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MedicaidAdministrativeMedium impact

BT202420: FSSA announces health plan selection and enrollment period for PathWays program

Indiana Medicaid (IHCP)·IN · Geriatrics·Enrollment
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana is launching a new Medicaid managed care program called PathWays for Aging starting July 1, 2024, for members aged 60+ who receive Medicaid based on age, blindness, or disability. Eligible members must select from three MCEs (Anthem, Humana, UnitedHealthcare) by April 30, 2024, or will be auto-assigned.

Action Required

Action needed
By April 30, 2024: Billing team should identify patients aged 60+ receiving Medicaid in Indiana and inform them about the PathWays enrollment requirement. Update patient records to track which MCE patients select (Anthem, Humana, or UnitedHealthcare) as this will affect claim submission starting July 1, 2024. Prepare to route claims to the appropriate MCE rather than traditional Medicaid after July 1st.