March 2015 Update

HIP 2.0 enrollment continues and ClaimAid is holding public education and enrollment events across Indiana. Additional HIP 2.0 resources for providers available at the ClaimAid HIP 2.0 website. Hospital Presumptive Eligibility (HPE) program replaces retroactive coverage for the expanded Medicaid populations and Hoosier Care Connect replaces Care Select. Our goal remains to provide you and your patients / clients / consumers with the ClaimAid Advantage.

HIP 2.0 Updates

  • As HIP 2.0 enrollment continues, ClaimAid continues to hold public information sessions and enrollment events throughout the state. If you or your patients / clients have questions you may direct them to a ClaimAid Patient Advocate or CONTACT US.
  • What you need to know: The Healthy Indiana Plan provides coverage for qualified low-income Hoosiers ages 19 to 64, who are interested in participating in a low-cost, consumer-driven health care program. Hoosiers with incomes of up to $16,436.81 annually for an individual, $22,246.25 for a couple or $33,865.13 for a family of four are generally eligible to participate in the Healthy Indiana Plan. The HIP Plus program, available to anyone up to 138% of the Federal Poverty Level (FPL), includes vision, dental and very limited copayments.

Expanded Hospital Presumptive Eligibility Replacing Retroactive Coverage

  • The Hospital Presumptive Eligibility (HPE) program includes a new category for Adults age 19-64 and allows Rural Health Centers (RHCs), Community Mental Health Centers (CMHCs), Federally Qualified Health Centers (FQHCs), and health departments to participate.
  • What you need to know: The new HIP 2.0 plans do not include retroactive coverage. The Hospital Presumptive Eligibility (HPE) program is provided to eligible individuals once every 12 months as a means to cover dates of service prior to complete HIP 2.0 enrollment. CLICK HERE to see the related Indiana Medicaid bulletin. If you are not presently enrolled as a QP for HPE, or you are enrolled and have questions about compliance and program participation, please CONTACT US.

Hoosier Care Connect Replacing Care Select           

  • Indiana FSSA has announced their plan to transition enrolled members that are eligible for Medicaid for the Aged, Blind and Disabled from the traditional plan to a managed care program, called Hoosier Care Connect.

What you need to know: Care Select is phasing out. Enrollees will need to choose a health plan; MHS, MDwise or Anthem by 6/15/15 or one will be chosen for them. FSSA has sent members initial notices in February explaining the changes and what action is needed with a number to call for more information (1-866-963-7383). The assigned primary medical provider will help manage their care and refer them to appropriate specialists. The first wave of assignments will start 4/1/15. Providers may contact MDWise and MHS to enter into new contracts for the Hoosier Care Connect Plans. Anthem has stated that a new contract is not necessary at this time. Those Aged, Blind and Disabled Medicaid members that are also enrolled in Medicare, are in an extended health care facility for greater than 30 days, enter a state psychiatric facility or residential treatment facility or eligible for waivered services will not be enrolled in Hoosier Care Connect. For additional information, please CLICK HERE. If you have additional questions about Hoosier Care Connect, please CONTACT US.