2024 INEB Dashboard.xlsx
XLSX spreadsheet 201 KB Posted
- Solicitation number
- RFP 27-87793
- Issued by
- Marion County, Indiana
About this file
This is a 2024 MAXIMUS Dashboard reporting on call center operations for the Indiana Family and Social Services Administration (FSSA) Medicaid programs. The document tracks inbound call volumes and call reason categories across four major health care programs: Hoosier Healthwise (HHW), Hoosier Care Connect (HCC), Healthy Indiana Plan (HIP), and Indiana PathWays for Aging (PATH), as well as HIP chat services. The dashboard presents monthly performance data from January through December 2024, providing comprehensive call analytics and complaint tracking by health plan entity.
The data reveals significant call volume variations across programs and months, with HIP consistently generating 3,300 to 4,500 calls monthly, HCC ranging from 1,750 to 4,900 calls, HHW between 2,300 and 3,300 calls, and PATH between 4,700 and 13,100 calls. Top inbound call reasons across programs include health plan education, referrals to FSSA and health plans, plan and provider information inquiries, and benefits/covered services questions. The document tracks complaints by entity, with minimal complaints logged against most managed health plans (Anthem, CareSource, Gainwell, MDWise, and United Healthcare) throughout the year, ranging from zero to fifteen complaints per month. Just Cause Processing metrics track prior month pending cases, requested cases, approved cases, denied cases, and pending cases across programs. The dashboard serves as an operational performance monitoring tool for call center management and program administration.
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Text version
01-2024 MAXIMUS Dashboard January 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,740 | Education - Health Plan | 1066 | 01 HIP 2.0 Inquiry | 2293 | |||
| Hoosier Care Connect | 4,907 | Education - General Program Information | 853 | 12 HIP 2.0 Referral to Plan | 1436 | |||
| Healthy Indiana Plan | 3,699 | Referral - FSSA | 696 | 10 HIP 2.0 Benefits/Covered Services | 1428 | |||
| HIP Chats | 723 | Referral - Health Plan | 547 | Referral - FSSA | 1419 | |||
| Indiana PathWays for Aging | 199 | Education - Guardianship/AR | 321 | 03 HIP 2.0 Plan/Provider Information | 1262 | |||
| Referral - Traditional Medicaid | 297 | Education - Health Plan | 1174 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 190 | Tobacco - No | 607 |
| Prior Month Pending | 1 | 6 | 2 | 0 | Pharmacy - Traditional Medicaid | 87 | Education - Guardianship/AR | 444 |
| Requested | 5 | 7 | 13 | 0 | PMP Availability Search | 67 | 08 Eligibility/General Information | 359 |
| Approved | 1 | 0 | 1 | 0 | Education - Application | 57 | Education - Choice Period | 293 |
| Denied | 4 | 2 | 1 | 0 | ||||
| Pending | 1 | 11 | 13 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1883 | Eligibility | 216 | |||||
| Complaints by Entity | Referral - FSSA | 1501 | Call In For More Information | 188 | ||||
| Anthem | 1 | Referral - Health Plan | 1406 | Application Process | 61 | |||
| CareSource | 0 | Education - General Program Information | 1121 | Covered Services | 42 | |||
| FSSA / DFR | 1 | Education - Choice Period | 343 | POWER Account | 17 | |||
| Gainwell | 0 | Education - Guardianship/AR | 333 | |||||
| Managed Health Services | 1 | Referral - Traditional Medicaid | 165 | |||||
| Maximus | 0 | Education - Application | 161 | |||||
| MDWise | 1 | Pharmacy - Health Plan | 124 | |||||
| United Healthcare | 1 | Referral - Gainwell Package C | 110 |
