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Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting
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Page 1: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Indiana Health Coverage Programs

Member Access

August 6, 2015 MAC Meeting

Page 2: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Where We Are Today

June 2014 June 2015

Provider Classification

Billing, Group, Dual

Rendering Providers

15,166 37,555

Provider Classification

Billing, Group, Dual

Rendering Providers

15,049 35,466

Total Providers

50,495 Total Providers 52,721

Page 3: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Hoosiers Living in Poverty

Page 4: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

0

50

100

150

200

250

300

350

ALLEN , ALLEN

ELKHART

LAKE

MARION

OUT OF STATE

ST. JOSEPH

VANDERBURGH

Number of Transportation Providers per County

Counties

Num

ber

of

Pro

vid

ers

Page 5: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Air Ambulance

County Number of ProvidersALLEN 4

BARTHOLOMEW 1CLAY 1

HARRISON 1IFSSA 9

JACKSON 1LAKE 1

MARION 2NEWTON 1ORANGE 1

OUT OF STATE 72RANDOLPH 1

RUSH 1ST. JOSEPH 3

TIPPECANOE 1VANDERBURGH 3

WABASH 1Total 104

* Those counties not listed do not have a registered Air Ambulance provider

Page 6: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

0

50

100

150

200

250

ALLEN ELKHART

LAKE MARION

OUT OF STATE

ST. JOSEPH VANDERBURGH

Ambulance Providers

Page 7: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Ambulatory(CAS) Providers

0

20

40

60

80

100

120

140

160

ALLEN

ELKHART

LAKE

MARION

OUT OF STATE

ST. JOSEPH

VANDERBURGH

Page 8: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Non-Ambulatory(NAS) Providers

0

20

40

60

80

100

120

140

160

180

ALLEN

ELKHART

LAKE

MARION

OUT OF STATE

ST. JOSEPH

VANDERBURGH

Page 9: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Family Member Providers

0

10

20

30

40

50

60

70

ALLEN

DELAWARE

ELKHART FAYETTE

HARRISON LAKE

MARION

MORGAN ORANGE PORTER

RIPLEY ST. JOSEPH

VANDERBURGH

WASHINGTON WAYNE

WHITE

Page 10: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Taxi Providers

0

10

20

30

40

50

60

70

80

ALLEN

CASS

DAVIESS ELKHART

GRANT HOWARD

JACKSON

KNOX

LAKE

MARION

OUT OF STATE

RIPLEY

ST. JOSEPH

TIPPECANOE

VANDERBURGH

WHITE

Page 11: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

40

15

10

5

0

Ambulance

Page 12: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

CAS NAS

150

15

10

5

0

Page 13: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

60

15

10

5

0

Family Member

Page 14: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

3%

20%

18%

18%

17%

24%

Air Ambulance Ambulance CAS Family NAS Taxi

Transportation Providers, by Type

Page 15: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Behavioral Health Providers

Provider Type Total Number Enrolled

Outpatient Mental Health Clinic 877

Community Mental Health Center (CMHC) 231

Health Service Provider in Psychology (HSPP) 1,547

Psychiatrist 1,578

Page 16: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Community Mental Health Centers

Page 17: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Outpatient Mental Health

Clinics

Page 18: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

HSPP’s

Psychiatrists

250

15

10

5

0

Page 19: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Primary Care Panels Programs June 2014 January

2015June 2015

Hoosier Healthwise

5,270 5727 5,699

Care Select 3,139 3,353 3,098

HIP 4,278 4,896 5,833

Hoosier Care Connect

N/A 8 4,999

Total 12,687 13,984 19,629

Page 20: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Initiatives Moving Forward

• Continued education throughout Indiana• Increase community involvement• More visits to smaller communities• Using hospitals as central point of contact

• Examine the role of mid-level providers• Enrolling all APNs and PAs to increase provider pool

• Bring Indiana current with Medicare policies• Review of mental health mid-levels to explore the possibility of

expanding their roles• Examination of oversight and current billing rules and policies

Page 21: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Initiatives Cont.

• Increased involvement with provider associations and organizations• Increase Indiana state employee presence at meetings• Seek feedback on publications, policies, and program updates

• Explore partnerships with Colleges/Universities• Keep Indiana-trained resources in state• Educate future professionals on Indiana Health Coverage

Programs

Page 22: Indiana Health Coverage Programs Member Access August 6, 2015 MAC Meeting.

Contact Information

• Questions?

• Contact InformationScott Gartenman, FSSA Provider Relations Director

[email protected]