The Indiana Family and Social Services Administration (FSSA)
administers the Indiana Health Coverage Programs (IHCP), including
the managed care health plan programs.
The FSSA has the final responsibility for all program policies
and coordinates with other state and federal agencies as required.
The FSSA has contractual agreements with the following entities to
support and administer the managed care component of the IHCP:
- Fiscal agent
- Surveillance and Utilization Review contractor
- Enrollment broker
- Managed care entities (MCEs)
- Monitoring contractor
- Pharmacy Benefits Manager
- Program for all-inclusive care to the elderly (PACE)
The IHCP includes the following managed care health plan
Healthy Indiana Plan (HIP)
The Healthy Indiana Plan (HIP) program provides affordable
healthcare coverage to low-income nondisabled adults between ages
19 and 64. HIP members have cost-sharing obligations through
monthly contributions to Personal Wellness and Responsibility
(POWER) Accounts or through copayment obligations. This program is
managed by the State's contracted MCEs.
To learn more about this program, please visit the Healthy Indiana Plan
Hoosier Care Connect
The Hoosier Care Connect program is designed to improve the
quality of care and clinical outcomes for IHCP members who are age
65 or older, blind, or disabled.
Hoosier Care Connect provides full Medicaid benefits, care
coordination services, and other FSSA-approved enhanced benefits
and is managed by the State's contracted MCEs.
To learn more about this program, please visit the Hoosier Care
Connect page on this site.
Hoosier Healthwise primarily covers children in low-income
families. The program is managed by the State's contracted
To learn more about this program, please visit the Hoosier Healthwise page on
Program for All-inclusive Care to the Elderly
The Program for All-Inclusive Care to the Elderly (PACE) is a
Medicare and Medicaid program that helps people meet their
healthcare needs in the community instead of entering a nursing
home or other care facility. PACE organizations provide care and
services in the home, the community, and the PACE center.
To qualify for PACE, IHCP members must be:
- Fifty-five years old or older
- Certified by their state to need nursing home care
- Able to live safely in the community at the time of
- Living in a PACE service area
To learn more about this program, visit the PACE
page on this website.
The IHCP includes a presumptive eligibility process through
which individuals can be determined presumptively eligible and
receive temporary healthcare coverage while their full IHCP
applications are considered and eligibility determined. Pregnant
women and certain low-income adults who are determined
presumptively eligible would be enrolled with State-contracted MCEs
for this temporary coverage. To learn more about this process,
visit the Presumptive
Eligibility page on this website.
To learn more about the managed care programs, please follow
these links to other pages on this website: