IN MEDICAID MARKET

Indiana

Name: Indiana Medicaid Managed Care RFP & Procurement Intelligence | Precapture
Creator: Precapture

RFP withdrawn

Withdrawn for IC § 12-15-5-17.5(c)(2). Reissue expected most likely by November 9, 2026 (past). January 1, 2029 go-live unchanged. The October 11, 2026 package cutoff is superseded.

Last verified 19 days ago

Current reprocurement

PROCUREMENT

Verification tier 2

Indiana withdraws Medicaid RFP 27-88343

October 27, 2026

The IDOA current business opportunities page states that FSSA-OMPP is withdrawing RFP 27-88343, Indiana Medicaid Managed Care Organizations, for compliance with IC § 12-15-5-17.5(c)(2). FSSA-OMPP anticipates reissuing the RFP in substantially the same form, most likely by November 9, 2026 (past). The January 1, 2029 go-live is unchanged.

Precapture analysis

The November 6, 2026 proposal date is not a live deadline while this solicitation is withdrawn. The October 11, 2026 controlling-package cutoff is superseded. Watch the IDOA index for the reissued solicitation.

Plans in market

Plans in market 12

Anthem · Healthy Indiana Plan · incumbent · source · as of 2026-10-23
CareSource · Healthy Indiana Plan · incumbent · source · as of 2026-10-23
Managed Health Services · Healthy Indiana Plan · incumbent · source · as of 2026-10-23
Anthem · Hoosier Healthwise · incumbent · source · as of 2026-10-23
CareSource · Hoosier Healthwise · incumbent · source · as of 2026-10-23

show all 12

Managed Health Services · Hoosier Healthwise · incumbent · source · as of 2026-10-23
Anthem · Hoosier Care Connect · incumbent · source · as of 2026-10-23
Managed Health Services · Hoosier Care Connect · incumbent · source · as of 2026-10-23
UnitedHealthcare · Hoosier Care Connect · incumbent · source · as of 2026-10-23
Anthem · PathWays for Aging · incumbent · source · as of 2026-10-23
Humana · PathWays for Aging · incumbent · source · as of 2026-10-23
UnitedHealthcare · PathWays for Aging · incumbent · source · as of 2026-10-23

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 55

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
not reported	Ascension Living St. Vincent PACE	not reported	37 (2024)	5.5% calculated	not reported
not reported	Heartland PACE	not reported	10 (2024)	1.5% calculated	not reported
CareSource	CareSource Indiana	not reported	81,678 (2024)	11.7% calculated	16 sanctions, 2,570 appeals resolved
CareSource	CareSource Indiana, Inc	not reported	51,525 (2019)	8.6% calculated	not reported
CareSource	CareSource Indiana, Inc	not reported	36,706 (2019)	9.5% calculated	not reported