02-2024 MAXIMUS Dashboard February 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,888 | Education - Health Plan | 872 | 01 HIP 2.0 Inquiry | 2514 | |||
| Hoosier Care Connect | 2,487 | Education - General Program Information | 771 | 12 HIP 2.0 Referral to Plan | 1424 | |||
| Healthy Indiana Plan | 3,800 | Referral - FSSA | 533 | 03 HIP 2.0 Plan/Provider Information | 1338 | |||
| HIP Chats | 644 | Referral - Health Plan | 470 | Referral - FSSA | 1319 | |||
| Indiana PathWays for Aging | 671 | Referral - Traditional Medicaid | 291 | 10 HIP 2.0 Benefits/Covered Services | 1220 | |||
| Education - Choice Period | 269 | Education - Health Plan | 1009 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Guardianship/AR | 245 | Education - Choice Period | 475 |
| Prior Month Pending | 1 | 11 | 13 | 0 | PMP Availability Search | 72 | Education - Guardianship/AR | 411 |
| Requested | 5 | 8 | 43 | 0 | Pharmacy - Traditional Medicaid | 59 | 08 Rligibility/General Information | 314 |
| Approved | 0 | 3 | 32 | 0 | Pharmacy - Health Plan | 42 | Referral - Traditional Medicaid | 213 |
| Denied | 0 | 5 | 8 | 0 | ||||
| Pending | 6 | 11 | 16 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1795 | Call In For More Information | 186 | |||||
| Complaints by Entity | Referral - Health Plan | 1327 | Eligibility | 182 | ||||
| Anthem | 1 | Referral - FSSA | 1247 | Application Process | 52 | |||
| CareSource | 0 | Education - General Program Information | 1212 | Covered Services | 28 | |||
| FSSA / DFR | 0 | Education - Choice Period | 477 | POWER Account | 4 | |||
| Gainwell | 0 | Education - Guardianship/AR | 301 | |||||
| Humana | 0 | Referral - Traditional Medicaid | 181 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 2 | Referral - Gainwell Package C | 123 | Education - Health Plan | 159 | |||
| Maximus | 0 | Education - Application | 120 | Education - General Program Information | 115 | |||
| MDWise | 0 | PMP Availability Search | 106 | Referral - FSSA | 41 | |||
| United Healthcare | 0 | Education - Choice Period | 36 | |||||
| Education - Guardianship/AR | 11 | |||||||
| Referral - Health Plan | 8 | |||||||
| Referral - Traditional Medicaid | 6 | |||||||
| Transfer - FSSA | 6 | |||||||
| Education - Application | 5 | |||||||
| PMP Availability Search | 5 |
03-2024 MAXIMUS Dashboard March 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 3,267 | Education - General Program Information | 792 | 01 HIP 2.0 Inquiry | 2112 | |||
| Hoosier Care Connect | 2,014 | Education - Health Plan | 748 | Referral - FSSA | 1341 | |||
| Healthy Indiana Plan | 3,686 | Referral - FSSA | 664 | 03 HIP 2.0 Plan/Provider Information | 1308 | |||
| HIP Chats | 573 | Referral - Health Plan | 471 | 12 HIP 2.0 Referral to Plan | 1294 | |||
| Indiana PathWays for Aging | 9,078 | Referral - Traditional Medicaid | 256 | Education - Health Plan | 1275 | |||
| Education - Guardianship/AR | 229 | 10 HIP 2.0 Benefits/Covered Services | 1239 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 203 | Document Tobacco No | 482 |
| Prior Month Pending | 6 | 11 | 16 | 0 | Pharmacy - Traditional Medicaid | 53 | 08 Eligibility/General Information | 336 |
| Requested | 3 | 7 | 8 | 0 | Transfer - Health Plan | 45 | Education - Guardianaship/AR | 300 |
| Approved | 7 | 6 | 8 | 0 | Pharmacy - Health Plan | 40 | Education - Choice Period | 263 |
| Denied | 1 | 3 | 7 | 0 | ||||
| Pending | 1 | 9 | 9 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1788 | Call In For More Information | 160 | |||||
| Complaints by Entity | Referral - FSSA | 1466 | Eligibility | 145 | ||||
