OMPP monitors MCE compliance with contractual requirements. MCEs submit reports to OMPP on a monthly and quarterly basis, which are reviewed by staff for compliance with the hundreds of service level agreements. OMPP also conducts a monthly on-site meeting at each of the MCEs' offices to discuss focus areas and see demonstrations of MCE processes. Operational and programmatic reports are below.
Engaging in member and provider outreach
- Results of the recent four quarter average for HHW, HIP, and HCC
- Quarter-by-quarter results for HHW
- Quarter-by-quarter results for HIP
- Quarter-by-quarter results for HCC
Provider service authorization requests
- Results of the recent four quarter average for HHW, HIP, and HCC
- Quarter-by-quarter results for HHW
- Quarter-by-quarter results for HIP
- Quarter-by-quarter results for HCC
Processing provider service claims
- Results of recent four quarter average for HHW, HIP, and HCC
- Quarter-by-quarter results for HHW
- Quarter-by-quarter results for HIP
- Quarter-by-quarter results for HCC
MCE provider networks
- 2023 network adequacy report
- Average driving distances in facility and agency-based
- Average driving distances in high volume services
- Count of counties where average driving distances exceeds upper bound in facility and agency-based
- Count of counties where average driving distances exceeds upper bound in high volume services
Measuring member satisfaction with the Managed Care Entities
- Comparing Indiana's MCEs to health plans nationally-child survey
- Comparing Indiana's MCEs to Health plans nationally-adult survey
- Multi-year trends in Hoosier Healthwise
- Multi-year trends in Healthy Indiana Plan
- Multi-year trends in Hoosier Care Connect
Managed Care Program Annual Reports
- 2024 Managed Care Annual Program (MCPAR) Healthy Indiana Plan (HIP)
- 2024 Managed Care Annual Program (MCPAR) Hoosier Healthwise (HHW)
- 2023 Managed Care Program Annual Report (MCPAR) Healthy Indiana Plan (HIP)
- 2023 Managed Care Program Annual Report (MCPAR) Hoosier Care Connect (HCC)
- 2023 Managed Care Program Annual Report (MCPAR) Hoosier Healthwise (HHW)