Indiana Pathways for Aging

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

• Feb. 2024 – Family & Social Services Administration (FSSA) will begin mailing information about PathWays and each health plan.
• Feb.-March 2024 – Enrollment begins. Members will need to select a plan with help from an enrollment broker via phone.
• June 2024 – Members will receive a welcome packet from their chosen plan.
• July 2024 – Health coverage with PathWays for Aging plan begins.

Future PathWays members will need to choose their plan with the enrollment broker (Maximus). Members may also call the PathWays helpline (877-284-9294) for information about the available health plans and enrollment process.

Possibly. Current care managers will transition into a service coordinator role. Service coordinators at CICOA will be assigned to PathWays members based on health plans. You will be assigned a service coordinator within your PathWays plan.

Yes, quarterly home visits will remain in place, along with an annual assessment and monthly contacts via phone.

Most Home and Community-Based Services (HCBS) providers will work with all three health plans initially. Members should confirm all HCBS providers are in-network with their chosen plan at the time of enrollment.

Members will want to ensure that all doctors, specialists, labs, etc. are in-network for the health plan they choose for services covered by Medicaid.

Current service plans will remain the same for the first 180 days in PathWays for Aging.