The State of Indiana has created a care management program, Care Select, to serve the population of the aged (excluding
the dual eligible members), blind, physically and mentally disabled, members who get room and board assistance,
members on MEDWorks, children receiving adoptive services, and members receiving select non-disabled home and
community based services (HCBS).
The Care Select program is scheduled to begin implementation in the Central Indiana region in November, 2007.
Please reference the Care Select Region Implementation Map to view the counties affected
by the phased-in region implementation.
The Office of Medicaid Policy and Planning (OMPP) contracts with Care Management Organizations (CMOs) for the
responsibilities of performing the care management, authorization, and manage utilization of physical, behavioral,
and transportation of it membership. The care of Care Select members enrolled in the CMO is managed by the CMO
through its network of PMPs, specialists, and other providers of care who contracted on behalf of the State
by the CMO.
Care Select members are linked to a Care Select-enrolled PMP, who provides and arranges for most of the members'
medical care. Services are reimbursed on a fee-for-service basis and the PMP receives a monthly administration fee
for each member actively assigned to the PMP. Physicians of any specialty can apply through one or all of the Care
Management Organizations (CMOs) to serve as a primary medical provider for Care Select members by completing
an addendum to their IHCP enrollment agreement. The State's contracted CMOs are ADVANTAGE Health Solutions, Inc.SM and MDwise.
The Care Select Bulletin BT200723 provides a complete overview of the program and a list of Care Select program inclusions
and exclusions.
Care Select RFS Information
Care Select Implementation Notifications
Care Select Region Implementation Map
Auto Assignment Process - Care Select
Pharmacy Information
Prior Authorization Information
Care Select FAQs
IHCP Provider Workshop - CMO Presentations
Member Grievance and Appeal Process
Managed Care Region Map
Acronyms
Managed Care Publications
Contacts
Forms
Generated Mailing Address
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