| Anthem | 3 | Education - General Program Information | 1278 | Application Process | 60 | |||
| CareSource | 1 | Referral - Health Plan | 1175 | Covered Services | 26 | |||
| FSSA / DFR / State | 7 | Education - Choice Period | 401 | POWER Account | 2 | |||
| Gainwell | 0 | Education - Guardianship/AR | 335 | |||||
| Humana | 0 | Referral - Traditional Medicaid | 204 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 1 | Education - Application | 123 | Education - Health Plan | 6269 | |||
| Maximus | 0 | Referral - Gainwell Package C | 88 | Education - General Program Information | 2953 | |||
| MDWise | 0 | Transfer - Health Plan | 85 | Referral - FSSA | 675 | |||
| United Healthcare | 0 | Education - Choice Period | 383 | |||||
| Verida | 3 | Plan Selection Form | 266 | |||||
| Referral - Health Plan | 205 | |||||||
| Education - Guardianship/AR | 167 | |||||||
| Transfer - FSSA | 99 | |||||||
| PMP Availability Search | 97 | |||||||
| Referral - PATH Member Services | 80 |
04-2024 MAXIMUS Dashboard April 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,877 | Education - General Program Information | 1452 | 01 HIP 2.0 Inquiry | 3460 | |||
| Hoosier Care Connect | 4,512 | Education - Health Plan | 980 | 03 HIP 2.0 Plan/Provider Information | 1867 | |||
| Healthy Indiana Plan | 4,044 | Referral - FSSA | 752 | 12 HIP 2.0 Referral to Plan | 1832 | |||
| HIP Chats | 595 | Referral - Health Plan | 686 | 10 HIP 2.0 Benefits/Covered Services | 1598 | |||
| Indiana PathWays for Aging | 13,128 | Referral - Traditional Medicaid | 432 | Education - Health Plan | 1104 | |||
| Education - Guardianship/AR | 348 | Referral - FSSA | 1094 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 275 | 08 Eligibility/General Information | 758 |
| Prior Month Pending | 1 | 9 | 9 | 0 | Pharmacy - Traditional Medicaid | 71 | 07 HIP 2.0 Power Account | 262 |
| Requested | 0 | 9 | 10 | 0 | Pharmacy - Health Plan | 58 | Education - Guardianship/AR | 239 |
| Approved | 1 | 3 | 5 | 0 | Dental/Vision - Health Plan | 52 | 04 HIP 2.0 Plan Selection | 184 |
| Denied | 0 | 5 | 1 | 0 | ||||
| Pending | 0 | 10 | 13 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - General Program Information | 1334 | Call In For More Information | 163 | |||||
| Complaints by Entity | Education - Health Plan | 1260 | Eligibility | 128 | ||||
| Anthem | 0 | Referral - Health Plan | 1164 | Application Process | 56 | |||
| CareSource | 0 | Referral - FSSA | 1057 | Covered Services | 35 | |||
| FSSA / DFR / State | 8 | Education - Choice Period | 283 | POWER Account | 26 | |||
| Gainwell | 0 | Education - Guardianship/AR | 335 | |||||
| Humana | 0 | Referral - Traditional Medicaid | 175 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 1 | Education - Application | 94 | Education - Health Plan | 9222 | |||
| Maximus | 0 | Pharmacy - Health Plan | 63 | Education - General Program Information | 4093 | |||
| MDWise | 1 | Referral - Gainwell Package C | 58 | Referral - FSSA | 1485 | |||
| United Healthcare | 0 | Education - Guardianship/AR | 483 | |||||
| Verida | 1 | Referral - Health Plan | 372 | |||||
| Education - Choice Period | 302 | |||||||
| PMP Availability Search | 181 | |||||||
| Education - Application | 53 | |||||||
| Referral - SHIP | 34 | |||||||
| Referral - Medicare | 30 |
05-2024 MAXIMUS Dashboard May 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,469 | Education - General Program Information | 851 | 01 HIP 2.0 Inquiry | 3288 | |||
| Hoosier Care Connect | 4,186 | Education - Health Plan | 386 | 03 HIP 2.0 Plan/Provider Information | 2260 | |||
