FSSA announced earlier this year that they would be adding a fourth Managed Care Entity (MCE) as an option for HHW and HIP members. The MCE options will be Anthem, CareSource, MDwise, and MHS. All four MCEs will undergo a readiness evaluation to ensure they provide quality operations and adequate access to quality health care. Upon successful completion of this evaluation, FSSA will hold a special enrollment period for HHW members sometime between mid-November and mid-December. Specific dates are yet to be determined. HIP members will be able to switch to any of the four MCEs at their annual eligibility renewal period.
Effective January 1, 2017, any HHW or HIP applicant who does not select a MCE on the Indiana Application for Health Coverage will be auto-assigned to CareSource, with a few exceptions.
Please be aware that you may be asked for assistance with the open enrollment process from patients. It is imperative that you know which MCEs are accepted at your facility. If you are not sure which MCEs are accepted, please contact your manager.