Medicare AdvantageAdministrativeMedium impact
BT2025164: Continuity of care provided for PathWays Dual Care program launching Jan. 1, 2026
Indiana Medicaid (IHCP)·IN·Managed Care
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Indiana is launching PathWays Dual Care program on January 1, 2026, for Medicare-Medicaid dual eligible members age 60+. Service authorizations will be honored for 90 days during transitions between managed care entities occurring December 1, 2025 or January 1, 2026.
Action Required
Before December 1, 2025: Verify member PathWays MCE plan assignment before providing services and billing for all dual eligible members age 60+. Check MCE provider portals (Anthem, Humana, UnitedHealthcare) within 30 days for service authorization transfers. Monitor member coverage and MCE enrollment throughout transition period ending March 31, 2026.