| Healthy Indiana Plan | 3,958 | Referral - FSSA | 376 | 12 HIP 2.0 Referral to Plan | 2257 | |||
| HIP Chats | 540 | Referral - Traditional Medicaid | 246 | 10 HIP 2.0 Benefits/Covered Services | 1985 | |||
| Indiana PathWays for Aging | 6,682 | Referral - Health Plan | 245 | Referral - FSSA | 1165 | |||
| Education - Guardianship/AR | 188 | 08 Eligibility/General Information | 564 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 105 | 07 HIP 2.0 Power Account | 525 |
| Prior Month Pending | 0 | 10 | 13 | 0 | Transfer - Health Plan | 70 | Education - Guardianship/AR | 260 |
| Requested | 1 | 6 | 8 | 0 | Pharmacy - Traditional Medicaid | 54 | Education - Choice Period | 174 |
| Approved | 0 | 5 | 4 | 0 | Referral - Medicare | 25 | Transfer - Health Plan | 173 |
| Denied | 0 | 4 | 7 | 0 | ||||
| Pending | 1 | 7 | 10 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 984 | Call In For More Information | 159 | |||||
| Complaints by Entity | Education - General Program Information | 881 | Eligibility | 93 | ||||
| Anthem | 2 | Referral - Health Plan | 863 | Application Process | 61 | |||
| CareSource | 0 | Referral - FSSA | 820 | POWER Account | 32 | |||
| FSSA / DFR / State | 5 | Education - Choice Period | 175 | Covered Services | 26 | |||
| Gainwell | 0 | Education - Guardianship/AR | 147 | |||||
| Humana | 0 | Referral - Traditional Medicaid | 86 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | Education - Application | 79 | Education - Health Plan | 3586 | |||
| Maximus | 0 | Transfer - Health Plan | 61 | Education - General Program Information | 2784 | |||
| MDWise | 0 | Referral - Gainwell Package C | 50 | Referral - FSSA | 809 | |||
| United Healthcare | 0 | Education - Choice Period | 322 | |||||
| Verida | 0 | Education - Guardianship/AR | 202 | |||||
| Transfer - FSSA | 192 | |||||||
| PMP Availability Search | 111 | |||||||
| Education - Application | 50 | |||||||
| Referral - SHIP | 34 | |||||||
| Dental/Vision - Health Plan | 16 |
06-2024 MAXIMUS Dashboard June 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,291 | Education - General Program Information | 574 | 01 HIP 2.0 Inquiry | 2610 | |||
| Hoosier Care Connect | 2,008 | Referral - FSSA | 402 | 03 HIP 2.0 Plan/Provider Information | 1621 | |||
| Healthy Indiana Plan | 3,396 | Education - Health Plan | 362 | 12 HIP 2.0 Referral to Plan | 1549 | |||
| HIP Chats | 440 | Referral - Health Plan | 220 | 10 HIP 2.0 Benefits/Covered Services | 1201 | |||
| Indiana PathWays for Aging | 9,164 | Referral - Traditional Medicaid | 176 | Referral - FSSA | 1161 | |||
| Education - Guardianship/AR | 132 | Education - Health Plan | 954 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 68 | 07 HIP 2.0 Power Account | 453 |
| Prior Month Pending | 1 | 7 | 10 | 0 | Transfer - Health Plan | 35 | 08 Eligibility/General Information | 307 |
| Requested | 0 | 3 | 10 | 0 | Pharmacy - Traditional Medicaid | 33 | Education - Guardianship/AR | 282 |
| Approved | 1 | 4 | 10 | 0 | Referral - Medicare | 31 | Referral - Traditional Medicaid | 160 |
| Denied | 0 | 2 | 3 | 0 | ||||
| Pending | 0 | 4 | 7 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 977 | Call In For More Information | 147 | |||||
| Complaints by Entity | Referral - FSSA | 886 | Eligibility | 57 | ||||
| Anthem | 2 | Referral - Health Plan | 876 | Application Process | 50 | |||
| CareSource | 0 | Education - General Program Information | 613 | POWER Account | 35 | |||
| FSSA / DFR / State | 5 | Education - Choice Period | 177 | Covered Services | 16 | |||
| Gainwell | 0 | Education - Guardianship/AR | 173 | |||||
