Indiana Health Coverage Programs (IHCP), run by FSSA's Office of Medicaid Policy and Planning, covers Hoosiers through Medicaid managed care; per CMS's most recent managed care enrollment data, report year 2024, Indiana's managed care programs covered approximately 1.6 million members. Nearly all members are enrolled in one of four managed care programs: Healthy Indiana Plan (HIP), Hoosier Healthwise (HHW), Hoosier Care Connect (HCC), and Indiana PathWays for Aging, plus a small number in PACE.
Five managed care entities currently hold IHCP contracts, each covering a different combination of the four programs: Anthem covers all four (HIP, HCC, HHW, and PathWays); CareSource covers HIP and HHW; Managed Health Services (MHS) covers HIP, HCC, and HHW; UnitedHealthcare covers HCC and PathWays; and Humana covers PathWays only. PathWays for Aging, Indiana's dual-eligible managed long-term services and supports program, operates as a Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) model, with Anthem, Humana, and UnitedHealthcare as its FIDE SNP carriers. FSSA extended Hoosier Care Connect's contracts through December 2028 to align with PathWays' own procurement cycle, and is planning a combined rebid of all four comprehensive managed care programs, with an RFP expected in August 2026 and new contracts targeted for January 1, 2029. Healthy Indiana Plan operates under its own Section 1115 demonstration, HIP 2.0, whose renewal status with CMS is pending; a successor version, informally called HIP 3.0, is moving through the state rulemaking process.
Indiana PathWays for Aging is the state's dual-eligible managed long-term services and supports program, delivered through Fully Integrated Dual Eligible Special Needs Plans (FIDE SNPs). Outside PathWays, LTSS for the broader population runs through five separate 1915(c) HCBS waivers administered by the Division of Disability, Aging and Rehabilitative Services (DDARS) rather than through the managed care plans: Community Integration and Habilitation, Family Supports, Health and Wellness, and Traumatic Brain Injury waivers, plus a 1915(c) component tied to PathWays itself.
Partially integrated into managed care
Behavioral health is carved into the managed care plans; Hoosier Healthwise, for example, covers acute, primary, specialty, and behavioral health services as part of its standard MCE benefit package.
Carved in
DentaQuest administers dental benefits for Healthy Indiana Plan members on behalf of the HIP managed care entities. HIP Plus, HIP State Plan-Plus, and HIP State Plan-Basic members are eligible for dental coverage; HIP Basic members generally are not, except when 19 or 20 years old or pregnant.
Optum Rx serves as the pharmacy benefit manager for Traditional Medicaid, other fee-for-service programs, and pharmacy services carved out of the managed care delivery system. Dental and pharmacy benefits are excluded from Hoosier Healthwise's own MCE benefit package.
Non-emergency medical transportation is arranged per MCO rather than through one statewide broker. As of January 1, 2026, HIP and Hoosier Healthwise members assigned to Anthem or CareSource use WellTrans; Verida is the broker for Indiana's fee-for-service Traditional Medicaid population.
Gainwell Technologies has served as Indiana's Medicaid fiscal agent since 1991, operating CoreMMIS (the state's Medicaid Management Information System) and handling provider enrollment, eligibility verification, member and provider customer service, and fee-for-service claims processing.
Last updated: Aug 29, 2026
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