Did You Know

…that the State of Indiana is currently soliciting responses from prospective vendors to deliver risk-based managed care services for Medicaid beneficiaries enrolled in the State of Indiana’s Hoosier Healthwise and Healthy Indiana Plan (HIP) programs to begin January 1, 2011? This Request for Service 10-40 is on behalf of the Indiana Family and Social Services Administration/Office of Medicaid Policy and Planning and is due to the State by interested vendors by April 1, 2010.

The Hoosier Healthwise program was developed to cover services to children, pregnant women and low-income working families. Beginning January 1, 2007 Hoosier Healthwise became a risk-based managed care program that currently serves over 630,000 members. At this time there are three Vendors contracted by the state for this program: Anthem; MHS; and MDwise. For behavioral healthcare services both Anthem and MHS have subcontracted with Managed Behavioral Healthcare organizations: Cenpatico (MHS) and Magellan (Anthem). MDwise had previously subcontracted with CompCare but brought behavioral healthcare “in house” beginning January 1, 2009.

The Healthy Indiana program was created to provide health care coverage to low-income, uninsured adults who do not have access to employer sponsored health insurance. This program is similar to that of a traditional Health Savings account and is funded with state and individual contributions and currently has approximately 47,000 members.

InteCare and BHMI staff will be communicating with all providers in the near future regarding updates on this RFS – so stay posted! If you are interested in reviewing the RFS in more detail, we suggest going to: http://www.IN.gov/idoa/2354.htm for more information (click on State of Indiana opportunities and scroll down to the RFS).