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As of 12/31/25 MDwise will no longer be available. If you are currently an MDwise member, please refer to the FAQ below for information.
FAQ's for Current MDwise Members
FSSA decided that MDwise will no longer be a Medicaid health plan option after January 1, 2026, because it did not meet program standards.
No. Your Medicaid benefits will continue without interruption. You will continue to receive the same Medicaid benefits with your new MCE.
You will receive a letter with instructions. Choose Anthem, CareSource, or MHS during open enrollment from November 1 to December 15, 2025. If you do not choose, you will be automatically assigned. You may change within 90 days after January 1, 2026.
Yes. You will receive a new card from your new health plan. Your Medicaid ID number stays the same. Your new MCE will send you a welcome packet and member handbook once you are enrolled.
If your doctor is in your new plan’s network, yes. Ask your doctor which plans they accept.
Your new health plan will honor existing approvals during the transition period.
The State is doing everything possible to ensure all members of the same family are assigned to the same MCE.
Members will receive letters with detailed instructions on how to select a new plan. For assistance, they can contact the Enrollment Broker for HIP at 1-877-GET-HIP9 (1-877-438-4479) and Hoosier Healthwise at 1-800-899-9949 or visit https://www.in.gov/medicaid/members/member-resources/managed-care-health-plans
Yes. Your new MCE is required to honor existing authorizations and ongoing treatments for a minimum of 90 days.
Unfortunately, no. This benefit is known as an enhanced benefit and is unique to MDwise. All MDwise enhanced benefits will end 12/31/2025. The other MCEs offer similar programs. There is a health plan comparison located at this website -https://www.in.gov/medicaid/members/member-resources/managed-care-health-plans/.
Table 1 – Member Service contact information for Hoosier Healthwise and HIP MCEs
| MCE | Member helpline | Website |
|---|---|---|
| Anthem | 866-408-6131 | https://www.anthem.com/in/medicaid |
| CareSource | 844-607-2829 | https://www.caresource.com/in/plans/medicaid |
| Managed Health Services (MHS) | 877-647-4848 | https://www.mhsindiana.com |
No, your redetermination date will not change.
MDwise is still responsible for all processes for dates of service prior to January 1, 2026. There is no change to the grievance/appeal/dispute timelines.
Get an application
Applications are available online, by mail, or by visiting your local Division of Family Resources (DFR) office. Call 1-877-GET-HIP-9 for more information about the application process or to find your local DFR office.
Send in the application with all required information.
Applications are processed within 45 business days once all required information is received. For questions about what to include in your application, call 1-877-GET-HIP-9.
After your application is processed, you will receive a letter by mail telling you if you qualify for the program.
Once you are approved for HIP, you will be assigned to the health plan you chose on your application. Click here for more about the health plan selection process. If you do not choose a health plan, one will be selected for you.
Approved applications
If you are approved for HIP, your health plan will mail you a welcome packet.
All HIP members will receive an invoice for their POWER account contribution. HIP POWER account contributions must be paid by the due date stated on the invoice to become enrolled in HIP Plus.
If you selected a health plan on your application, you will also receive an invoice for a Fast Track payment while your application is being processed. Making a Fast Track payment can expedite your enrollment in HIP Plus. To find out more about Fast Track payments, click here.
Lower income members who choose not to make POWER account contributions will be enrolled in HIP Basic. Those with incomes above the federal poverty level who do not make their POWER account contributions by the due date will not be enrolled and would have to reapply.
Get HIP benefits
Coverage for HIP Plus members begins in the month when their first POWER account contributions or Fast Track payments are received and processed. HIP Basic coverage begins the first of the month after the invoice payment period.
All HIP members will receive a letter informing them when coverage starts and how to get the most out of their HIP benefits.
HIP for Inmates click here
Office of Medicaid Policy and Planning Medicaid Managed Care Transfer of Care Policy
