• Contact Us |
• Search Tips |
• Site Map

• Claims/Billing
• Electronic Data Interchange
• FAQs
• Fee Schedule
• Forms
• Manuals
• Pharmacy Services
• Prior Authorization
• Provider Search
• Provider Enrollment
• Preferred Drug List
• Presumptive Eligibility
• Provider Education
• Verify Member Eligibility
• Access Provider Profile
• Check Claims Status

Care Select

• Managed Care
  • Care Select
  • Healthy Indiana Plan (HIP)
  • Hoosier Healthwise
  • Presumptive Eligibility
  • Health Plan Contacts
  • Managed Care - Related Information
  • Notification of Pregnancy (NOP)
  • Behavioral Health Information
• Pharmacy Services
• Hospice
• Long Term Care

• Provider Home 
• / Provider-Specific Information 
• / Managed Care 
•  Care Select 

Care Select

The State of Indiana has created a care management program, Care Select, to serve the population of:

• The aged (excluding dually eligible members)
• The blind
• The physically and mentally disabled
• Wards and foster children
• Children receiving adoptive services

Beginning October 1, 2010, the Care Select program focuses on disease management, particularly for members with chronic conditions, including members with:

• Asthma
• Diabetes
• Heart failure
• Congestive heart failure
• Coronary artery disease
• Hypertension
• Chronic kidney disease
• Severe mental illness
• Serious emotional disturbance
• Depression

Members with these conditions documented by their claims history or their medical providers have the option to participate in the disease management programs that the care management organizations (CMOs) provide for members' chronic conditions. Members who meet the requirements for Care Select but opt out are placed in Traditional Medicaid.

The Office of Medicaid Policy and Planning (OMPP) contracts with CMOs to perform care management and authorization, and to provide for the physical, behavioral, and transportation needs of its membership. The healthcare of Care Select members enrolled in the CMO is managed by the CMO through its network of primary medical providers (PMPs), specialists, and other providers contracted on behalf of the State by the CMO.

Care Select members are linked to a Care Select-enrolled PMP, who provides and arranges for most of the members' medical care. Services are reimbursed on a fee-for-service basis, and the PMP receives a monthly administration fee for each member actively assigned to the PMP. Physicians of any specialty can apply through one or all of the CMOs to serve as a PMP for Care Select members by completing an addendum to the physicians' IHCP enrollment agreement. The State's contracted CMOs are ADVANTAGE Health Solutions^SM and MDwise.

As of April 1, 2011, any Indiana Health Coverage Programs (IHCP) provider may submit a Care Select Provider Referral Form to the enrollment broker to recommend assigning a member to Care Select, because one or more of the required disease states is present. The Care Select Provider Referral Form contains the enrollment broker's fax number and is available on the Forms page of this Web site. If the member meets all other requirements for Care Select eligibility, the provider's verification of disease state is the last component qualifying the member for eligibility in the program.

For more information, see bulletin BT201043 - "Changes to the Care Select Program."

• Care Select Scope of Work
• Care Select Auto-Assignment Process - Auto-assignment has been reactivated as of April 1, 2011, except for members who have chosen to opt out. An updated auto-assignment document has been posted to the Care Select page of this Web site.
• Care Select Pharmacy Information
• Care Select Prior Authorization Information
• FAQs - Care Select
• Care Select Health Plan Summary
• IHCP Provider Workshop - CMO Presentations
• Member Grievance and Appeal Process
• Managed Care Region Map
• Health Plan Contacts
• Forms
• Indiana Care Select Disease Management Program - Provider Referral Form
• Addresses Used From IndianaAIM System
• Tell Us What You Think