Language Translation
  Close Menu

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