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Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
CareSource	CareSource Indiana, Inc.	not reported	46,740 (2020)	9.5% calculated	not reported
CareSource	Caresource Indiana, Inc	not reported	64,887 (2021)	9.9% calculated	not reported
CareSource	Caresource Indiana, Inc	not reported	61,414 (2018)	9.7% calculated	not reported
CareSource	Caresource Indiana, Inc.	not reported	76,124 (2022)	9.4% calculated	not reported
not reported	Managed Health Services of Indiana	not reported	34,197 (2018)	37.6% calculated	not reported
Centene	Managed Health Services	not reported	186,109 (2022)	22.9% calculated	not reported
Centene	Managed Health Services	not reported	134,445 (2024)	19.3% calculated	21 sanctions, 5,923 appeals resolved
Centene	Managed Health Services of Indiana	not reported	150,443 (2018)	23.8% calculated	not reported
Centene	Managed Health Services of Indiana	not reported	89,764 (2020)	18.2% calculated	not reported
Elevance	Anthem	not reported	234,840 (2020)	47.6% calculated	not reported
Elevance	Anthem	not reported	56,793 (2018)	62.4% calculated	not reported
Elevance	Anthem	not reported	312,510 (2021)	47.9% calculated	not reported
Elevance	Anthem	not reported	318,654 (2022)	39.3% calculated	18 sanctions, 4,727 appeals resolved
Elevance	Anthem Blue Cross and Blue Shield	not reported	325,158 (2024)	46.6% calculated	6 sanctions, 3,622 appeals resolved
not reported	Franciscan Senior Health and Wellness	not reported	258 (2020)	56.8% calculated	not reported
not reported	Franciscan Senior Health and Wellness - Dyer	not reported	111 (2023)	20.9% calculated	not reported
not reported	Franciscan Senior Health and Wellness - Indianapolis	not reported	118 (2023)	22.2% calculated	not reported
not reported	Franciscan Senior Health and Wellness - Lafayette	not reported	20 (2024)	3.0% calculated	not reported
not reported	Franciscan Senior Health and Wellness - Michigan City	not reported	21 (2023)	4.0% calculated	not reported
not reported	Franciscan Senior Health and Wellness -Dyer	not reported	122 (2024)	18.2% calculated	not reported
not reported	Franciscan Senior Health and Wellness -Indianapolis	not reported	117 (2024)	17.4% calculated	not reported
not reported	Franciscan Senior Health and Wellness -Michigan City	not reported	29 (2024)	4.3% calculated	not reported
not reported	Franciscan Senior Health and Wellness- Indy	not reported	117 (2022)	25.8% calculated	not reported
not reported	Franciscan Senior Health and Wellness- Michigan City	not reported	9 (2022)	2.0% calculated	not reported
not reported	Franciscan Senior Health and Wellness-DYER	not reported	110 (2021)	25.7% calculated	not reported
not reported	Franciscan Senior Health and Wellness-Dyer	not reported	115 (2022)	25.3% calculated	not reported
Humana	Humana Healthy Horizons of Indiana	not reported	35,443 (2024)	30.4% calculated	not reported
McLaren Health Care	MDWise	not reported	156,220 (2021)	23.9% calculated	not reported
McLaren Health Care	MDwise	not reported	122,469 (2020)	24.8% calculated	not reported
McLaren Health Care	MDwise	not reported	157,073 (2024)	22.5% calculated	25 sanctions, 5,249 appeals resolved
McLaren Health Care	Mdwise	not reported	173,075 (2022)	23.2% calculated	not reported
McLaren Health Care	MDWise	not reported	213,253 (2018)	33.7% calculated	not reported
McLaren Health Care	MDwise	not reported	102,582 (2019)	26.5% calculated	not reported
not reported	PACE of Northeast Indiana	not reported	50 (2023)	9.4% calculated	not reported
not reported	PACE of Northeast Indiana	not reported	92 (2024)	13.7% calculated	not reported
not reported	Pace of Northeast Indiana	not reported	23 (2022)	5.1% calculated	not reported
not reported	Reid Health PACE Center	not reported	82 (2024)	12.2% calculated	not reported
not reported	Reid Health Pace Center	not reported	27 (2022)	5.9% calculated	not reported
not reported	Saint Joseph PACE	not reported	162 (2024)	24.1% calculated	not reported
not reported	Saint Joseph Pace	not reported	166 (2023)	31.3% calculated	not reported
not reported	Saint Joseph PACE	not reported	196 (2020)	43.2% calculated	not reported
UnitedHealth	United Healthcare Community Plan	not reported	924 (2021)	0.9% calculated	not reported
UnitedHealth	United Healthcare Community Plan	not reported	5,240 (2022)	5.1% calculated	not reported
UnitedHealth	UnitedHealthcare Community Plan	not reported	5,954 (2023)	6.0% calculated	not reported
UnitedHealth	UnitedHealthcare Community Plan	not reported	5,584 (2024)	7.1% calculated	11 sanctions, 275 appeals resolved
not reported	Anthem	not reported	163,076 (2016)	43.1% calculated	not reported
not reported	Franciscan Senior Health and Wellness	not reported	176 (2018)	60.3% calculated	not reported
not reported	MDWise	not reported	41,873 (2016)	42.8% calculated	not reported
not reported	Managed Health Services	not reported	166,471 (2016)	27.6% calculated	not reported
not reported	Saint Joseph PACE	not reported	116 (2018)	39.7% calculated	not reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

Healthy Indiana Plan (2.0) (Comprehensive MCO)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem	Anthem Insurance Companies, Inc.	Elevance	Statewide	not reported	not reported	not reported	not reported	2016: 163,076; 2017: 181,110; 2018: 176,021
Caresource Indiana, Inc	CareSource	CareSource	Statewide	not reported	not reported	not reported	not reported	2017: 21,641; 2018: 45,066
MDWise	McLaren Health Plan	McLaren Health Plan	Statewide	not reported	not reported	not reported	not reported	2016: 129,006; 2017: 128,997; 2018: 110,431
Managed Health Services of Indiana	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2017: 84,135; 2018: 70,797
Managed Health Services	not reported	unmatched	Statewide	not reported	not reported	not reported	not reported	2016: 86,496

Healthy Indiana Plan (Comprehensive MCO)

Healthy Indiana Plan (Comprehensive MCO) 12

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem Blue Cross and Blue Shield	Elevance Health	Elevance	Statewide	CMS reported 325,158 (2024)	46.6%	-45,172 (-12.2%)	-1.3 pts	2023: 370,330; 2024: 325,158
Anthem	Elevance Health	Elevance	Statewide	not reported	not reported	not reported	not reported	2019: 177,719; 2020: 234,840; 2021: 312,510; 2022: 358,532
CareSource Indiana, Inc.	CareSource Management Group	CareSource	Statewide	not reported	not reported	not reported	not reported	2020: 46,740
CareSource Indiana, Inc	CareSource Management Group	CareSource	Statewide	not reported	not reported	not reported	not reported	2019: 36,706
CareSource Indiana	CareSource Indiana, Inc.	CareSource	Statewide	CMS reported 81,678 (2024)	11.7%	-3,708 (-4.3%)	+0.7 pts	2023: 85,386; 2024: 81,678

