🚨 Speak Up Now: Make Your Voice Heard — Public Feedback Is Needed 🚨
Running a home‑care or waiver agency in Indiana can get complicated—fast. If you need help navigating regulations, tightening compliance, or streamlining your operations, our consulting team is here to make the process easier and more efficient. We help agencies strengthen operations, stay compliant, and grow with confidence. Whether you're new to the waiver system or managing a growing team, we offer practical solutions tailored to your needs.
How We Support Providers:
Regulatory Clarity: Ensure your agency is fully compliant with Medicaid Waiver regulations, with all necessary documentation and processes in place.
Caregiver Training & Development: We offer customized training programs to enhance your caregivers’ skills in personal care, mobility assistance, emergency response, and more.
Policy & Procedure Support: Customized reviews or full rewrites to keep you audit‑ready.
Operational Efficiency: Streamline your agency’s operations with professional guidance on staffing, training, documentation, and best practices.
On‑Demand Training: Role‑focused sessions that upskill staff without disrupting daily care.
Ready to solve a specific challenge or simply operate with more confidence?
Explore your Options → Visit our Provider Services page to learn more.
Professional Licensing Agency Meetings:
The Indiana Professional Licensing Agency (IPLA) is responsible for licensing and regulating 40 different professions and more than 200 unique license types as set in statute by the Indiana General Assembly. The IPLA reviews professional license applications, issues licenses, provides customer support, and provides inspection services for certain professions and businesses across the state.
The IPLA supports 34 of Indiana’s active occupational licensing boards, commissions, and committees, as well as subcommittees established by the boards, commissions, and committees to temporarily carry out specific official business.
Lieutenant Governor Micah Beckwith
📅 Dates: October 21–23, 2025
📍 Location: Embassy Suites, Plainfield, IN
Event Highlights:
Educational presentations by all three MCEs, plus FSSA, Gainwell, and others
Topics will include:
Prior Authorizations
Claims
Provider Enrollment
And more!
Additional Information:
Registration links and full details will be posted on the IHCP Conference page.
Questions? Call the IHCP Works seminar voicemail at 317-488-5072.
Referral Submission Change:
HCBS referrals will no longer be accepted via email or phone.
Providers must use the Incoming tab on Care Central’s Referral Dashboard to respond to referrals.
Notification Setup:
Configure referral notification emails to get automatic alerts when a referral becomes available.
Referral Availability:
Based on services you are authorized to provide, location, and member service needs.
Referral Status Changes:
When a referral is accepted from the Incoming tab, it moves to the Confirmation Needed tab.
New status: Pending Selection – means the referral is with the coordinator for review.
This replaces the previous status of Awaiting Auth.
Indiana's Long-Term Services and Support (LTSS) Provider Quality Incentive Programs (QIP) for PathWays for Aging recognize and reward providers who deliver exceptional, high-quality care. The programs encourage person-centered care, continuity of care, and workforce development to improve the health outcomes and quality of life for members with LTSS needs.
Enrollment for the 2026 program opportunities opens this fall.
For more information, contact Haley Osborne at haley.osborne@anthem.com.
Guidance for care managers on coordinating Medicaid State Plan home health services with waiver attendant care services. It covers frequently asked questions, a conversation guide for discussing home health services with individuals and families, and documentation requirements for service plans that include attendant care services.
Service Plan Review Timeframes: BDS Service Plan Reviewers typically make a determination within 5-7 business days of receiving all required information for a service plan that includes attendant care. Delays can occur if home health service requests are not completed or if documentation is insufficient.
RFI Expired Status: If a Request for Information (RFI) is not responded to within 21 business days, the plan will be denied, and the care manager must re-enter the plan, restarting the review process.
This document outlines key information for providers regarding the Home and Community-Based Services Waiver program, focusing on patient eligibility, notification processes, and provider responsibilities.
Notices of Action (NOAs)
Providers receive an updated Notice of Action (NOA) to the provider's NOA mailbox on file the same day the service plan is approved.
While BDS expects the case manager to inform providers of any change in service, providers are responsible for checking their NOA mailbox for any new or updated NOAs.
Providers are responsible for checking a patient's Medicaid eligibility using the IHCP Member Eligibility and Benefit Coverage Module.
If an updated NOA does not accurately reflect the services the provider has been delivering, the provider should work with the case manager to update the plan.
If resolution cannot be reached through the case manager, providers may submit a JIRA ticket for further assistance.
Loss of Waiver Eligibility
If a patient is no longer eligible for the H&W Waiver, the waiver case manager will receive the denial notice and is responsible for notifying the home and community-based service providers.
Waiver services should remain active while the patient appeals the denial.
The waiver case manager will continue to coordinate with providers on the status of eligibility and services.
Provider and Case Manager Roles in Transition
The patient's entire care team, including the provider and case manager, should work together to connect the patient with other support options if they lose waiver eligibility.
This can involve working with an options counselor at a local Aging and Disability Resource Center (ADRC) or other resources based on the patient's needs.
Providers should continue to deliver services as approved in the NOA and coordinate with the case manager on any services that are being terminated due to the loss of eligibility.
Assessments and Continuity of Care
Assessors from Maximus will meet with patients virtually or in-person to complete both initial and annual assessments.
Maximus is not required to share the annual assessment with providers. Providers should continue to deliver approved services and coordinate with the case manager to ensure continuity of care
The Indiana Level of Care Assessment Representative (LCAR) process, administered by Maximus, determines if an individual meets the requirements for Medicaid-certified nursing facility admission or eligibility for Home and Community-Based Services (HCBS) waivers. This process is crucial for ensuring individuals receive the most appropriate care setting and services.
The roles of different providers and entities have been updated to streamline the LCAR process.
Maximus
Maximus is now the central authority for conducting most NF LOC assessments. They use specific tools based on the individual's age:
Adults (18+): Full interRAI HC
Ages 4–17: interRAI PEDS
Under 4: interRAI EY
Preadmission Screening and Resident Reviews (PASRR)
Maximus also handles preadmission screening and resident reviews (PASRR) for nursing facility admissions to confirm the most appropriate setting and services. See the PASRR process overview, complete online training, visit the project page, view the toolkit, sign-up for the list serv or request on-site training at PASRR@fssa.in.gov
Short-Term PASRR Exemptions
1. 30-Day Exempted Hospital Discharge (EHD)
✔ Acute inpatient hospital stay (non-psychiatric)
✔ Discharging to NF for <30 days for same medical condition
✔ Must meet all criteria
✖ Does not apply to ER discharges
2. 7-Day Provisional Emergency Categorical
✔ Urgent, unexpected NF need (e.g., loss of caregiver, abuse/neglect risk)
✔ APS call requirement temporarily suspended, but still encouraged per state law.
Area Agencies on Aging (AAA) / Aging & Disability Resource Centers (ADRCs) / Independent Case Managers (ICMs)
These entities no longer conduct NF LOC assessments for community-based individuals seeking nursing facility admission or HCBS Waiver enrollment. Instead, they must refer these requests to Maximus via phone, email, or the AssessmentPro system. They will continue to perform assessments for non-waiver programs and will support approved individuals under age 60 with options counseling and service plan development.
Hospitals
Hospitals will continue to perform NF LOC assessments for their patients who are seeking nursing facility admission.
Managed Care Entities (MCEs)
MCEs now have a direct role in NF LOC determinations. They submit assessment data to Maximus via file exchange or the AssessmentPro system. If the member's CHAT assessment is 120 days old or less, Maximus will review it for a determination. If it's older than 120 days, Maximus will conduct a new NF LOC assessment.
Nursing Facilities
Nursing facilities no longer conduct NF LOC assessments for residents. They must submit an assessment request to Maximus in the AssessmentPro system when:
A short-term PASRR and LOC are expiring.
A short-term LOC is expiring and more time is needed.
A resident is converting to Medicaid.
A resident's status changes significantly, and a new LOC review is needed.
PACE Providers
PACE providers no longer complete initial NF LOC assessments for new applicants. They must refer these individuals to Maximus or submit an assessment request on their behalf. They will, however, continue to complete annual reassessments for their active participants.
Providers play a key role in making timely referrals and ensuring accurate documentation. Before making a referral, it's recommended to confirm the client's eligibility criteria using the Prescreening Tool.
You can submit a referral for an assessment through one of the following methods:
Area Agency on Aging (AAA) or Aging & Disability Resource Center (ADRC)
Hospital or Nursing Facility (for NF admissions)
Directly to Maximus online or by phone
Assessments are conducted by trained evaluators, either virtually or in person. The standard timeframes are:
Assessment completed: within 7 days
LOC recommendation issued: within 11 days
After the assessment, the individual will receive an outcome letter in the mail that includes information on their appeal rights if the LOC is denied.
If the individual is found eligible, the AAA will be notified in the Maximus AssessmentPro system.
For individuals with LOC questions, providers should direct them to their Case Manager or MCE Service Coordinator.
If LOC is denied, providers should ensure the individual receives appeal instructions from their outcome letter and offer resource referrals.
For questions or support, you can contact the LCAR provider, Maximus:
Website: inlcar.com
Phone: 1-833-597-2777 (Mon–Fri, 8:30 a.m.–6:00 p.m. ET)
Email: INLCAR@maximus.com
The Care Central referral dashboard helps Home and Community-Based Services (HCBS) waiver providers view and manage referrals for approved services. Recent platform enhancements make it easier and faster to manage referrals.
Add your Medicaid ID in Availity Essentials
Log in at Availity.com.
Go to Help and Training > Find Help > Search.
Add your payer-assigned provider ID under “Manage My Organization.”
Navigate to Care Central
Go to Payer Spaces.
Select the Anthem tile.
Select Care Central.
Choose your details from the drop-down menus and click Next.
Incoming Tab – View and respond to referrals.
Status Tracking – Monitor referrals under:
Confirmation Needed
Confirmed
Declined
Closed
Providers contracted through an ACO, PMG, or IPA must follow their group’s specific guidelines for authorizations, covered services, and claims. Contact your group administrator or Anthem network representative for questions.
Step-by-step guide for Indiana home health agencies to gain Medicare certification, covering IDOH licensing, CMS-855A application, survey process, capitalization requirements, required forms, Medicare patient eligibility, billable services, and upcoming webinars on certification and Medicare vs. Medicaid requirements.
To Avoid Delays in Your Application
Application Tracking Numbers (ATNs): Your ATN password cannot be reset by any entity, including the IHCP. You must save it, or you will have to restart your application.
Submitting Attachments: After uploading your attachments, you must resubmit your application. If you don't, it will be stuck in "awaiting attachment" status and will not be received by the IHCP.
Making Corrections: If you need to make corrections to an application, log into the original ATN. Do not make the changes in a separate ATN.
Revalidation: This is the process of updating your business information, which is typically required every five years by the Centers for Medicare and Medicaid Services (CMS). Providers will receive a notification letter 30, 60, and 90 days in advance of their revalidation due date.
Recertification: This is required to ensure that all licenses, certifications, and insurance information are current. You must maintain an active license or certification to remain enrolled. A notification is sent 60 business days before your eligibility ends.
Overlap: If revalidation and recertification occur around the same time, the revalidation can take care of the recertification.
New Enrollment: If you enroll close to the time your license or certification expires, you won't receive a recertification letter. It is your responsibility to submit a provider update with the new license or certification to prevent deactivation. This information is available in your welcome letter.
If your recertification is submitted via the IHCP Portal and is rejected, you must submit a new ATN.
If submitted via paper and rejected, you must return the entire submission to make corrections or provide missing information.
If your recertification is missing documentation, the Provider Enrollment Unit will contact you by phone, email, or mail.
If you fail to re-certify or revalidate in a timely manner, your enrollment will be deactivated.
If you must re-enroll after a deactivation, the effective date you request cannot overlap with your previous enrollment period. If it does, you will receive an error message.
To close any gaps, select an effective date after your previous enrollment deactivated. You must attach a claim with the same date as the retro enrollment effective date, along with a retro request letter.
If you are no longer providing a service or have closed a service location, you should disenroll with the IHCP to ensure your provider history is accurately maintained.
A provider or an assigned delegate can voluntarily disenroll through the portal.
Steps: First, click the "disenroll provider" link. Second, complete the required fields. Third, click "disenroll." Lastly, after the IHCP processes the disenrollment, a notification will be sent to you to verify it.
Waiver Providers: If you are a waiver provider, you must contact the state waiver agency first to begin the disenrollment process.
If you don't start before your revalidation end-date, you'll be required to submit a new application with a new provider ID.
The name and address on your W-9 form must exactly match the legal business name and address on your application.
If operating under a "doing business as" (DBA) name, enter it as the service location name if it differs from the W-9.
Any change to your legal address must be reported to the IHCP with a copy of the W-9 showing the same change was reported to the IRS.
The tax classification and EIN must match the application.
Use the most recent version of the W-9 form, or your application may be sent back for corrections.
The Terms of Agreement must be signed by an owner or managing individual. A delegated administrator is not permitted to sign.
Be sure you pay the correct application fee.
Pay attention to notices received by mail and keep your Mail-To address up to date.
Pay attention to the revalidation icon when it appears in the IHCP Provider Healthcare Portal.
New IFUR website navigation, how to submit a PathWays Initial Incident Report, and basics of PathWays follow-up reporting.
Home Health:
Home Health Prior Authorization Documentation: This update announces new and expanded documentation requirements for prior authorization (PA) and reauthorization requests for home health services under Indiana Medicaid, effective April 1, 2025.
Elsevier Performance Manager Quick Reference Guide: This is a training access and navigation guide for the Elsevier Performance Manager system, which Anthem Blue Cross and Blue Shield uses to deliver required and optional online training to contracted Indiana Medicaid providers.
Non-Medical:
BT2025105 - This notice explains that Indiana Medicaid is changing how much of the reimbursement for certain home- and community-based services must be paid directly to the people providing the care—and that providers must sign and submit an attestation by July 24, 2025 to confirm compliance.
Resource Links
LCAR Provider Contact: Maximus
Website: inlcar.com
Phone: 1-833-597-2777 (Mon–Fri, 8:30 a.m.–6:00 p.m. ET)
Email: INLCAR@maximus.com
IHCP Quick Reference Guide
Comprehensive Indiana Health Coverage Program (IHCP) Quick Reference Guide with contact details for Medicaid providers, enrollment, claims, prior authorization, pharmacy, managed care entities, fraud reporting, and long-term care. Includes phone numbers, emails, fax numbers, and portal links for fee-for-service (FFS), managed care plans, and pharmacy benefit inquiries.
Gainwell Regional Provider Representatives – Indiana
Website: https://www.in.gov/medicaid/providers/contact-information/provider-relations-consultants/
Region 1 – Michelle Walls
📧 INXIXRegion1@gainwelltechnologies.com
📞 317-488-5071
Counties: Fulton, Jasper, Lake, LaPorte, Marshall, Newton, Porter, Pulaski, St. Joseph, Starke
Region 2 – Jill Harris
📧 INXIXRegion2@gainwelltechnologies.com
📞 317-488-5080
Counties: Allen, Adams, Blackford, Dekalb, Elkhart, Huntington, Jay, Kosciusko, LaGrange, Noble, Steuben, Wabash, Wells, Whitley
Region 3 – Gabrielle Anderson
📧 INXIXRegion3@gainwelltechnologies.com
📞 317-488-5324
Counties: Benton, Boone, Carroll, Cass, Clinton, Delaware, Fountain, Grant, Hamilton, Howard, Madison, Miami, Montgomery, Tippecanoe, Tipton, Warren, White
Region 4 – Kassandra Johnson
📧 INXIXRegion4@gainwelltechnologies.com
📞 317-488-5153
Counties: Bartholomew, Dearborn, Decatur, Fayette, Franklin, Hancock, Henry, Jackson, Jefferson, Jennings, Ohio, Randolph, Ripley, Rush, Scott, Shelby, Switzerland, Union, Washington, Wayne
Region 5 – Jeannette Moore
📧 INXIXRegion5@gainwelltechnologies.com
📞 317-488-5186
Counties: Marion
Region 6 – Emily Redman
📧 INXIXRegion6@gainwelltechnologies.com
📞 317-210-2618
Counties: Brown, Clay, Daviess, Greene, Hendricks, Johnson, Knox, Lawrence, Martin, Monroe, Morgan, Owen, Parke, Putnam, Sullivan, Vermillion, Vigo
Region 7 – Tami Lott
📧 INXIXRegion7@gainwelltechnologies.com
📞 317-286-6894
Counties: Clark, Crawford, Dubois, Floyd, Gibson, Harrison, Orange, Perry, Pike, Posey, Spencer, Vanderburgh, Warrick
Provider Relations Team Lead – Katie Grause
📞 317-488-5032
General Correspondence: PO Box 50435, Indianapolis, IN 46250-0418
Claims and RTP: PO Box 50440, Indianapolis, IN 46250-0440
Third-Party Liability: PO Box 50441, Indianapolis, IN 46250-0418
Written Correspondence: PO Box 50442, Indianapolis, IN 46250-0418
Provider Enrollment: PO Box 50443, Indianapolis, IN 46250-0418
Adjustments: PO Box 50444, Indianapolis, IN 46250-0420
Medical Crossover: PO Box 50445, Indianapolis, IN 46250-0418
ID Cards and Dental: PO Box 50446, Indianapolis, IN 46250-0418
Medical Claims (Non-Crossover): PO Box 50447, Indianapolis, IN 46250-0418
Institutional Claims & HIPAA: PO Box 50448, Indianapolis, IN 46250-0418
Managed Care: PO Box 50452, Indianapolis, IN 46250-0418
Drug Rebate (Medical Benefit Only): PO Box 50453, Indianapolis, IN 46250-0418
PVS – CHIP: PO Box 50455, Indianapolis, IN 46250-0418
PVS – MEDWorks: PO Box 50456, Indianapolis, IN 46250-0418
Finance: PO Box 50458, Indianapolis, IN 46250-0418
Checks: Gainwell Refunds, PO Box 2303, Dept. 130, Indianapolis, IN 46206-2303
For Stakeholder Engagement information, webinar recordings, and presentations, please visit:
https://www.in.gov/pathways/stakeholder-engagement/
MCE Provider Helpline
Anthem: 833-569-4739
Humana: 866-274-5888
UnitedHealthcare: 877-610-9785
MCE Provider Contracting Contacts
UnitedHealthcare: in_providerservices@uhc.com
MCE Provider Manuals
Pathways Billing Guide
Helpline: 📞 833-569-4739 (Hours: 8 a.m.–8 p.m. EST)
Fax: 📠 866-406-2803
LTSS Health Care Networks: 📧 INLTSSProviderRelations@anthem.com
LTSS Provider Contracting: 📧 INLTSSCcontracts@anthem.com
LTSS Provider Relations Phone: 📞 833-569-4739
Provider Satisfaction Survey: Read more
Administration: Conducted by an independent company, Center for Study of Services (CSS).
Questions: Contact CSS at ProviderSurvey@cssresearch.org.
Provider Manual: Anthem
Provider Landing Page: https://providers.anthem.com/indiana-provider/home
PathWays for Aging Resources: https://providers.anthem.com/indiana-provider/patient-care/pathways-aging
Provider News: https://providernews.anthem.com/indiana
Provider Forms: https://providers.anthem.com/indiana-provider/resources/forms
Provider Training: https://gateway.on24.com/wcc/eh/3555851/category/104185/(Will need to login to Availity first to access)
Overpayment Application: https://providernews.anthem.com/indiana/articles/availity-essentials-provider-overpayments-application-launch-25406
Zone 1 – Brittany Thornton
📧 Brittany.Thornton@anthem.com
📞 517-260-0576
Counties: Lake, Porter, LaPorte, St. Joseph, Elkhart, LaGrange, Steuben, DeKalb, Noble, Kosciusko, Marshall, Starke
Zone 2 – LaTasha Cobb
📧 LaTasha.Cobb@anthem.com
📞 317-503-0843
Counties: Newton, Jasper, Pulaski, Fulton, Miami, Wabash, Whitley, Allen, Adams, Wells, Huntington, Grant, Howard, Cass, Carroll, White, Benton
Zone 3 – Rayshon Chambers
📧 Rayshon.Chambers@anthem.com
📞 317-671-4409
Counties: Warren, Tippecanoe, Clinton, Tipton, Hamilton, Boone, Montgomery, Fountain, Vermillion, Parke, Putnam, Hendricks, Marion, Hancock, Madison, Delaware, Blackford, Jay, Randolph, Henry, Shelby, Rush, Fayette, Union, Wayne
Zone 4 – Bridgette Oliver Parran
📧 Bridgette.OliverParran@anthem.com
📞 765-516-4510
Counties: Vigo, Clay, Owen, Morgan, Johnson, Brown, Monroe, Greene, Sullivan, Knox, Daviess, Martin, Lawrence, Jackson, Jennings, Bartholomew, Decatur, Franklin, Ripley, Dearborn, Switzerland, Ohio, Jefferson, Scott, Washington, Clark
Central Zone – David Castaneda
📧 David.Castaneda@anthem.com
📞 317-726-6358
Central Zone – Shanise Taylor
📧 Shanise.Taylor@anthem.com
📞 463-290-1715
Central Zone – Clair Conlon
📧 Clair.Conlon@anthem.com
📞 765-744-8034
Manager, LTSS Network Relations – Wendy Dragoo
📧 Wendy.Dragoo@anthem.com | 📞 463-269-3423
Claims Muctator – Cortnee Montgomery
📧 Cortnee.Montgomery@anthem.com | 📞 463-245-8143
Workforce Development Administrator – Ben Evans
📧 Ben.Evans@anthem.com | 📞 463-406-1354
Value Based Program Specialist – Haley Osborne
📧 Haley.Osborne@anthem.com | 📞 317-671-2141
LTSS Provider Training Specialist – Ryan Fennessy
📧 Ryan.Fennessy@anthem.com | 📞 317-671-2320
HCBS Contracting Network Specialist – April Walton
📧 April.Walton@anthem.com | 📞 272-242-5323
Member Site: https://www.anthem.com/in/medicaid/pathways-for-aging
Member Provider Search: https://www.anthem.com/in/medicaid/search-providers
Personalized Provider Search:https://findcare.anthem.com/fc-home
Provider Helpline: 866-274-5888
Hours: 8 a.m. to 8 p.m. EST
Provider Contracting Contact: InMedicaidProviderRelations@humana.com
Sign up for Alerts: https://provider.humana.com/medicaid/indiana-medicaid/sign-up-for-alerts
Humana Provider Landing Page:https://provider.humana.com/medicaid/indiana-medicaid
Provider Portal: https://apps.availity.com/web/onboarding/availity-fr-ui/
Provider Manuals: Humana
Provider Training: https://provider.humana.com/medicaid/indiana-medicaid/training
Compliance Training: https://provider.humana.com/medicaid/indiana-medicaid/compliance
Appeals and Grievances: https://www.humana.com/medicaid/indiana/support/grievances
Provider Forms: https://provider.humana.com/medicaid/indiana-medicaid/documents-forms
Humana Healthy Horizons – Indiana PathWays Provider Map (LTSS/HCBS)
Region 1 – Brittani Fox
📞 219-216-5588
📧 INMedicaidProviderRelations_T1@humana.com
Counties: Lake, Porter, LaPorte, St. Joseph, Starke, Marshall, Fulton, Jasper, Newton, Pulaski
Region 2 – Jelania Hollingsworth
📞 317-793-8028
📧 INMedicaidProviderRelations_T2@humana.com
Counties: Steuben, LaGrange, Noble, DeKalb, Elkhart, Kosciusko, Whitley, Allen, Huntington, Wabash, Wells, Adams, Jay, Blackford
Region 3 – Jelania Hollingsworth & Lauren Savitskas
📞 346-236-4261 (Jelania) | 317-793-8028 (Lauren)
📧 INMedicaidProviderRelations_T3@humana.com
Counties: Benton, White, Carroll, Cass, Howard, Tipton, Clinton, Tippecanoe, Warren, Fountain, Montgomery, Boone, Hamilton, Madison, Delaware, Grant, Miami
Region 4 – Mychelle Christian
📞 812-204-9285
📧 INMedicaidProviderRelations_T4@humana.com
Counties: Wayne, Union, Fayette, Franklin, Dearborn, Decatur, Ripley, Ohio, Switzerland, Jefferson, Jennings, Bartholomew, Shelby, Hancock, Rush, Henry, Randolph, Jackson, Scott, Washington
Region 5 – Lauren Savitskas
📞 317-793-8028
📧 INMedicaidProviderRelations_T5@humana.com
Counties: Marion, Johnson, Morgan, Hendricks, Putnam, Owen, Brown, Monroe, Lawrence, Greene, Clay, Sullivan, Vigo, Parke, Vermillion
Home Health / Personal Care Attendant
📧 INLTSSPersonalCareAttendant@humana.com
South: Bria Steele – 📞 (317) 677-2693
North: Cierra Rich – 📞 (260) 298-4348
24-Hour Nurse Advice Line: 800-449-9039
Transportation Services: 800-936-2794 (48-hour advance notice for non-emergent transportation)
Member Site: https://www.humana.com/medicaid/indiana
Member Support: https://www.humana.com/medicaid/indiana/support
Member Benefits::https://www.humana.com/medicaid/indiana/benefits
Humana Community Navigator: https://humana.findhelp.com/
Member Forms: https://www.humana.com/medicaid/indiana/support/documents-forms
Provider Search: https://finder.humana.com/finder/medical?customerId=1
Provider Services:
Phone: 866-274-5888
UHC Helpline:
Phone: 877-610-9785
Hours: 8 a.m. to 8 p.m. EST
Prior Authorization:
Phone: 877-610-9785
Fax: 844-897-6514
Provider Contracting Contact:
Email: in_providerservices@uhc.com
United Health Care Provider Landing Page: UHC Provider Page
Provider Portal: https://identity.onehealthcareid.com/oneapp/index.html#/login
Provider Claims: https://provider.humana.com/medicaid/indiana-medicaid/claims-payments
Provider News: https://www.uhcprovider.com/en/health-plans-by-state/indiana-health-plans/in-comm-plan-home/in-cp-news.html
Provider Training: Portal Training
Provider Manual: UnitedHealthcare
Region 1 – 📞 763-361-1122
Counties: Lake, Porter, LaPorte, St. Joseph, Elkhart, LaGrange, Steuben, Newton, Jasper, Starke, Pulaski, Marshall, Fulton, Kosciusko, Noble, Whitley, DeKalb
Region 2 – 📞 763-361-1118
Counties: Benton, Warren, Fountain, White, Tippecanoe, Montgomery, Carroll, Cass, Clinton, Miami, Howard, Tipton, Wabash, Grant, Madison, Allen, Wells, Blackford, Delaware, Adams, Jay, Randolph
Region 3 – 📞 763-361-1142
Counties: Boone, Hamilton, Hendricks, Marion, Morgan, Johnson
Region 4 – 📞 763-361-3249
Counties: Vermillion, Parke, Putnam, Vigo, Clay, Owen, Sullivan, Greene, Knox, Daviess, Martin, Lawrence, Gibson, Pike, Dubois, Crawford, Posey, Vanderburgh, Warrick, Spencer, Perry, Orange
Region 5 – 📞 763-361-1125
Counties: Hancock, Henry, Wayne, Shelby, Rush, Fayette, Union, Monroe, Brown, Bartholomew, Decatur, Franklin, Jackson, Jennings, Ripley, Dearborn, Washington, Scott, Jefferson, Switzerland, Ohio, Harrison, Floyd, Clark
Statewide Provider Advocate – 📞 763-361-1650
Serves: Providers offering HCBS services statewide
Member Information:
Member Site: https://www.uhc.com/communityplan/indiana/plans/medicaid/pathways
Member Services: 800-832-4643
Nurse Line: 800-832-4643 - Available anytime
Transportation Services: 800-832-4643 (Arrange Non-emergent transportation 48 hours in advance)
Pharmacy Services (OptumRX): 866-215-5046
United HealthCare Provider Advocates
📞 763-361-0100
Counties: Lake, Porter, LaPorte
📞 763-321-3822
Counties: St. Joseph, Elkhart, LaGrange, Steuben, DeKalb, Noble, Kosciusko, Marshall, Starke, Jasper, Newton, Benton, White, Pulaski, Fulton, Cass, Carroll, Howard, Miami, Wabash, Whitley, Allen, Huntington, Grant, Wells, Adams, Blackford
📞 618-943-6693
Counties: Warren, Tippecanoe, Clinton, Tipton, Madison, Delaware, Jay, Randolph, Henry, Hancock, Marion, Hamilton, Boone, Montgomery, Fountain, Vermillion, Parke, Putnam, Hendricks, Wayne, Union, Fayette, Rush, Shelby, Johnson, Morgan, Owen, Vigo, Franklin, Decatur, Bartholomew, Brown, Monroe, Clay
📞 612-395-8106
Counties: Sullivan, Greene, Lawrence, Jackson, Jennings, Ripley, Switzerland, Jefferson, Scott, Washington, Orange, Martin, Daviess, Knox, Gibson, Pike, Dubois, Crawford, Posey, Vanderburgh, Warrick, Spencer, Perry, Harrison, Floyd, Clark
📞 All FQHC/RHCs: 763-348-6102
📞 Provider Market Operations: 952-406-6498
Humana Provider Advocates
Adult Day Care / Hospice
📧 INLTSSAdultDayHospice@humana.com
Kimberly Dunn – 📞 (812) 914-3104
Skilled Nursing / Assisted Living
📧 INLTSSNursingFacilityAssistedLiving@humana.com
Jessica Iden – 📞 (574) 275-3573
MD Wise
MD Wise News: https://www.mdwise.org/mdwise/mdwise-for-providers
If you believe that there is an issue with MHS not paying the overheads on your claims, please reach out to your field rep and copy Mona Green at Mona.Green@mhsindiana.com
TONYA TROUT (Home Health and Hospice Rep)
Email: ttrout@mdwise.org
Phone: 317- 766-0505
CareSource Provider Resources
BRIAN GRCEVICH
Cell: 317-296-0519
Email: Brian.Grcevich@CareSource.com
IHCP Provider Resources
If your agency needs to connect with Indiana FSSA for official communications, media outreach, or event support, here are the key contacts and tools:
Office of Strategic Communications and Public Affairs
402 W. Washington St., Ste. W-461, Indianapolis, IN 46204
Email: office.communications@fssa.in.gov
Fax: 317-233-4693
News & Updates – Sign up to receive FSSA news releases or follow on X (Twitter) @FSSAIndiana.
Reports & Data – Find FSSA reports and statistics.
Request a Speaker – Use the Speaker Request Form if you would like the FSSA Secretary, Deputy Secretary, or division leaders to present at your event.
The Indiana Economic Development Corporation’s regulatory affairs division assists in the process of obtaining the permits and approvals necessary for a business operation. Members of the regulatory affairs staff serve as liaisons between companies, communities, local economic development organizations, and regulatory agencies.
The regulatory affairs division assists both current and potential Indiana businesses with a variety of topics, including agency contacts and communication facilitation; license/permit requirements and applications; permit tracking; and regulatory compliance.
In addition, members of the regulatory affairs staff serve as liaisons between businesses and various state agencies, such as: the Indiana Department of Environmental Management, Department of Natural Resources, Department of Transportation, Department of Revenue, Department of Workforce Development, and Secretary of State. Regulatory affairs staff members also serve on a variety of workgroups and task forces dealing with issues of importance to economic development in Indiana.
The regulatory affairs division not only provides permit application assistance and tracking, but also establishes early communications with the technical staff of the regulatory agencies to ensure that permits are efficiently processed. This service is an effort to minimize the amount of time spent on regulatory compliance.
Contact the Indiana regulatory division with questions on obtaining the proper permits or maintaining compliance with the laws and regulations of the state of Indiana.
IEDC Small Business Ombudsman: IEDCOmbudsman@iedc.in.gov
Small Business Regulatory Coordinator
Shanida Sharp-Byrnes
Director of Policy and Due Process
Division of Disability and Rehabilitative Services
Indiana Government Center South
402 West Washington Street, Room W453
Indianapolis, IN 46204
📞 (317) 232-2764
📧 Shanida.Sharp-Byrnes@fssa.in.gov
Small Business Ombudsman (IC 5-28-17-6)
David Watkins
Small Business Ombudsman
Indiana Economic Development Corporation
One North Capitol, Suite 700
Indianapolis, IN 46204
📞 (317) 607-9176
📧 DWatkins@iedc.in.gov
Available Resources:
The small business ombudsman’s duties under IC 5-28-17-6 include, per IC 5-28-17-6(9):
Investigating and attempting to resolve compliance matters involving small businesses and state agencies
Acting as a mediator or participant in proceedings to help address compliance issues with laws, rules, or policies
The Golden Hoosier Award is Indiana's highest honor recognizing residents aged 65 and over for their service and commitment to their communities. Sponsored by the Lt. Governor's office in partnership with FSSA and AARP, the award celebrates "unsung heroes" who have made a significant positive impact through volunteerism, particularly those who have not received widespread prior recognition. To be eligible, a nominee must be an Indiana resident, 65 or older, and have actively volunteered for the past three consecutive years.
Nominations must be submitted by a community leader and should include a detailed narrative explaining the nominee's service. Submissions are closed for 2025, and can be made through an online form, via email to GoldenHoosiers@fssa.in.gov., or by postal mail to the Office of Lt. Governor Micah Beckwith.
Recipients will be invited to a special ceremony at the Indiana Statehouse where they will receive an engraved award and a photograph with the Lieutenant Governor.