Message from the Director
Thank you for visiting FSSA’s Medicaid website. Medicaid is more than just health coverage. It’s vital health care, helping about one in seven Hoosiers - nearly 800,000 - stay healthy or start on the road to better health.
Through Hoosier Healthwise, which serves more than 450,000 children and pregnant women, we are working to ensure that more young children receive well-child doctor visits, helping them to a healthy start in their critical developmental years. Hoosier Healthwise is working to support early healthcare for pregnant women. Prenatal care in the first trimester has proven to reduce the risk of premature and low birth weight babies.
Through the Indiana Chronic Disease Management Program, we are helping some of our most vulnerable Medicaid recipients improve their health and manage chronic conditions such as heart disease, diabetes and asthma.
Through our Medicaid “waiver” programs, we help seniors and people with disabilities become active members of their communities instead of living in an institution.
Through Hoosier Rx, we help thousands of low-income seniors buy the prescription drugs they need to stay healthy.
Medicaid is an essential health care program that tangibly improves the health and lives of hundreds of thousands of Hoosiers. Thank you for your interest in the services we provide.
Quality Strategy
The Center for Medicaid and Medicare Services (CMS) requires that each State that enters into one or more managed care organization (MCO) contracts must develop a Quality Strategy. The Strategy must address:
- How the State will assess the quality of care delivered
- How the State, based on its assessment, will improve the quality of care delivered
CMS also requires that States obtain the input of recipients and other stakeholders in the development of the Quality Strategy and make the Quality Strategy available for public comment before adopting it as final.
Under the direction of the Office of Medicaid Policy and Planning (OMPP), a group of Indiana stakeholders, including representatives from the Indiana State Department of Health (ISDH), the Indiana Department of Mental Health and Addiction (DMHA), the Hoosier Healthwise Managed Care Organizations and Managed Behavioral Health Organizations (Anthem/Magellan, MDwise/CompCare, Managed Health Services/Cenpatico), providers, academics, and other stakeholders drafted this 2007-2008 Hoosier Healthwise Quality Strategy.
- Quality Strategy Plan
- Appendix A Hoosier Healthwise Eligibility Summary
- Appendix B HEDIS Results
- Appendix C Hoosier Healthwise Member Survey Results Summary
- Appendix D MCO Contract Pay for Performance Summary
- Appendix E MCO Contract Reporting Requirements Summary
- Appendix F MCO Contract Non-compliance Remedies
- Appendix G Sample Dashboard Report
