Who is eligible for the PathWays program?

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