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MdWise Informs State They Are Leaving Hoosier Care Connect

The company says they have lost $75 million to $100 million trying to provide coverage through the program

(PHOTO: Niyazz/Thinkstock) 

INDIANAPOLIS, IN -- Are you one of nearly 40,000 Hoosiers who rely on the state to help them with health care coverage? If so, you may have to find a new provider.

Indiana based non-profit health care provider Mdwise has informed the state it is exiting Hoosier Care Connect, the state program that helps provide coverage to the elderly, blind, and disabled.

“MDwise was unable to secure the rates needed to continue participation in Hoosier Care Connect and thus, will be exiting the program," Lindsey Lux, MdWise Senior VP told Indy Politics. "Our focus is on ensuring members have continuous coverage and we are working closely with the State to facilitate a smooth transition.”

MdWise says it lost between $75 million to $100 million trying to provide coverage to Hoosiers through Hoosier Care Connect, and the company and the state have been at an impasse over past reimbursement rates.

FSSA Medicaid Director Joe Moser says those currently receiving services under MdWise will be transferred over to Anthem or Managed Health Services. He says both companies can handle the additional capacity.

Open enrollment starts Wednesday and will run through March 15.  Moser says anyone who does not pick a plan within that 30-day window will be assigned one based on the services they received from MdWise and they will have 120 days to switch to a new plan. Moser does warn that not everyone who changes plans will be able to keep the same doctor, specialists, or prescription plan.

It is important to note that this change does not affect HIP 2.0.

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