PathWays is a managed care program for Indiana Medicaid members that are:
- 60 years of age and older
- Are eligible for a full-coverage aged, blind or disabled category (with or without Medicare)
- Can be receiving long-term support services including:
- Resides in a nursing or long-term care facility
- Are approved for an Aged and Disabled waiver
- Can be on the Behavioral and Primary Health Coordination program
Medicaid members that are not eligible for PathWays include:
- Those under 60
- Healthy Indiana Plan member of any age
- Hoosier Healthwise members of any age
- Division of Disability and Rehabilitative Services waiver members including:
- Family Support Waiver
- CIH (Community Integration and Habilitation Waiver)
- Traumatic Brain Injury Waiver
- Room and Board members
- Medicaid members on the End Stage Renal Disease waiver
- Breast and Cervical cancer members on MA12
- Intellectual and developmental disability residents in intermediate care facilities
- Members eligible for Emergency Services Only due to citizenship status