Anthem blue cross blue shield hoosier healthwise

This rating recognizes Anthem as a leader in supporting its members with access to high-quality healthcare services.

Four-year contract will provide continued support for Medicaid members and those with specialized health-care needs. The renewed contract will ensure Anthem Blue Cross and Blue Shield Medicaid members have continued access to a variety of high quality, affordable health care benefits, including pharmacy and dental coverage. As a part of the contract, Anthem Blue Cross Blue Shield Medicaid beneficiaries will continue receiving risk-based managed care services. Members will also be eligible to enroll in incentive programs designed to help improve health outcomes and increase member responsibility, provider participation, and innovative care. It is a four-year contract and the state of Indiana has the option to approve two one-year extensions for a maximum of six years. HHW serves low-income families, pregnant women and children up to age HIP covers residents age 19 through 64 including low-income families.

Anthem blue cross blue shield hoosier healthwise

Anthem was one of three plans selected to begin contract negotiations. If contract negotiations are successful, the new contract will be effective January 1, Earlier this year, FSSA solicited proposals to reprocure the managed care contracts that -- in a unique move -- will combine Hoosier Healthwise and HIP under one contract with the state of Indiana. The combination of the Hoosier Healthwise and HIP programs will create an innovative opportunity for the state to offer a range of options for qualifying individuals and families in Indiana. Since , Anthem has served Hoosier Healthwise members and currently serves more than , members in the program. In addition to providing access to health care services, members enrolled in Anthem's Medicaid managed care plan have access to a variety of care management and preventive programs to help members stay healthy and to help manage chronic conditions such as asthma and diabetes. In Anthem joined the state in providing benefits to enrollees in the Healthy Indiana Plan and currently serves 30, members enrolled in HIP. We are very pleased to continue our relationship with the state of Indiana to provide Hoosiers access to quality healthcare," said Kevin Hayden , president for Anthem Blue Cross and Blue Shield State Sponsored Business. Skip to main content. Vermont ACO model ties payer and provider payment. Revenue Cycle Management. Enhancing preventive care with accessibility and technology. Strategic Planning. Capital Finance. Expectations for lower interest rates to spur healthcare investment.

Attach the Medical Records documentation.

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Hoosier Healthwise is a health care program for children up to age 19 and pregnant individuals. The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. CHIP is for children up to age 19 whose families have slightly higher incomes. In CHIP, members are required to pay a low monthly premium for coverage as well as copays for certain services. For a general description of the benefits and services under these benefit packages, refer to the Indiana Medicaid Covered Services page. Individual health plans, also known as managed care entities MCEs , may offer additional services called enhanced benefits.

Anthem blue cross blue shield hoosier healthwise

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Strategic Planning. Authorization not required when referring a member to an in-network specialist. Policy and Legislation. Enhancing preventive care with accessibility and technology. Check the Prior Authorization list regularly for any updates on services that require Prior Authorization. NOTE: Be sure to ask the Customer Care Rep to verify if the claim is imaged in the Filenet system if the claim is not showing in our processing system. I agree. Story continues. Healthcare AI requires rigorous monitoring, says data scientist. Digital nutrition registration aiding pop health efforts in Sweden. It pays for medical costs for members and could even provide vision and dental coverage. Events Newsletters Sponsored About. The plan is offered by the State of Indiana.

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The renewed contract will ensure Anthem Blue Cross and Blue Shield Medicaid members have continued access to a variety of high quality, affordable health care benefits, including pharmacy and dental coverage. NOTE: Be sure to ask the Customer Care Rep to verify if the claim is imaged in the Filenet system if the claim is not showing in our processing system. Capital Finance. If HHS and a manufacturer agree on a maximum fair price, those new negotiated prices will be published by September 1. CMS issues monthly drug payment program final guidance. Payers must change dynamic with providers to survive in the post-Affordable Care Act world. Patient Engagement. View source version on businesswire. Four-year contract will provide continued support for Medicaid members and those with specialized health-care needs. Cosmetic and hair medications. Top Stories. Remember Me. Healthy Indiana Plan Hoosier Healthwise. HIP covers residents age 19 through 64 including low-income families. The insights gained from the NCQA ratings are vital in enhancing interventions, delivering impactful programs, and shaping future strategies, as well as helping consumers, employers, and others make more informed healthcare choices.