590 Program
The 590 Program provides coverage for certain healthcare
services provided to members who are residents of state-owned
facilities. These facilities operate under the direction of the
Indiana Family and Social Services Administration (FSSA), the
Division of Mental Health and Addiction (DMHA), and the Indiana
State Department of Health (ISDH). Incarcerated individuals
residing in Department of Corrections (DOC) facilities are not
covered by the 590 Program.
The 590 Program differs from Traditional Medicaid and the
Hoosier Healthwise Program in the following ways:
- If a member enrolled in the 590 Program receives services that
have a total billed amount per claim of less than $150, the 590
Program facility where the member resides is responsible for
payment of the service.
- Prior authorization (PA) is required for all services equal to
or greater than $500 per service per claim provided to members
enrolled in the 590 Program.
- The 590 Program covers only services rendered outside the 590
program facility.
- Transportation is not a covered service. Transportation must be
provided by the facility where the member resides.
- Identification cards are not issued to members enrolled in the
590 Program. An IHCP member who resides in a state-owned facility
may have a Hoosier Health Card, but IHCP eligibility is terminated
upon entry into the facility unless the member is younger than 21
years old or older than 65 years old.
- All providers must verify that the member enrolled in the 590
Program resides in a state-owned facility.
- All members enrolled in the 590 Program must be chaperoned to
off-site providers.
- Individuals who are on probation or incarcerated are not
eligible for the 590 Program.
- The 590 Program does not cover targeted case management (TCM)
services.
You'll find more information about the 590 Program in the 590 Program
Provider Manual and the IHCP Provider
Manual.