| Humana | 0 | Referral - Traditional Medicaid | 86 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | Referral - Gainwell Package C | 78 | Education - Health Plan | 5450 | |||
| Maximus | 0 | Education - Application | 72 | Education - General Program Information | 3106 | |||
| MDWise | 0 | Dental/Vision - Health Plan | 48 | Referral - FSSA | 1935 | |||
| United Healthcare | 0 | Referral - Health Plan | 1747 | |||||
| Verida | 0 | Education - Choice Period | 1104 | |||||
| Education - Guardianship/AR | 606 | |||||||
| Transportation - Health Plan | 419 | |||||||
| PMP Availability Search | 355 | |||||||
| Transfer - FSSA | 279 | |||||||
| Transfer - Health Plan | 183 |
07-2024 MAXIMUS Dashboard July 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,731 | Education - Health Plan | 595 | 01 HIP Inquiry | 2938 | |||
| Hoosier Care Connect | 1,752 | Education - General Program Information | 465 | 12 HIP Referral to Plan | 1754 | |||
| Healthy Indiana Plan | 4,006 | Referral - FSSA | 332 | 03 HIP Plan/Provider Information | 1720 | |||
| HIP Chats | 599 | Referral - Health Plan | 278 | Referral - Health Plan | 1626 | |||
| Indiana PathWays for Aging | 10,304 | Education - Guardianship/AR | 154 | Referral - FSSA | 1406 | |||
| Referral - Traditional Medicaid | 107 | 10 HIP Benefits/Covered Services | 1282 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 66 | Education - Health Plan | 895 |
| Prior Month Pending | 0 | 4 | 7 | 0 | Pharmacy - Traditional Medicaid | 35 | 07 HIP Power Account | 433 |
| Requested | 3 | 8 | 9 | 0 | Pharmacy - Health Plan | 34 | Education - Guardianship/AR | 341 |
| Approved | 3 | 4 | 7 | 0 | 01 HIP Inquiry | 28 | Pharmacy - Health Plan | 316 |
| Denied | 0 | 1 | 3 | 0 | ||||
| Pending | 0 | 7 | 6 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1227 | Call In For More Information | 187 | |||||
| Complaints by Entity | Referral - Health Plan | 1089 | Application Process | 90 | ||||
| Anthem | 8 | Referral - FSSA | 1046 | Eligibility | 50 | |||
| CareSource | 0 | Education - General Program Information | 671 | POWER Account | 42 | |||
| FSSA / DFR / State | 12 | Referral - Gainwell Package C | 242 | Covered Services | 21 | |||
| Gainwell | 0 | Education - Choice Period | 178 | |||||
| Humana | 13 | Education - Guardianship/AR | 172 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | 01 HIP Inquiry | 142 | Education - Health Plan | 4638 | |||
| Maximus | 4 | 12 HIP Referral to Plan | 105 | Referral - Health Plan | 3686 | |||
| MDWise | 0 | 03 HIP Plan/Provider Information | 98 | Education - General Program Information | 3182 | |||
| United Healthcare | 4 | Referral - FSSA | 2635 | |||||
| Verida | 0 | Transfer - Health Plan | 806 | |||||
| Transportation - Health Plan | 677 | |||||||
| Education - Guardianship/AR | 609 | |||||||
| Transfer - FSSA | 474 | |||||||
| Education - Choice Period | 402 | |||||||
| Education - Application | 309 |
08-2024 MAXIMUS Dashboard August 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,945 | Education - Health Plan | 571 | 01 HIP Inquiry | 2188 | |||
| Hoosier Care Connect | 2,215 | Education - General Program Information | 474 | 03 HIP Plan/Provider Information | 1303 | |||
| Healthy Indiana Plan | 3,669 | Referral - FSSA | 353 | 12 HIP Referral to Plan | 1263 | |||
| HIP Chats | 465 | Referral - Health Plan | 248 | Referral - Health Plan | 1207 | |||
| Indiana PathWays for Aging | 7,061 | Education - Guardianship/AR | 127 | Referral - FSSA | 1132 | |||
| Referral - Traditional Medicaid | 125 | 10 HIP Benefits/Covered Services | 1048 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 87 | Education - Health Plan | 670 |
| Prior Month Pending | 0 | 7 | 6 | 0 | Pharmacy - Traditional Medicaid | 31 | 08 HIP Eligibility/General Information | 338 |
| Requested | 2 | 7 | 5 | 0 | Pharmacy - Health Plan | 31 | Education - Guardianship/AR | 268 |
| Approved | 1 | 6 | 1 | 0 | 01 HIP Inquiry | 29 | 07 HIP Power Account | 242 |
| Denied | 0 | 0 | 3 | 0 | ||||
| Pending | 1 | 8 | 7 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1244 | Call In For More Information | 140 | |||||
| Complaints by Entity | Referral - Health Plan | 1042 | Application Process | 76 | ||||
| Anthem | 6 | Referral - FSSA | 1025 | Eligibility | 51 | |||
| CareSource | 1 | Education - General Program Information | 780 | POWER Account | 22 | |||
| FSSA / DFR / State | 10 | Referral - Gainwell Package C | 399 | Covered Services | 17 | |||
| Gainwell | 0 | Education - Guardianship/AR | 216 | |||||
| Humana | 7 | Education - Choice Period | 175 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | 01 HIP Inquiry | 89 | Education - Health Plan | 2727 | |||
| Maximus | 4 | Education - Application | 85 | Referral - Health Plan | 2206 | |||
| MDWise | 0 | 03 HIP Plan/Provider Information | 61 | Education - General Program Information | 1947 | |||
| United Healthcare | 15 | Referral - FSSA | 1849 | |||||
| Verida | 0 | Education - Guardianship/AR | 542 | |||||
| Transfer - Health Plan | 496 | |||||||
| Transportation - Health Plan | 344 | |||||||
| Transfer - FSSA | 292 | |||||||
| Education - Application | 273 | |||||||
| Education - Choice Period | 173 |
09-2024 MAXIMUS Dashboard September 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,548 | Education - Health Plan | 476 | 01 HIP Inquiry | 1814 | |||
| Hoosier Care Connect | 3,331 | Education - General Program Information | 399 | Referral - Health Plan | 1143 | |||
| Healthy Indiana Plan | 3,330 | Referral - FSSA | 328 | 12 HIP Referral to Plan | 1079 | |||
| HIP Chats | 422 | Referral - Health Plan | 241 | Referral - FSSA | 1023 | |||
| Indiana PathWays for Aging | 5,333 | Referral - Traditional Medicaid | 123 | 03 HIP Plan/Provider Information | 1011 | |||
| Education - Guardianship/AR | 104 | 10 HIP Benefits/Covered Services | 825 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 45 | Education - Health Plan | 592 |
| Prior Month Pending | 1 | 8 | 7 | 0 | Pharmacy - Health Plan | 36 | 08 HIP Eligibility/General Information | 394 |
| Requested | 3 | 0 | 9 | 0 | Referral - DFR/FSSA | 31 | Education - Guardianship/AR | 161 |
| Approved | 1 | 5 | 5 | 0 | Pharmacy - Traditional Medicaid | 25 | 09 Eligibility/Referral to DFR | 152 |
| Denied | 0 | 1 | 5 | 0 | ||||
| Pending | 3 | 2 | 6 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1066 | Call In For More Information | 189 | |||||
| Complaints by Entity | Referral - FSSA | 951 | Eligibility | 54 | ||||
| Anthem | 4 | Referral - Health Plan | 835 | Application Process | 50 | |||
| CareSource | 1 | Education - General Program Information | 667 | Covered Services | 10 | |||
| FSSA / DFR / State | 6 | Referral - Gainwell Package C | 355 | POWER Account | 6 | |||
| Gainwell | 0 | Education - Guardianship/AR | 133 | |||||
| Humana | 4 | Education - Choice Period | 102 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | Referral - Traditional Medicaid | 89 | Education - Health Plan | 2022 | |||
| Maximus | 4 | Education - Application | 76 | Education - General Program Information | 1536 | |||
| MDWise | 0 | 01 HIP Inquiry | 64 | Referral - Health Plan | 1514 | |||
| United Healthcare | 7 | Referral - FSSA | 1295 | |||||
| Verida | 0 | Education - Guardianship/AR | 395 | |||||
| Transfer - Health Plan | 322 | |||||||
| Transfer - FSSA | 207 | |||||||
| Education - Choice Period | 199 | |||||||
| Transportation - Health Plan | 181 | |||||||
| Education - Application | 179 |
10-2024 MAXIMUS Dashboard October 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,835 | Education - Health Plan | 661 | 01 HIP Inquiry | 1981 | |||
| Hoosier Care Connect | 4,831 | Education - General Program Information | 446 | Referral - Health Plan | 1501 | |||
| Healthy Indiana Plan | 4,236 | Referral - FSSA | 402 | Referral - FSSA | 1257 | |||
| HIP Chats | 476 | Referral - Health Plan | 311 | 12 HIP Referral to Plan | 1178 | |||
| Indiana PathWays for Aging | 6,182 | Referral - Traditional Medicaid | 124 | 03 HIP Plan/Provider Information | 1131 | |||
| Education - Guardianship/AR | 92 | 10 HIP Benefits/Covered Services | 996 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 70 | 08 HIP Eligibility/General Information | 756 |
| Prior Month Pending | 3 | 2 | 6 | 0 | Pharmacy - Health Plan | 32 | Education - Health Plan | 730 |
| Requested | 1 | 9 | 0 | 0 | Referral - DFR/FSSA | 29 | Education - Choice Period | 328 |
| Approved | 3 | 7 | 4 | 0 | Education - Application | 26 | 09 Eligibility/Referral to DFR | 240 |
| Denied | 0 | 0 | 2 | 0 | ||||
| Pending | 1 | 4 | 0 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1114 | Call In For More Information | 158 | |||||
| Complaints by Entity | Referral - Health Plan | 1002 | Eligibility | 90 | ||||
| Anthem | 1 | Referral - FSSA | 923 | Application Process | 38 | |||
| CareSource | 1 | Education - General Program Information | 681 | Covered Services | 17 | |||
| FSSA / DFR / State | 6 | Referral - Gainwell Package C | 370 | POWER Account | 6 | |||
| Gainwell | 0 | Education - Choice Period | 152 | |||||
| Humana | 2 | Education - Guardianship/AR | 146 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 1 | Education - Application | 88 | Education - Health Plan | 2516 | |||
| Maximus | 3 | Referral - Traditional Medicaid | 82 | Education - General Program Information | 1790 | |||
| MDWise | 0 | Referral - DFR/FSSA | 55 | Referral - Health Plan | 1732 | |||
| United Healthcare | 4 | Referral - FSSA | 1633 | |||||
| Verida | 0 | Transfer - Health Plan | 428 | |||||
| Education - Guardianship/AR | 405 | |||||||
| Education - Choice Period | 378 | |||||||
| Transfer - FSSA | 261 | |||||||
| Education - Application | 216 | |||||||
| Transportation - Health Plan | 193 |
11-2024 MAXIMUS Dashboard November 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,785 | Education - Health Plan | 499 | 01 HIP Inquiry | 1925 | |||
| Hoosier Care Connect | 4,175 | Referral - Health Plan | 285 | Education - Health Plan | 1438 | |||
| Healthy Indiana Plan | 4,530 | Referral - FSSA | 278 | Referral - Health Plan | 1374 | |||
| HIP Chats | 420 | Education - General Program Information | 266 | 12 HIP Referral to Plan | 1362 | |||
| Indiana PathWays for Aging | 4,692 | Referral - Traditional Medicaid | 92 | 10 HIP Benefits/Covered Services | 1199 | |||
| Education - Guardianship/AR | 63 | 03 HIP Plan/Provider Information | 1097 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 45 | Referral - FSSA | 1080 |
| Prior Month Pending | 1 | 4 | 0 | 0 | Education - Application | 32 | 08 HIP Eligibility/General Information | 928 |
| Requested | 3 | 5 | 1 | 0 | Referral - DFR/FSSA | 29 | 04 HIP Plan Selection | 798 |
| Approved | 1 | 3 | 1 | 0 | Pharmacy - Health Plan | 16 | 09 Eligibility/Referral to DFR | 208 |
| Denied | 0 | 1 | 0 | 0 | ||||
