FSSA announced earlier this year that they would be adding a fourth Managed Care Entity (MCE) as an option for HHW and HIP members. Upon successful completion of the readiness evaluation, the MCE options will be Anthem, CareSource, MDwise, and MHS.
What does this mean for current members?
FSSA will hold a special enrollment period for HHW members starting November 15, 2016 through December 15, 2016. HIP members will be able to switch to any of the four MCEs at their annual eligibility renewal period. If members do not wish to choose a new health plan or do not make a change by December 15, 2016, they will remain with their current health plan and will not have another opportunity to change plans until the next open enrollment period.
Members may start receiving letters from the FSSA announcing this enrollment opportunity and ClaimAid Advocates are ready to assist and answer their questions.
What does this mean for Providers?
Providers currently contracted with an existing MCE may be required to enter into new contracts to remain in-network as of January 1, 2017. Providers should contact the MCE directly for further direction.
CareSource will be establishing an IHCP provider network and can be contacted directly for more information.
In the bulletin below, Table 1 lists contact information for each MCE along with information about credentialing and contracting processes.
Please note that beginning January 1, 2017; MCE networks for the Hoosier Healthwise program will be enhanced to include pharmacy and dental services.