IHCP transitions certain members from Hoosier Healthwise to Traditional Medicaid

Effective May 1, 2017, the Indiana Health Coverage Programs (IHCP) will serve enrolling adult refugees eligible for coverage under the low-income parent/caretaker aid category through Traditional Medicaid, rather than through Hoosier Healthwise. This change means these members will receive services via the fee-for-service delivery system, rather than under a managed care health plan. Members will remain eligible for full comprehensive coverage and can receive services from any enrolled IHCP provider, rather than being limited to a particular managed care network of providers.

Adult refugees currently enrolled under this aid category will transfer from Hoosier Healthwise to Traditional Medicaid on May 1, 2017. Providers are reminded to check member eligibility through one of the IHCP eligibility verification system (EVS) options - the Provider Healthcare Portal, the Interactive Voice Response (IVR) system, or an electronic eligibility transaction - to verify a member's current eligibility status and to know which delivery system applies for prior authorization (PA) and billing purposes.