| Pending | 3 | 5 | 0 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 972 | Call In For More Information | 168 | |||||
| Complaints by Entity | Referral - Health Plan | 776 | Eligibility | 63 | ||||
| Anthem | 0 | Referral - FSSA | 768 | Application Process | 51 | |||
| CareSource | 0 | Education - General Program Information | 559 | Covered Services | 16 | |||
| FSSA / DFR / State | 0 | Referral - Gainwell Package C | 260 | POWER Account | 7 | |||
| Gainwell | 0 | Education - Guardianship/AR | 156 | |||||
| Humana | 1 | Education - Choice Period | 147 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | Education - Application | 109 | Education - Health Plan | 1625 | |||
| Maximus | 0 | Referral - Traditional Medicaid | 57 | Referral - FSSA | 1285 | |||
| MDWise | 0 | Referral - DFR/FSSA | 57 | Education - General Program Information | 1114 | |||
| United Healthcare | 3 | Referral - Health Plan | 1031 | |||||
| Verida | 0 | Education - Guardianship/AR | 356 | |||||
| Transfer - Health Plan | 269 | |||||||
| Education - Application | 220 | |||||||
| Transfer - FSSA | 217 | |||||||
| Referral - PATH Member Services | 176 | |||||||
| Education - Choice Period | 133 |
12-2024 MAXIMUS Dashboard December 2024
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,687 | Education - Health Plan | 409 | 01 HIP Inquiry | 1739 | |||
| Hoosier Care Connect | 3,836 | Education - General Program Information | 300 | Referral - Health Plan | 1485 | |||
| Healthy Indiana Plan | 4,347 | Referral - FSSA | 291 | 12 HIP Referral to Plan | 1203 | |||
| HIP Chats | 472 | Referral - Health Plan | 254 | Referral - FSSA | 1152 | |||
| Indiana PathWays for Aging | 5,175 | Referral - Traditional Medicaid | 110 | Education - Health Plan | 1094 | |||
| Education - Guardianship/AR | 83 | 03 HIP Plan/Provider Information | 943 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 45 | 10 HIP Benefits/Covered Services | 935 |
| Prior Month Pending | 3 | 5 | 0 | 0 | Referral - DFR/FSSA | 37 | 08 HIP Eligibility/General Information | 879 |
| Requested | 1 | 7 | 5 | 0 | Education - Application | 29 | 04 HIP Plan Selection | 408 |
| Approved | 3 | 9 | 0 | 0 | Pharmacy - Health Plan | 22 | 09 Eligibility/Referral to DFR | 225 |
| Denied | 1 | 1 | 0 | 0 | ||||
| Pending | 0 | 2 | 5 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 968 | Call In For More Information | 153 | |||||
| Complaints by Entity | Referral - Health Plan | 759 | Eligibility | 87 | ||||
| Anthem | 2 | Referral - FSSA | 758 | Application Process | 46 | |||
| CareSource | 0 | Education - General Program Information | 664 | Covered Services | 15 | |||
| FSSA / DFR / State | 3 | Referral - Gainwell Package C | 248 | POWER Account | 8 | |||
| Gainwell | 0 | Education - Guardianship/AR | 160 | |||||
| Humana | 3 | Education - Choice Period | 131 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 1 | Education - Application | 94 | Education - Health Plan | 1836 | |||
| Maximus | 0 | Referral - Traditional Medicaid | 93 | Education - General Program Information | 1398 | |||
| MDWise | 0 | Referral - DFR/FSSA | 59 | Referral - FSSA | 1393 | |||
| United Healthcare | 4 | Referral - Health Plan | 1156 | |||||
| Verida | 0 | Education - Guardianship/AR | 383 | |||||
| Education - Application | 257 | |||||||
| Transfer - Health Plan | 239 | |||||||
| Transfer - FSSA | 216 | |||||||
| Education - Choice Period | 122 | |||||||
| Transportation - Health Plan | 119 |
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File details come from the government source that posted it. Updated .