The Indiana Family and Social Services Administration (FSSA) recently announced the selection of Anthem Blue Cross and Blue Shield, MDwise, Inc., and Managed Health Services of Indiana to provide coordinated healthcare services for the new Hoosier Care Connect (HCC) program starting next year.
HCC is a new coordinated care program which will serve approximately 84,000 of Indiana Medicaid’s aged, blind, and disabled population. Enrollees will include children and adults eligible for Medicaid on the basis of age (65+), blindness, or disability, who are not also enrolled in Medicare, do not reside in an institutional setting, and are not enrolled in a home and community-based services (HCBS) waiver.
FSSA is targeting April 1, 2015, as the rollout date for the HCC coordinated care program, with the following goals:
- Improve quality of care and clinical outcomes for the enrolled members,
- Ensure enrollee choice, protections and access,
- Coordinate care among all the providers who provide care for an individual member, and
- Provide flexible, person-centered care.
The state will transition the qualifying enrollees, who are currently served under a fee-for-service model, into a managed care model that will provide care coordination and incentives for better clinical outcomes. FSSA will notify impacted members in early 2015 about their choices and how to choose a health plan.
House Enrolled Act 1328 (HEA 1328), passed by the Indiana General Assembly in 2013, tasked the FSSA with exploring managed care options for aged, blind, and disabled Medicaid members. FSSA then formed the Aged, Blind, and Disabled Task Force, which laid the foundation for the Hoosier Care Connect program by involving various stakeholders in developing goals for the program.
The health plans selected to serve Hoosier Care Connect members were chosen through a fair and open procurement process managed by the Indiana Department of Administration (IDOA) and FSSA. Plans were chosen based on their responses to a request for proposals posted this summer. Prospective vendors were assessed based on many factors, including their experience serving complex populations and approaches to care management.
For more information, you can review the award recommendation letter from IDOA or visit the Aged, Blind, and Disabled Task Force webpage.
— All rights reserved. For use or reprint in your blog, website, or publication, please contact us at cipromsmarketing@ciproms.com.
