Wednesday, May 21, 2014

Eligibility changes for the aged, blind, or disabled affect #HoosierHealthwise and #HIP members

Family Voices Indiana shares the following bulletin from Indiana Health Coverage Programs:

As announced in IHCP Bulletin BT201417, the Indiana Health Coverage Programs (IHCP) is changing the way individuals are determined eligible for coverage under the aged, blind, or disabled aid categories effective June 1, 2014. This bulletin describes how these changes will impact individuals now enrolled in Hoosier Healthwise or the Healthy Indiana Plan (HIP) that are also eligible for the Supplemental Security Income (SSI) program. This group includes approximately 14,000 Hoosier Healthwise members and 1,200 HIP members. 

Enrollment transition 

Effective June 1, 2014, IHCP members eligible for SSI who are currently enrolled in Hoosier Healthwise or HIP under the risk-based managed care (RBMC) delivery system will transition to either Traditional Medicaid or Care Select under the fee-for-service (FFS) delivery system. Individuals who are now receiving complex case management services from their managed care health plans under RBMC will be transitioned to the optional Care Select program. This transition will ensure uninterrupted access to these critical services. 

Members will be transitioned as follows: 
 Members enrolled with MDwise Hoosier Healthwise or MDwise HIP will be transitioned to MDwise Care Select. 

 Members enrolled in Anthem or Managed Health Services (MHS) Hoosier Healthwise or Anthem or MHS HIP will be transitioned to ADVANTAGE Health Solutions Care Select. 

Individuals not transitioned to Care Select, or who opt out of Care Select, will be transitioned to Traditional Medicaid. 
Individuals who are now enrolled in the Right Choices Program (RCP) under RBMC will continue to have doctor, 
pharmacy, and hospital restrictions, as well as a care manager, when they transition to Care Select or Traditional Medicaid. 

For general information and other resources, see the 2014 Medicaid Disability Eligibility Changes page of the FSSA website at in.gov/fssa

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