Research and surveys show that Indiana has more nursing homes than other states, which translates that many seniors in the state age in institutionalized facilities. Data shows that about 80% of Indiana seniors are institutionalized. This was determined not to be beneficial, hence the birth of the Indiana pathways program.
Indiana Pathways Program is designed to help promote the health and well-being of seniors and people with disabilities who need assistance with activities of daily living due to long-term or who require supervision and support due to cognitive impairment.
The program will provide person centered services, ensure smooth transitions between home, hospital, or health institution. The program will begin next year on July 1st.
The Objective of the reform is to ensure that members live and age in place, and some will be enrolled in community-based services.
Who will be involved?
Members who are 60 years or older will be enrolled in the pathway program.
At the commencement of the program,
Enrollment services vendors will help members choose a managed care entity. If a member does not choose on time, they will be automatically enrolled with any entity available.
Care providers like Crown Personal Care are expected to enroll and contract with these managed care entities.
The managed Care Entities that won the Indiana bid are
Humana
- Anthem
- Humana
- Molina
- United Healthcare
These four entities will be contacting members to begin talks about the transition.
Members will have access to 24/7 helplines to navigate these complex processes.
We can be reached psa.crowhealth@gmail.com
****Please stay tuned for more information.