Current Updates as of 3/1/23
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Managed Long-Term Services and Supports |
Past Updates
On March 1, the Indiana Family and Social Services Administration and the Indiana Department of Administration announced the entities recommended for award for the Indiana Pathways for Aging Program, a new managed LTSS program. The four Managed Care Entities recommended for award are:
- Anthem Blue Cross and Blue Shield
- Humana Healthy Horizons in Indiana
- Molina Healthcare of Indiana
- United Healthcare Community Plan
The state will work with the selected MCEs in the contracting and readiness review process with an anticipated go-live date of summer 2024.
(Source: IN Family and Social Services Administration; 3-01-2023)
On July 12, 2021 The Indiana Family and Social Services Administration (FSSA) released a request for information (RFI) regarding managed long-term services and supports. The RFI is intended to gather feedback regarding the reform of Medicaid-funded long-term services and supports for older adults age 60 years and older in the state. The new program would provide quality and coordinate care for older adults receiving care in nursing facilities and older adults enrol
led in the Aged & Disabled (A&D) Home and Community-Based waiver. Special attention will be given to improving care coordination for individuals dually eligible for Medicare and Medicaid.
Goals of the transition to managed long-term services and supports for this group include: expanding access to care in HCBS settings, decreased wait times for qualifying and receiving HCBS, implementation of a person-centered mLTSS program that meets the needs of the eligible population, linking provider payments to improved health and wellness outcomes, integrating LTSS data for continuous outcomes measurement and improvement, addressing social determinants of health to achieve equitable health outcomes, enhancing the LTSS provider network and capacity, and supporting caregivers.
FSSA is requesting feedback on eight different domains including:
- Care Management/Case Management/Service Coordination
- Successful Duals and Duals Special Needs Plans (D-SNP) Coordination and Integration
- Member Protections
- Member, Caregiver, and Family Participation and Education
- Network Development and Capacity Building
- Provider Relationships
- Quality Strategy
- Social Determinants of Health
The deadline to submit responses to the RFI is on August 27, 2021. A request for proposal (RFP) is expected to be released in early 2022.
(Source: FSSA RFI Regarding Managed Long Term Services and Supports; 7-12-2021)
Hoosier Care Connect Coordinated Care Program
On November 26, 2014, the Family and Social Services Administration (FSSA) announced its selection of three managed care contractors to provide coordinated healthcare services for qualifying aged, blind, and disabled Medicaid enrollees through Indiana’s new Hoosier Care Connect coordinated care program. Hoosier Care Connect (HCC) will rollout April 1, 2015; enrollees will include Medicaid recipients aged 65 and over, along with children and adults with blindness or a disability. Individuals who are enrolled in Medicare, reside in an institutional setting, or are enrolled in a HCBS waiver will not be eligible for the program. (Source: Indiana FSSA News Release, 11/26/2014)
Balancing Incentive Program
In September 2012, CMS awarded Indiana an estimated $78.2 million of enhanced Medicaid funds. (Source: Medicaid.gov BIP site)
Approved BIP Application (link no longer available)
Structural Change Work Plan (link no longer available)
BIP Work Plan Table (link no onger available)
Section 1915(i) HCBS State Plan Option
As of May 2014, CMS has approved the state’s §1915(i) HCBS State Plan Amendment; and the state is currently participating in the HCBS State Plan Option. (Source: Kaiser HCBS State Plan Option website, 5/2014)
Health Homes
In 2013, the state considered Health Homes for persons with SMI or a co-occurring developmental disability at risk for additional chronic health conditions. (Source: Indiana DDRS Provider Quarterly Update, 4/24/2013--link no longer available)
In 2014, however, the state decided to develop Wellness Coordination services within its Community Integration and Habilitation Waiver as a feasible and immediate response to the need for better coordination of waiver participants’ health care issues. (Source: CMS Health Home Proposal Status website, 2/2014; Community Integration and Habilitation Waiver, 2/1/2014--links no longer available)