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Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Caresource Indiana, Inc.	Caresource	CareSource	Statewide	not reported	not reported	not reported	not reported	2022: 77,034
Caresource Indiana, Inc	Caresource Management Group	CareSource	Statewide	not reported	not reported	not reported	not reported	2021: 64,887
MDWise	McLaren Health Care	McLaren Health Care	Statewide	not reported	not reported	not reported	not reported	2021: 156,220
MDwise	McLaren Health Care	McLaren Health Care	Statewide	CMS reported 157,073 (2024)	22.5%	-16,419 (-9.5%)	+0.1 pts	2019: 102,582; 2020: 122,469; 2023: 173,492; 2024: 157,073
Managed Health Services of Indiana	Centene	Centene	Statewide	not reported	not reported	not reported	not reported	2019: 70,222; 2020: 89,764
Managed Health Services	Centene Corporation	Centene	Statewide	CMS reported 134,445 (2024)	19.3%	-10,817 (-7.4%)	+0.5 pts	2021: 119,371; 2022: 136,460; 2023: 145,262; 2024: 134,445
Mdwise	McLaren Health Care	McLaren Health Care	Statewide	not reported	not reported	not reported	not reported	2022: 173,075

Hoosier Care Connect (Comprehensive MCO)

Hoosier Care Connect (Comprehensive MCO) 7

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem Blue Cross and Blue Shield	Elevance Health	Elevance	Statewide	CMS reported 44,829 (2024)	57.4%	-14,216 (-24.1%)	-2.4 pts	2023: 59,045; 2024: 44,829
Anthem	Elevance Health	Elevance	Statewide	not reported	not reported	not reported	not reported	2016: 35,841; 2017: 57,693; 2018: 56,793; 2019: 56,345; 2020: 58,570; 2021: 61,338; 2022: 62,212
MDWise	not reported	unmatched	Statewide	not reported	not reported	not reported	not reported	2016: 41,873
Managed Health Services of Indiana	Centene	Centene	Statewide	not reported	not reported	not reported	not reported	2017: 34,534; 2018: 34,197; 2019: 33,986; 2020: 35,269
Managed Health Services	Centene Corporation	Centene	Statewide	CMS reported 27,749 (2024)	35.5%	-6,068 (-17.9%)	+1.3 pts	2016: 20,154; 2021: 36,225; 2022: 35,397; 2023: 33,817; 2024: 27,749

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Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
United Healthcare Community Plan	United Health Group, Inc.	UnitedHealth	Statewide	not reported	not reported	not reported	not reported	2021: 924; 2022: 5,240
UnitedHealthcare Community Plan	UnitedHealth Group	UnitedHealth	Statewide	CMS reported 5,584 (2024)	7.1%	-370 (-6.2%)	+1.1 pts	2023: 5,954; 2024: 5,584

Hoosier Healthwise (Comprehensive MCO)

Hoosier Healthwise (Comprehensive MCO) 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem Blue Cross and Blue Shield	Elevance Health	Elevance	Statewide	CMS reported 290,491 (2024)	40.6%	-39,799 (-12.0%)	+0.5 pts	2023: 330,290; 2024: 290,491
Anthem	Elevance Health	Elevance	Statewide	not reported	not reported	not reported	not reported	2016: 195,524; 2017: 205,657; 2018: 207,718; 2019: 212,555; 2020: 229,796; 2021: 278,227; 2022: 318,654
CareSource Indiana, Inc.	CareSource Management Group	CareSource	Statewide	not reported	not reported	not reported	not reported	2020: 52,356
CareSource Indiana, Inc	Caresource Management Group	CareSource	Statewide	not reported	not reported	not reported	not reported	2019: 51,525
CareSource Indiana	CareSource Indiana, Inc.	CareSource	Statewide	CMS reported 73,087 (2024)	10.2%	-7,825 (-9.7%)	+0.4 pts	2023: 80,912; 2024: 73,087

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Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Caresource Indiana, Inc.	Caresource	CareSource	Statewide	not reported	not reported	not reported	not reported	2022: 76,124
Caresource Indiana, Inc	Caresource Management Group	CareSource	Statewide	not reported	not reported	not reported	not reported	2017: 29,775; 2018: 61,414; 2021: 64,827
MDWise	McLaren Health Care	McLaren Health Care	Statewide	not reported	not reported	not reported	not reported	2016: 240,184; 2017: 234,602; 2018: 213,253; 2021: 213,200
MDwise	McLaren Health Care	McLaren Health Care	Statewide	CMS reported 187,461 (2024)	26.2%	-35,807 (-16.0%)	-0.9 pts	2019: 191,759; 2020: 188,147; 2022: 230,424; 2023: 223,268; 2024: 187,461
Managed Health Services of Indiana	Centene	Centene	Statewide	not reported	not reported	not reported	not reported	2017: 160,092; 2018: 150,443; 2019: 140,947; 2020: 142,039
Managed Health Services	Centene Corporation	Centene	Statewide	CMS reported 164,805 (2024)	23.0%	-24,336 (-12.9%)	+0.1 pts	2016: 166,471; 2021: 165,897; 2022: 186,109; 2023: 189,141; 2024: 164,805

PACE (Program of All-inclusive Care for the Elderly (PACE))

PACE (Program of All-inclusive Care for the Elderly (PACE)) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Franciscan Senior Health and Wellness- Indy	Franciscan Alliance	Franciscan Alliance	Serving seniors who reside in Johnson county and the following zip codes in Marion county: 46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259	not reported	not reported	not reported	not reported	2021: 125
Franciscan Senior Health and Wellness-DYER	Franciscan Alliance	Franciscan Alliance	Serving seniors who reside in Lake county	not reported	not reported	not reported	not reported	2021: 110
Franciscan Senior Health and Wellness	Franciscan Alliance	Franciscan Alliance	Lake County, Johnson County, 46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259	not reported	not reported	not reported	not reported	2019: 229
Franciscan Senior Health and Wellness	Franciscan Alliance	Franciscan Alliance	Lake County, Johnson County, and the following zip codes: 46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259	not reported	not reported	not reported	not reported	2020: 258
Franciscan Senior Health and Wellness	Franciscan Alliance	Franciscan Alliance	Lake county, Johnson County, and the following zip codes: 46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259	not reported	not reported	not reported	not reported	2017: 91

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Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Franciscan Senior Health and Wellness	PACE	unmatched	Lake and Johnson Counties, and the following zip codes: 46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259	not reported	not reported	not reported	not reported	2018: 176
Reid Health Pace Center	Reid Health	Reid Health	Serving Seniors who reside in Fayette, Franklin, Henry, Randolph, Union and Wayne counties	not reported	not reported	not reported	not reported	2021: 12
Saint Joseph PACE	PACE	unmatched	46506, 46514, 46516, 46517, 46526, 46530, 46536, 46544, 46545, 46552, 46554, 46556, 46561, 46574, 46601, 46613, 46614, 46615, 46616, 46617, 46619, 46628, 46635, 46637, 46563, 46573	not reported	not reported	not reported	not reported	2018: 116
Saint Joseph PACE	Trinity Health System	Trinity Health System	46506, 46514, 46516, 46517, 46526,46530, 46536, 46544, 46545, 46552, 46554, 46556, 46561, 46574, 46601, 46613, 46614, 46615, 46616, 46617, 46619, 46628, 46635, 46637, 46563, 46573	not reported	not reported	not reported	not reported	2017: 41; 2019: 173; 2020: 196
Saint Joseph Pace	Trinity Health	Trinity Health	Serving seniors who reside in the following counties: Elkhart, Marshall, and St. Joseph, and zip codes: 46506, 46514, 46516, 46517, 46526,46530, 46536, 46544, 46545, 46552, 46554, 46556, 46561, 46574, 46601, 46613, 46614, 46615, 46616, 46617, 46619, 46628, 46635, 46637, 46563, 46573	not reported	not reported	not reported	not reported	2021: 181

PathWays for Aging (Comprehensive MCO + MLTSS)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Anthem Blue Cross and Blue Shield	Elevance Health	Elevance	Statewide	CMS reported 44,428 (2024)	38.1%	not reported	not reported	2024: 44,428
Humana Healthy Horizons of Indiana	Humana	Humana	Statewide	CMS reported 35,443 (2024)	30.4%	not reported	not reported	2024: 35,443
UnitedHealthcare Community Plan	UnitedHealth Group	UnitedHealth	Statewide	CMS reported 36,762 (2024)	31.5%	not reported	not reported	2024: 36,762

Program of All-Inclusive Care for the Elderly (PACE)

Program of All-Inclusive Care for the Elderly (PACE) 6

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Franciscan Senior Health and Wellness- Indy	Franciscan Alliance	Franciscan Alliance	Johnson County and Marion County (46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259)	not reported	not reported	not reported	not reported	2022: 117
Franciscan Senior Health and Wellness- Michigan City	Franciscan Alliance	Franciscan Alliance	LaPorte County, Porter County (46304, 46368, 46383, 46385, 46301), and St. Joseph County (46552)	not reported	not reported	not reported	not reported	2022: 9
Franciscan Senior Health and Wellness-Dyer	Franciscan Alliance	Franciscan Alliance	Lake County	not reported	not reported	not reported	not reported	2022: 115
Pace of Northeast Indiana	Pace of Northeast Indiana	Pace of Northeast Indiana	Allen County	not reported	not reported	not reported	not reported	2022: 23
Reid Health Pace Center	Reid Health	Reid Health	Fayette, Franklin, Henry, Randolph, Union, and Wayne Counties	not reported	not reported	not reported	not reported	2022: 27

show all 6

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Saint Joseph Pace	Trinity Health	Trinity Health	Elkhart, Marshall, and St. Joseph County (46506, 46514, 46516, 46517, 46526,46530, 46536, 46544, 46545, 46552, 46554, 46556, 46561, 46574, 46601, 46613, 46614, 46615, 46616, 46617, 46619, 46628, 46635, 46637, 46563, 46573)	not reported	not reported	not reported	not reported	2022: 163

The Program of All-Inclusive Care for the Elderly, PACE (PACE)

The Program of All-Inclusive Care for the Elderly, PACE (PACE) 14

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Ascension Living St. Vincent PACE	Ascension	Ascension	Boone County (46052, 46069, 46075, 46077, 46112, 46268, 46278), Clinton County (46069), Delaware County (46012), Hamilton County (46032, 46033, 46034, 46037, 46038, 46040, 46055,46060, 46062, 46064, 46069, 46074, 46077, 46240, 46250, 46256, 46260, 46268, 46280, 46290), Hancock County (46040,46055, 46064, 46140, 46235, 46236), Hendricks County (46052, 46112, 46113, 46123, 46168, 46231, 46234, 46278), Madison County (46011, 46012, 46013, 46016, 46040, 46048, 46051, 46064), Marion County (46077, 46113, 46205, 46208, 46214, 46216, 46220, 46224,46226, 46228, 46231, 46234, 46235, 46236, 46240, 46250, 46254, 46256,46260, 46268, 46278), Morgan County (46113), Rush County (46140), Shelby County (46140)	CMS reported 37 (2024)	5.5%	not reported	not reported	2024: 37
Ascension Living St. Vincent PACE	Ascension	Ascension	Boone County (46052, 46069, 46075, 46077, 46112, 46268, 46278), Clinton County (46069), Delaware County (46012), Hamilton County (46032, 46033, 46034, 46037, 46038, 46040, 46055,46060, 46062, 46064, 46069, 46074, 46077, 46240, 46250, 46256, 46260,46268, 46280, 46290), Hancock County (46040,46055, 46064, 46140, 46235, 46236), Hendricks County (46052, 46112, 46113, 46123, 46168, 46231, 46234, 46278), Madison County (46011, 46012, 46013, 46016, 46040, 46048, 46051, 46064), Marion County (46077, 46113, 46205, 46208, 46214, 46216, 46220, 46224,46226, 46228, 46231, 46234, 46235, 46236, 46240, 46250, 46254, 46256,46260, 46268, 46278), Morgan County (46113), Rush County (46140), Shelby County (46140)	not reported	not reported	not reported	not reported	2023: 2
Franciscan Senior Health and Wellness - Dyer	Franciscan Alliance	Franciscan Alliance	Serving seniors who reside in Lake County	not reported	not reported	not reported	not reported	2023: 111
Franciscan Senior Health and Wellness - Indianapolis	Franciscan Alliance	Franciscan Alliance	Serving seniors who reside in Johnson Count, Marion County (46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259)	not reported	not reported	not reported	not reported	2023: 118
Franciscan Senior Health and Wellness - Lafayette	Franciscan Alliance	Franciscan Alliance	Tippecanoe County (46058, 47901, 47904, 47905, 47906, 47907, 47909, 47918, 47920, 47930, 47955, 47967, 47970, 47981, 47992, 47994), Montgomery County (47933, 47940, 47955, 47967, 47990, 47994), Benton County (47944, 47970), Carroll County (46923), Clinton County (46041, 46058), Fountain County (47918), White County (47960)	CMS reported 20 (2024)	3.0%	+14 (+233.3%)	+1.9 pts	2023: 6; 2024: 20

show all 14

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Franciscan Senior Health and Wellness - Michigan City	Franciscan Alliance	Franciscan Alliance	LaPorte County, Porter County (46304, 46368, 46383, 46385, 46301), St. Joseph County (46552)	not reported	not reported	not reported	not reported	2023: 21
Franciscan Senior Health and Wellness -Dyer	Franciscan Alliance	Franciscan Alliance	Serving seniors who reside in Lake County	CMS reported 122 (2024)	18.2%	not reported	not reported	2024: 122
Franciscan Senior Health and Wellness -Indianapolis	Franciscan Alliance	Franciscan Alliance	Serving seniors who reside in Johnson County and Marion County (46107, 46201, 46202, 46203, 46204, 46217, 46218, 46219, 46221, 46222, 46225, 46227, 46229, 46237, 46239, 46241, 46259)	CMS reported 117 (2024)	17.4%	not reported	not reported	2024: 117
Franciscan Senior Health and Wellness -Michigan City	Franciscan Alliance	Franciscan Alliance	LaPorte County, Porter County (46304, 46368, 46383, 46385, 46301), St. Joseph County (46552)	CMS reported 29 (2024)	4.3%	not reported	not reported	2024: 29
Heartland PACE	BoldAge	BoldAge	Serving Seniors who reside in Gibson County, Posey County, Vanderburgh County, Warrick County	CMS reported 10 (2024)	1.5%	not reported	not reported	2024: 10
PACE of Northeast Indiana	PACE of Northeast Indiana	Pace of Northeast Indiana	Serving Seniors who reside in Allen County	CMS reported 92 (2024)	13.7%	+42 (+84.0%)	+4.3 pts	2023: 50; 2024: 92
Reid Health PACE Center	Reid Health	Reid Health	Fayette County, Franklin County, Henry County, Randolph County, Union County, Wayne County	CMS reported 82 (2024)	12.2%	+25 (+43.9%)	+1.5 pts	2023: 57; 2024: 82
Saint Joseph PACE	Trinity Health	Trinity Health	Elkhart County, Marshall County, St. Joseph County (46506, 46514, 46516, 46517, 46526,46530, 46536, 46544, 46545, 46552, 46554, 46556, 46561, 46574, 46601, 46613, 46614, 46615, 46616, 46617, 46619, 46628, 46635, 46637, 46563, 46573)	CMS reported 162 (2024)	24.1%	not reported	not reported	2024: 162
Saint Joseph Pace	Trinity Health	Trinity Health	Elkhart County, Marshall County, St. Joseph County (46506, 46514, 46516, 46517, 46526, 46530, 46536, 46544, 46545, 46552, 46554, 46556, 46561, 46574, 46601, 46613, 46614, 46615, 46616, 46617, 46619, 46628, 46635, 46637, 46563, 46573	not reported	not reported	not reported	not reported	2023: 166

