MedicaidAdministrativeMedium impact
BT2026103: FSSA establishes PathWays waiver program termination notices and reasons
Indiana Medicaid (IHCP)·IN · Geriatrics, Family Medicine, Internal Medicine·Managed Care
Effective date
Jun 18, 2026
We identified it
Jun 18, 2026
Summary
FSSA has established six specific reasons for terminating members from the Indiana PathWays waiver program, effective immediately. Providers must verify member eligibility and waiver enrollment status to prevent claim denials when members lose coverage due to these termination reasons.
Action Required
Immediately: Billing team must verify PathWays waiver enrollment status in the IHCP Provider Healthcare Portal before submitting claims for home and community-based services. Update verification procedures to check both Medicaid eligibility AND waiver enrollment. Failure to verify could result in claim denials for terminated members.