Hoosier Care Connect
Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare.
Hoosier Care Connect covers a variety of individuals who are not eligible for Medicare, including:
- Aged individuals
- Blind individuals
- Disabled individuals
- Individuals receiving Supplemental Security Income (SSI)
- Individuals enrolled through M.E.D. Works
IMPORTANT: All Indiana Medicaid programs started covering over-the-counter Covid-19 tests on February 1, 2022, through the pharmacy benefit:
- If you are on Traditional Medicaid, you may go to any Indiana Medicaid-enrolled pharmacy and request up to two tests per member per seven days.
- 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.
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:
Managed Health Services
Once you have selected a health plan, you will be asked a series of questions about your health care. These questions will allow the health plan to understand your needs to provide you with all the services you need. If you have extra needs, the health plan will ask you some more specific questions so that they may be further involved with your health care treatment. The following are a few examples of additional services that might be offered:
Medication Therapy Management - This service allows your pharmacist to review your medications with you to make sure your treatment plan is getting the best possible outcomes.
Health Care Coordination - This allows your health plan to coordinate your physical and mental health care services among all the doctors you are using for treatment.
Access to a 24-Hour Nurse Helpline - Your health plan will provide a phone number that you can call anytime to get answers to your health care questions.
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 .
The Hoosier Care Connect program is operated within the managed care delivery system. Contracted managed care entities (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 web page). 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: