Hoosier Care Connect
Covered Services
IMPORTANT: All Indiana Medicaid programs started covering over-the-counter Covid-19 tests on February 1, 2022, through the pharmacy benefit:
- If you are in a managed care program (HIP, Hoosier Healthwise, Hoosier Care Connect), you may go to a pharmacy in your health plan’s network and request up to two tests per member per seven days.
Hoosier Care Connect includes all covered services that are covered under Package A. For a general description of the covered services refer to the Indiana Medicaid Covered Services page. Individual health plans, also known as managed care entities (MCEs), may offer additional services called enhanced benefits.
Member Information
For Hoosier Care Connect eligibility information, refer to the Eligibility Guide.
When you enroll with Hoosier Care Connect, you must select a health plan that works with you and your doctor to understand your healthcare needs. The health plan will make sure that you get the most appropriate care based upon your individualized needs. You may choose between:
Anthem
Managed Health Services
United Healthcare
Refer to the Summary of the Health Plans and the Working With Your Health Plan page to select the best health plan for you.
If you have questions about your benefits or you coverage, you should contact your health plan or the Indiana Medicaid enrollment broker, Maximus. You can use the phone numbers listed on the Contact Us page .
Provider Information
The Hoosier Care Connect program is operated within the managed care delivery system. Contracted MCEs arrange, administer, and pay for the delivery of healthcare services to members enrolled in their health plan. All services, except Medicaid Rehabilitation Option (MRO) services, are provided through the MCEs, including dental and pharmacy services.
Three MCEs are contracted with the state of Indiana to serve the Hoosier Care Connect population. Links to their provider websites are listed below.
The care of Hoosier Care Connect members is managed through a 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. Refer to the Become a Provider webpage for more information. 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 health plans, contact the MCEs directly. See the IHCP Quick Reference Guide for contact information.
Additional provider resources regarding Hoosier Care Connect are available at the following links: