Resources & Contacts
PathWays Member Resources
If you don’t know who your plan is or have general questions about the PathWays for Aging program, call the PathWays enrollment line.
Enrollment broker and general questions: 87-PATHWAY-4 (877-284-9294)
If you know your health plan and need more information about the plan and benefits, contact your managed care entity:
MCE member services
Anthem: 833-412-4405 or by registering at anthem.com/register
Humana: 866-274-5888 or INHealthyHorizons@humana.com
UnitedHealthcare: 800-832-4643 or IN_HPops@uhc.com
For information on each health plan, visit the MCE websites:
Anthem: mss.anthem.com/in/insurance-plans/ pathways-for-aging.html
Humana: humana.com/medicaid/indiana
UnitedHealthcare: uhc.com/communityplan/indiana/ plans/medicaid/pathways
If you need support to navigate and resolve issues you’ve experienced while enrolled in PathWays for Aging, including those issues escalated through the formal grievance and appeals process with PathWays managed care entities:
Member support services—beginning July 1
indianapathwaysmss.com
877-738-3511
indianapathwaysmss@maximus.com
For general program information and frequently asked questions about the PathWays program, please visit: IN.gov/PathWays.
MCE Member Services
Anthem: 833-412-4405 or by registering at www.anthem.com/register
Humana: 866-274-5888 or INHealthyHorizons@humana.com
UnitedHealthcare: 800-832-4643 or IN_HPops@uhc.com
PathWays Provider Resources
For Stakeholder Engagement information, webinar recordings, and presentations, please visit:
https://www.in.gov/pathways/stakeholder-engagement/
MCE Provider Helpline
Anthem: 833-569-4739
Humana: 866-274-5888
UnitedHealthcare: 877-610-9785
MCE Provider Contracting Contacts
Anthem: INmltssproviderrelations@anthem.com
Humana: InMedicaidProviderRelations@humana.com
UnitedHealthcare: in_providerservices@uhc.com
MCE Provider Manuals
TV Commercials
Watch the PathWays story.
Glossary of Terms
| Term | Definition |
|---|---|
| Health Plan | A health plan is a health insurance company. Physicians, hospitals, and other healthcare providers, including waiver providers, enroll with a health plan to provide care for members. Indiana partners with health plan for its Indiana PathWays for Aging, Hoosier Healthwise, Healthy Indiana Plan, and Hoosier Care Connect programs. |
| Care Coordinator | A care coordinator is a person who may contact you to create a personalized care plan based on your preferences and needs. They can also help answer questions about your health care and help you with your providers. |
| Service Coordinator | A Service Coordinator is a person who will work with you to create a personalized Service Plan to help coordinate your Home and Community-Based Services (HCBS). The Service Plan will help develop a plan of care of services and supports that best meet your needs and goals. |
| Health Assessment | A health assessment is a set of questions that ask about your personal behaviors, life-changing events, health goals and priorities, service coordination and overall health. Your health plan will use these assessments to create a personalized care plan based on your preferences and needs. |
| Service Plan | A service plan is a support plan, developed by a service coordinator, for assisting you in gaining access to long-term care services, as well as medical, social, housing, educational, and other supports. Not everyone in PathWays will need a service plan. |
| Managed Care Entities (MCE) | Organizations that oversee the overall care of a patient so as to ensure cost-efficient quality health care to their members. |
| Managed Care | An arrangement whereby a single provider or organization oversees the overall care of a patient so as to ensure cost-efficient quality health care to its members. |
| Area Agencies on Aging | There are 16 of these not-for-profit agencies around the state. They provide case management, information and referrals to various services for persons who are aging or developmentally disabled. |
| Dual Eligible Special Needs Plan (D-SNP) | A Dual Eligible Special Needs Plan is a type of health insurance plan. It’s for people who have both Medicaid and Medicare. If that’s you, you’re “dual-eligible.” |
| Home and community-based services (HCBS) | These are services for eligible individuals who choose to remain in their home as an alternative to residing in a long-term care institution, such as a nursing facility. |
Stakeholder Engagment
Stakeholder engagement is essential, and FSSA is committed to co-designing an Indiana Pathways for Aging program that is right for older Hoosiers. The state is engaging national experts, providers, members and caregiver communities to ensure a diverse range of voices is represented.
Plan Selection Notices
Aligned D-SNP Member - English example | Spanish example
- Sent to all members who are moving into PathWays who have both Medicaid and Medicare, and their Medicare health plan is aligned with the PathWays health plan (Anthem, UHC, Humana).
HCC Aligned Age-In - English example | Spanish example
- Sent to Hoosier Care Connect members who are aging in from HCC and already with a current PathWays health plan (Anthem, UHC).
HCC Unaligned Age-In - English example |Spanish example
- Sent to Hoosier Care Connect Members aging in from HCC who have Managed Health Services (MHS) as their health plan. Members are asked to pick a new plan.
NF Member Notice - English example | Spanish example
- Sent to members who reside in a Nursing Facility.
Waiver FFS Member - English example | Spanish example
- Sent to members who currently receive home and community-based services and supports through the Aged and Disabled Waiver.
FFS Age-In Member - English example | Spanish example
- Sent to Traditional (FFS) Medicaid members aging into the PathWays program.
AI/AN Opt-In - English example | Spanish example
- Sent to members eligible for PathWays who are a part of a federally recognized tribe.
FFS Hospice Opt-In - English example | Spanish example
- Sent to Traditional (FFS) Medicaid members who are eligible for PathWays who are receiving hospice services.
Managed Care Hospice Opt-Out - English example | Spanish example
- Sent to members already covered by a managed care health plan who are eligible for PathWays and are receiving hospice services.
60-Day Prior to Go Live - English example| Spanish example
- Sent to all members who selected an MCE or were auto-assigned. Will be sent this notice 60-days before go-live to notify them of their assigned PathWays MCE.
Aligned DSNP and HCBS - English example| Spanish example
- Sent to members who are moving into PathWays, who have both Medicaid and Medicare, receiving HCBS services, and their Medicare health plan is aligned with the PathWays health plan (Anthem, UHC, Humana).
Enrolled New Member - English example| Spanish example
- Sent to new PathWays members who are also new to Medicaid. Due to timing, the health plan has already chosen for these members, as indicated in the notice, but they have the opportunity to switch.
Pending New Member - English example| Spanish example
- Sent to pending PathWays members who are new to Medicaid. Due to timing, these individuals have the opportunity to call and make a health plan selection before being auto-assigned into a plan.
FFS Age-In and HCBS - English example| Spanish example
- Sent to members aging into the PathWays program who currently have Traditional (FFS) Medicaid, and who also receive HCBS services.
FFS Age-In and Nursing Facility - English example| Spanish example
- Sent to members aging into the PathWays program who currently have Traditional (FFS) Medicaid, and who reside in a Nursing Facility.
HIP Aligned Age-In - English example| Spanish example
- Sent to HIP members who are aging out of the HIP program that may be eligible for PathWays. If they are eligible, they are already with a current PathWays MCE (Anthem).
HIP Unaligned Age-In - English example| Spanish example
- Sent to HIP members who are aging out of the HIP program that may be eligible for PathWays. If they are eligible, they will need to select a new health plan.
