * Home- and Community-Based Habilitation and Support * Therapy and Behavioral Support Services * Supported Community Engagement Services * Medication Training and Support ## **Member Information** * Referrals to AMHH services may come from any source within the community: * Community mental health centers (CMHCs) or other treatment providers may identify individuals who appear to meet the AMHH target-group and needs-based eligibility criteria.

* Individuals may notify a DMHA-approved AMHH provider of interest in AMHH services. * Family members or caregivers may inquire about the services and assist the family member in contacting a DMHA-approved AMHH provider. * To apply for AMHH services, go to your local CMHC.

It is helpful to apply as soon as you identify a need for services. * You must also apply for Medicaid. You can learn more about applying for Medicaid by going to theApply for Coverage webpage.

* For more information on AMHH, please visit the Indiana Family and Social Services Administration (FSSA)Adult Mental Health and Habilitation Services webpage or emailamhhservices-fssa@state. in. us.

## **Provider Information** * AMHH services may be delivered only by providers meeting specific state-defined criteria. The DMHA certifies agencies to provide AMHH services. DMHA-certified CMHCs are eligible to be approved AMHH service provider agencies.

* DMHA-approved providers must also be enrolled with Indiana Health Coverage Programs (IHCP) as a behavioral health care provider (provider type 11) with the AMHH specialty (provider specialty 115). Refer to the Become an IHCP Provider webpage for more information.

* Additional provider resources regarding AMHH services are available at the following links: * Adult Mental Health and Habilitation Services") page * DMHA Adult Mental Health Habilitation Services provider reference module.

* Home- and Community-Based Services Billing Guidelines provider reference module ### Get Important News & Updates ### Provider News & Events * 09-02-2026 IHCP will host monthly IHCP Live webinar September 2 There are no past calendar entries at this time.

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