Hoosier Care Connect

Hoosier Care Connect was implemented to improve the quality of care and clinical outcomes for members eligible for the Indiana Health Coverage Programs (IHCP) on the basis of age, blindness, or disability.

Hoosier Care Connect members receive full Medicaid benefits, in addition to care coordination services and other enhanced benefits approved by the Family and Social Services Administration (FSSA) and offered through managed care entities (MCEs) contracted to oversee the care of eligible members. These services include:

  • Primary care
  • Acute care
  • Prescription drugs and certain over-the-counter drugs
  • Behavioral health
  • Emergency services
  • Dental services
  • Transportation services

Risk-based Managed Care Delivery System

The Hoosier Care Connect program is operated within the risk-based managed care (RBMC) delivery system. In this delivery system, contracted managed care entities (MCEs) are paid a capitated monthly premium for each IHCP member enrolled with the MCEs. The capitated premium covers the cost of services under the program incurred by IHCP members enrolled with the MCE. The MCE assumes financial risk for services rendered to its members.

MCEs are lawful entities authorized to operate a prepaid healthcare delivery plan. These entities arrange, administer, and pay for the delivery of healthcare services to members.

The following MCEs are contracted with the state of Indiana to serve the Hoosier Care Connect population:

The care of Hoosier Care Connect members enrolled with the MCE is managed by the MCE through its network of primary medical providers (PMPs), specialists, and other providers that contract directly with the MCE. To be reimbursed for services provided to Hoosier Care Connect members, providers must be enrolled with the IHCP (see the Become a Provider page on this website). After successfully enrolling in the IHCP, a provider can contract with one or more of the MCEs to serve their enrolling members.

For more information or questions about the Hoosier Care Connect MCEs, please contact the MCEs directly. See the IHCP Quick Reference Guide for contact information.

Additional information

Additional information about the Hoosier Care Connect program is available via the Managed Care page of this website, in the Member Eligibility and Benefit Coverage provider reference module, and at the following links: