Indiana Medicaid MCEs vs FFS: HIP, HHW, HCC and PathWays

Last updated: October 9, 2026.

Start with IHCP enrollment, then the plan network

FSSA requires IHCP enrollment before managed care network enrollment. Identify the program and relevant MCE, then follow that plan’s credentialing and contracting instructions. Keep the state enrollment approval and plan participation decision together in the practice’s enrollment record.

FSSA: enrolling as a managed care program provider

Current MCEs by Indiana Medicaid program

As of October 9, 2026, FSSA’s program-specific table lists the plans below. HIP means Healthy Indiana Plan, HHW means Hoosier Healthwise, and HCC means Hoosier Care Connect. Availability depends on the program; one plan’s presence in another program does not establish the member’s assignment.

• HIP: Anthem, CareSource, and Managed Health Services (MHS).

• Hoosier Healthwise: Anthem, CareSource, and MHS.

• Hoosier Care Connect: Anthem, MHS, and UnitedHealthcare.

• Indiana PathWays for Aging: Anthem, Humana, and UnitedHealthcare.

FSSA official managed care health plan list by program

Why an older list may include MDwise

FSSA announced that MDwise participation in HIP and Hoosier Healthwise ended January 1, 2026. Use the current program table rather than an older six-plan list. Verify the member’s actual assignment for the service date before selecting a claim destination.

FSSA notice: MDwise participation ends January 1, 2026

Use the MCE enrollment instructions for your provider category

FSSA’s July 2026 instructions describe separate enrollment forms for each MCE and CAQH credentialing for applicable practitioners. Follow the practitioner route matching your services. Do not choose an HCBS waiver provider form solely because the intended plan participates in PathWays.

MCE Provider Enrollment Form Instructions, July 2026

Use eligibility to distinguish managed care from FFS

The PHP eligibility response includes dated coverage and managed care information. Our recommended routing review combines that response with the applicable service policy: an MCE assignment alone should not replace checking whether the particular service follows managed care or a separate FFS route.

IHCP eligibility verification resources

Confirm the clinician, group, and effective date

Our suggested plan inquiry identifies the individual clinician, billing entity, location, services, and requested participation date. Ask the MCE to confirm its requirements and decision. FSSA’s managed care enrollment page links the plans’ provider resources for the next step.

FSSA: enrolling as a managed care program provider

Related Indiana Medicaid guides

• IHCP Provider Healthcare Portal Login and Biller Access

• Indiana Medicaid Enrollment for Therapists: Type 11 and HSPP

• Verify Indiana Medicaid Eligibility in the IHCP PHP

• Indiana Medicaid Behavioral Health Claims: PHP, MCEs and Modifiers

• Indiana Medicaid Mental Health Telehealth Billing: POS and Modifiers

• Counseling Compact in Indiana and insurance billing

Frequently Asked Questions

Which plans participate in PathWays?

FSSA’s current table lists Anthem, Humana, and UnitedHealthcare, checked October 9, 2026.

Is MDwise still a HIP or Hoosier Healthwise plan?

FSSA says its participation ended January 1, 2026.

Does one MCE contract cover all Indiana Medicaid programs?

Confirm the program and services with the MCE rather than assuming participation carries across programs.