PathWays Resources
If you need to select an Indiana PathWays for Aging health plan or want to change your health plan, call the PathWays Enrollment Broker at 87-PATHWAY-4 (877-284-9294).
If you don’t know who your plan is or have general questions, call Member Support Services (MSS) at 877-738-3511.
If you know your health plan and need more information about the plan and benefits, contact your managed care entity:
MCE member services
Anthem: 833-412-4405 or by registering at anthem.com/register
Humana: 866-274-5888 or INHealthyHorizons@humana.com
UnitedHealthcare: 800-832-4643 or IN_HPops@uhc.com
For information on each health plan, visit the MCE websites:
Anthem: mss.anthem.com/in/insurance-plans/ pathways-for-aging.html
Humana: humana.com/medicaid/indiana
UnitedHealthcare: uhc.com/communityplan/indiana/ plans/medicaid/pathways
If you need support to navigate and resolve issues you’ve experienced while enrolled in PathWays for Aging, including those issues escalated through the formal grievance and appeals process with PathWays managed care entities:
PathWays Member Support Services
877-738-3511
indianapathwaysmss@maximus.com
For general program information and frequently asked questions about the PathWays program, please visit: IN.gov/PathWays.
Please submit any challenges faced with the PathWays enrollment broker to inpathways@fssa.in.gov.
PathWays Waivers
- Pathways waiver - Effective July 1, 2025
- Pathways waiver - Effective December 31, 2025
- Pathways Part B waiver - Effective December 31, 2025
Indiana Level of Care Assessment Representative (LCAR)
The Indiana Level of Care Assessment Representative provides Level of Care assessments and determination services and intake counseling for individuals in need of Nursing Facility Level of Care (NFLOC) for nursing facility admission or home- and community-based services (HCBS) waiver programs. For more information including fact sheets, please visit the FSSA LCAR page.
PathWays Provider Resources
For Stakeholder Engagement information, webinar recordings, and presentations, please visit:
https://www.in.gov/pathways/stakeholder-engagement/
MCE Provider Helpline
Anthem: 833-569-4739
Humana: 866-274-5888
UnitedHealthcare: 877-610-9785
MCE Provider Contracting Contacts
Anthem: INmltssproviderrelations@anthem.com
Humana: InMedicaidProviderRelations@humana.com
UnitedHealthcare: in_providerservices@uhc.com
MCE Provider Manuals
TV Commercials
Watch the PathWays story.
Glossary of Terms
| Term | Definition |
|---|---|
| Health Plan | A health plan is a health insurance company. Physicians, hospitals, and other healthcare providers, including waiver providers, enroll with a health plan to provide care for members. Indiana partners with health plan for its Indiana PathWays for Aging, Hoosier Healthwise, Healthy Indiana Plan, and Hoosier Care Connect programs. |
| Care Coordinator | A care coordinator is a person who may contact you to create a personalized care plan based on your preferences and needs. They can also help answer questions about your health care and help you with your providers. |
| Service Coordinator | A Service Coordinator is a person who will work with you to create a personalized Service Plan to help coordinate your Home and Community-Based Services (HCBS). The Service Plan will help develop a plan of care of services and supports that best meet your needs and goals. |
| Health Assessment | A health assessment is a set of questions that ask about your personal behaviors, life-changing events, health goals and priorities, service coordination and overall health. Your health plan will use these assessments to create a personalized care plan based on your preferences and needs. |
| Service Plan | A service plan is a support plan, developed by a service coordinator, for assisting you in gaining access to long-term care services, as well as medical, social, housing, educational, and other supports. Not everyone in PathWays will need a service plan. |
| Managed Care Entities (MCE) | Organizations that oversee the overall care of a patient so as to ensure cost-efficient quality health care to their members. |
| Managed Care | An arrangement whereby a single provider or organization oversees the overall care of a patient so as to ensure cost-efficient quality health care to its members. |
| Area Agencies on Aging | There are 16 of these not-for-profit agencies around the state. They provide case management, information and referrals to various services for persons who are aging or developmentally disabled. |
| Dual Eligible Special Needs Plan (D-SNP) | A Dual Eligible Special Needs Plan is a type of health insurance plan. It’s for people who have both Medicaid and Medicare. If that’s you, you’re “dual-eligible.” |
| Home and community-based services (HCBS) | These are services for eligible individuals who choose to remain in their home as an alternative to residing in a long-term care institution, such as a nursing facility. |
Stakeholder Engagment
Stakeholder engagement is essential, and FSSA is committed to co-designing an Indiana Pathways for Aging program that is right for older Hoosiers. The state is engaging national experts, providers, members and caregiver communities to ensure a diverse range of voices is represented.
If you encounter accessibility issues with this webpage, the posted content, or need an alternative format of posted information, please contact webrequests.fssa@fssa.in.gov. You may also share any concerns with the ADA Director at ada@fssa.in.gov.