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 11

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
Anthem	Elevance	Hoosier Care Connect	978	not reported	not reported	911	2.8%	3.5%
Managed Health Services	Centene	Hoosier Care Connect	849	not reported	not reported	174	1.6%	2%
United Healthcare	UnitedHealth	Hoosier Care Connect	123	not reported	not reported	78	0.3%	0.4%
Anthem	Elevance	Healthy Indiana Plan	2,153	504	23.4% calculated	3,015	16.6%	20.8%
CareSource	CareSource	Healthy Indiana Plan	1,109	238	21.5% calculated	4,432	4.2%	5.2%

show all 11

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
MDwise	McLaren Health Care	Healthy Indiana Plan	2,306	918	39.8% calculated	657	8%	10%
Managed Health Services	Centene	Healthy Indiana Plan	1,716	612	35.7% calculated	799	6.8%	8.6%
Anthem	Elevance	Hoosier Healthwise	766	187	24.4% calculated	968	14.8%	18.6%
CareSource	CareSource	Hoosier Healthwise	210	52	24.8% calculated	2,284	3.7%	4.7%
MDwise	McLaren Health Care	Hoosier Healthwise	509	202	39.7% calculated	245	9.6%	12.1%
Managed Health Services	Centene	Hoosier Healthwise	563	196	34.8% calculated	265	8.4%	10.6%

Sanctions (2024)

Sanctions (2024) 44

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Anthem	Elevance	Reporting	2023-03-17	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-01-09	Yes	Yes, remediated
Anthem	Elevance	Other, specify (Noncompliance)	2022-12-06	Yes	Yes, remediated
Anthem	Elevance	Other, specify (Noncompliance)	2024-01-09	Yes	Yes, remediated
Anthem	Elevance	Reporting	2023-06-21	Yes	Yes, remediated

show all 44

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Anthem	Elevance	Reporting	2023-09-12	Yes	Yes, remediated
Managed Health Services	Centene	Reporting	2024-01-09	Yes	Yes, remediated
Managed Health Services	Centene	Other, specify (Noncompliance)	2022-12-06	Yes	Yes, remediated
Managed Health Services	Centene	Other, specify (noncompliance)	2023-04-04	Yes	Yes, remediated
Managed Health Services	Centene	Other, specify (Noncompliance)	2023-05-24	Yes	Yes, remediated
Managed Health Services	Centene	Other, specify (Noncompliance)	2023-07-13	Yes	Yes, remediated
Managed Health Services	Centene	Reporting	2023-04-04	Yes	Yes, remediated
Managed Health Services	Centene	Reporting	2023-06-28	Yes	Yes, remediated
Managed Health Services	Centene	Other, specify (Noncompliance)	2023-12-12	Yes	Yes, remediated
United Healthcare	UnitedHealth	Reporting	2023-06-16	Yes	Yes, remediated
United Healthcare	UnitedHealth	Reporting	2023-12-04	Yes	Yes, remediated
United Healthcare	UnitedHealth	Other, specify (Noncompliance)	2023-11-28	Yes	Yes, remediated
United Healthcare	UnitedHealth	Other, specify (Noncompliance)	2022-12-06	Yes	Yes, remediated
United Healthcare	UnitedHealth	Reporting	2024-01-09	Yes	Yes, remediated
United Healthcare	UnitedHealth	Reporting	2024-03-15	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-06-05	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-09-06	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-12-13	Yes	Yes, remediated
Anthem	Elevance	Other, specify (Contract noncompliance)	2024-05-30	Yes	Yes, remediated
CareSource	CareSource	Reporting	2024-12-28	Yes	Yes, remediated
CareSource	CareSource	Reporting	2024-09-06	Yes	Yes, remediated
CareSource	CareSource	Reporting	2024-06-03	Yes	Yes, remediated
CareSource	CareSource	Other, specify (Contract noncompliance)	2024-03-13	Yes	Yes, remediated
MDwise	McLaren Health Care	Other, specify (Timeliness)	2024-10-18	Yes	Yes, remediated
MDwise	McLaren Health Care	Reporting	2024-09-06	Yes	Yes, remediated
MDwise	McLaren Health Care	Reporting	2024-06-03	Yes	Yes, remediated
MDwise	McLaren Health Care	Reporting	2024-12-18	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-06-05	Yes	Yes, remediated
Anthem	Elevance	Other, specify (Contract noncompliance)	2024-05-30	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-09-06	Yes	Yes, remediated
Anthem	Elevance	Reporting	2024-12-13	Yes	Yes, remediated
CareSource	CareSource	Reporting	2024-12-28	Yes	Yes, remediated
CareSource	CareSource	Reporting	2024-09-06	Yes	Yes, remediated
CareSource	CareSource	Reporting	2024-06-03	Yes	Yes, remediated
CareSource	CareSource	Other, specify (Contract noncompliance)	2024-03-13	Yes	Yes, remediated
MDwise	McLaren Health Care	Reporting	2024-09-06	Yes	Yes, remediated
MDwise	McLaren Health Care	Reporting	2024-06-03	Yes	Yes, remediated
MDwise	McLaren Health Care	Reporting	2024-12-18	Yes	Yes, remediated
MDwise	McLaren Health Care	Other, specify (Timeliness)	2024-10-18	Yes	Yes, remediated

Award history

PathWays for Aging PathWays: awarded. On March 1, 2023, FSSA and the Indiana Department of Administration recommended Anthem Blue Cross and Blue Shield, Humana Healthy Horizons in Indiana, Molina Healthcare of Indiana, and United Healthcare Community Plan for PathWays for Aging. Bulletin BT202321, dated March 9, 2023, names the same four and says the program will go live in 2024. On October 3, 2023, FSSA said Molina had been unable to secure a D-SNP contract with the Centers for Medicare and Medicaid Services and that the state will not offer Molina a contract. Readiness review continues with the other three. The retrieved pages do not print a solicitation number, evaluation scores, or a contract end date.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

rfp 27-88343: posted. no calendar day. The IDOA current business opportunities page states that FSSA-OMPP is withdrawing RFP 27-88343, Indiana Medicaid Managed Care Organizations, for compliance with IC § 12-15-5-17.5(c)(2). That is a withdrawal of this RFP. It is not a replacement solicitation. The row's Response Due By cell is 11/24/2026 3:00:00PM EST. The page does not state that this cell is the proposal deadline for a reissued RFP. Indiana. No plan is named on the record. A solicitation or early procurement signal is on the record. No next date is on the record.
forecast 27-88343: suggested. 2029-01-01. The same IDOA page says FSSA-OMPP anticipates reissuing the RFP in substantially the same form following feedback from the State Budget Committee, most likely by November 9, 2026 (past), and anticipates minimal timeline changes including the January 1, 2029 go-live. That language suggests a reissue. It does not issue a replacement RFP, and neither date is certain. Indiana. No plan is named on the record. A solicitation or early procurement signal is on the record. Anticipated by Nov 9, 2026 (past); anticipated start Jan 1, 2029.

Coverage: not_collected, read_not_a_signal. Source receipts: 3 changed at 2026-11-15T10:57:18+00:00. Sources and dates

Contract amendments

Contract amendments 6

executed_amendment 7: 2026-01-01. Anthem Insurance Companies Inc.. FSSA Amendment #7 to contract 0000000000000000000051705 with Anthem Insurance Companies Inc. amends the Hoosier Care Connect contract. It updates Exhibits 1.F, 2.F, 3.C, 5.E, and 6.C. Exhibit 1.F, the scope of work, is superseded and replaced by Exhibit 1.G. The capitation-rate exhibit is one of the exhibits replaced. Unless otherwise noted, this amendment is effective January 1, 2026. The contract term is extended two years and three months and will terminate on June 30, 2028. The underlying contract was approved by the last State signatory on April 16, 2021. That date is not a signature date for this amendment. The cover does not print a posted date or an amendment signature date. The instrument states a funding addition and a total remuneration cap. Those figures are not repeated here.
executed_amendment 7: 2026-01-01. COORDINATED CARE CORPORATION INDIANA d/b/a Managed Health Services, d/b/a MHS. FSSA Amendment #7 to contract 0000000000000000000051706 with Coordinated Care Corporation Indiana, doing business as Managed Health Services and as MHS, amends the Hoosier Care Connect contract. It updates Exhibits 1.F, 2.F, 3.C, 5.E, and 6.C. Exhibit 1.F is superseded and replaced by Exhibit 1.G. Unless otherwise noted, this amendment is effective January 1, 2026. The contract is extended for two years and three months and shall now terminate on June 30, 2028. The underlying contract was approved by the last State signatory on April 13, 2021. That date is not a signature date for this amendment. The cover does not print a posted date or an amendment signature date. The instrument states a funding addition and a total remuneration cap. Those figures are not repeated here.
executed_amendment 7: 2026-01-01. United Healthcare Insurance Company d/b/a UnitedHealthcare Community Plan. FSSA Amendment #7 to contract 0000000000000000000051704 with United Healthcare Insurance Company, doing business as UnitedHealthcare Community Plan, amends the Hoosier Care Connect contract. It updates Exhibits 1.F, 2.F, 3.C, 5.E, and 6.C. Exhibit 1.F is superseded and replaced by Exhibit 1.G. Unless otherwise noted, this amendment is effective January 1, 2026. The contract term is extended two years and three months and shall terminate on June 30, 2028. The instrument says the underlying contract is dated March 29, 2021. That date is not a signature date for this amendment. The cover does not print a posted date or an amendment signature date. The instrument states a funding addition and a total remuneration cap. Those figures are not repeated here.
executed_amendment 3: 2026-01-01. CareSource Indiana, Inc.. FSSA Amendment #3 to contract 0000000000000000000069651 with CareSource Indiana, Inc. amends the Healthy Indiana Plan contract. It updates Exhibits 1.B, 2.B, 5.B, and 6.B. Exhibit 5.B, contract definitions, is superseded and replaced by Exhibit 5.C. Exhibit 6.B, the state's capitation rates, is superseded and replaced by Exhibit 6.C. Unless otherwise noted, this amendment is effective January 1, 2026. The cover does not state a new contract termination date. The underlying contract was approved by the last State signatory on February 21, 2023. That date is not a signature date for this amendment. The cover does not print a posted date or an amendment signature date. The instrument states a funding addition and a total remuneration cap. Those figures are not repeated here.
executed_amendment 3: effective date not printed. Coordinated Care Corporation d/b/a Managed Health Services. FSSA Amendment #3 to contract 0000000000000000000069655 with Coordinated Care Corporation, doing business as Managed Health Services, amends the Healthy Indiana Plan contract. It updates Exhibits 1.A, 2.A, 3.A, 4, 5.A, and 6.A. Exhibit 6.A, the state's capitation rates, is superseded and replaced by Exhibit 6.B. The cover does not state an effective date for this amendment. A later sentence refers to the effective date of this Contract when it tells the contractor when to send subcontractor agreements. That sentence is not stored as this amendment's effective date. The cover does not state a new termination date. The underlying contract was approved by the last State signatory on March 1, 2023. That date is not a signature date for this amendment. The cover does not print a posted date or an amendment signature date. The instrument states a funding addition and a total remuneration cap. Those figures are not repeated here.

show all 6

executed_amendment 1: 2025-07-01. Arcadian Health Plan, Inc. d.b.a. Humana Healthy Horizons in Indiana. FSSA Amendment #1 to contract 0000000000000000000082035 with Arcadian Health Plan, Inc., doing business as Humana Healthy Horizons in Indiana, amends the PathWays for Aging contract. It updates Exhibits 1, 2, 3, 5, and 6. Exhibit 6, the PathWays capitation rates, is superseded and replaced by Exhibit 6.A. Unless otherwise noted, this amendment is effective July 1, 2025. The cover does not state a new termination date. The underlying contract was approved by the last State signatory on May 23, 2024. That date is not a signature date for this amendment. The cover does not print a posted date or an amendment signature date. The instrument states that funding is removed and states a total remuneration cap. Those figures are not repeated here.

Coverage: read_not_an_amendment. Source receipts: 1 changed at 2026-11-15T10:57:18+00:00; 6 unchanged at 2026-11-15T10:54:45+00:00. Sources and dates

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Policy instruments: 13.

Federal Register SPA disapproval hearing notices (2015 or later): 0

Precapture analysis: waiver expires within 12 months. CMS temporary extension of Healthy Indiana Plan 2.0 SUD and SMI authorities (expiration date 2027-06-30).

Medicaid policy 13

cms_approval 11-W-00296/5 (approved; approved 2026-09-24). no plan named.
cms_approval 11-W-00296/5 (approved; date not printed). no plan named.
section_1115 no number (pending; date not printed). no plan named.
waiver_1915b IN.0006.R00.03 (approved; effective 2026-08-01). Anthem.
waiver_1915b IN.017.00.04 (proposed; proposed effective 2026-07-01). Anthem.

show all 13

waiver_1915c IN.2407.R00.04 (approved; effective 2026-08-01). no plan named.
waiver_1915b IN.008.05.00 (proposed; proposed effective 2026-01-01). Anthem.
state_plan_amendment no number (submitted; date not printed). no plan named.
state_plan_amendment no number (submitted; date not printed). no plan named.
state_plan_amendment no number (submitted; date not printed). no plan named.
state_plan_amendment no number (submitted; date not printed). no plan named.
state_rule LSA 26-257 (pending; date not printed). no plan named.
state_rule LSA 25-436 (pending; date not printed). no plan named.

Coverage: index_only, not_published, read_not_managed_care. Source receipts: 11 changed at 2026-11-15T11:15:51+00:00; 9 unchanged at 2026-11-15T11:16:03+00:00. Sources and dates

Plan financials

Official plan financial filings for this state are available to subscribers. Dollar figures and rates are not on this page. Plan financials. Coverage: blocked, not_published, unpaired. Source receipts: 1 changed at 2026-11-15T11:45:22+00:00; 11 unchanged at 2026-11-15T11:45:18+00:00; 2 blocked at 2026-11-15T11:45:22+00:00.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.