2025 INEB Dashboard.xlsx

XLSX spreadsheet 200 KB Posted

Attached to
RFP 27-87793 FSSA OMPP Enrollment Broker ServicesBid Documents
Solicitation number
RFP 27-87793
Issued by
Marion County, Indiana

About this file

This file is a 2025 MAXIMUS Dashboard containing monthly operational data for Indiana's Medicaid and health insurance programs administered through the Family and Social Services Administration (FSSA). The dashboard tracks inbound call volume and call reasons across four primary programs: Hoosier Healthwise (HHW), Hoosier Care Connect (HCC), Healthy Indiana Plan (HIP), and Indiana PathWays for Aging (PATH). The data spans from January through December 2025 and provides monthly performance metrics, including total calls received by program, the top ten inbound call reasons for each program, HIP chat inquiries, and just cause processing statistics. The file also documents complaints submitted to the Indiana State Department of Health and other relevant entities, tracking complaints by managed health plans including Anthem, CareSource, Gainwell, Humana, MDWise, and United Healthcare.

The dashboard reveals significant operational trends throughout 2025, with notable spikes in call volume occurring in November and December, particularly related to MDWise terminations affecting HHW and HIP programs. Call reasons remain consistently focused on education regarding health plans, referrals to the FSSA, and general program information across all programs. Just cause processing shows pending cases throughout the year, with heightened activity in the final months. The data indicates that the call center operations managed by MAXIMUS handled increasing complexity in member communications, particularly during periods of plan terminations and enrollment transitions. No specific contract pricing, award dates, or renewal terms are provided within this operational dashboard.

View the file

Other files

File Type Posted
Att K (Addendum #1) SoW.docx DOCX document
RFP 27-87793 - Addendum #1 - Summary of Changes.docx DOCX document
HIP EB Assignment File to MMIS.xls XLS spreadsheet
HHW HCC EB Assignment File to MMIS.xls XLS spreadsheet
Att F (Addendum #1) - Technical Proposal - Enrollment Broker RFP 27-87793.docx DOCX document
Outbound dialer Details 2024-Present.xlsx XLSX spreadsheet
EB Notice Count by Type (2023-2026) updated.xlsx XLSX spreadsheet
Att D (Addendum #1) - Cost Proposal - Enrollment Broker RFP 27-87793.xlsx XLSX spreadsheet
Att G - Q&A (State Responses) (October 14, 2026).xlsx XLSX spreadsheet
RFP 27-87793 (Addendum #1) Main Document.pdf PDF
Att N (Addendum #1) - Performance Exhibit.docx DOCX document
Att_I_-_Pre-Proposal_Network_Form-Indiana Little Big Health Solutions.docx DOCX document
RFP 27-87793 - FSSA OMPP Enrollment Broker Services.docx DOCX document
RFP 27-87793 - Attachment I - ClinEfficiency Pro LLC.docx DOCX document
Att I - Pre-Proposal Network Form_Maximus.docx DOCX document
Att I - Pre-Proposal Network Form - Axon Advisors - IVOSB.docx DOCX document
Att I - Pre-Proposal Network Form - Vespa Group (IVOSB).docx DOCX document
Att I - Pre-Proposal Network Form_InclusiveStrategies.docx DOCX document
Att D - Cost Proposal - Enrollment Broker RFP 27-87793.xlsx XLSX spreadsheet
Att B1 - IOT-IaaS.docx DOCX document
Pathways Weekly Eligibility File to EB.xlsx XLSX spreadsheet
2024 - INEB Ongoing Notices Summary - Pathways.xlsx XLSX spreadsheet
Pathways EB Pending File to EB.xlsx XLSX spreadsheet
2025 INEB Member Services.xlsx XLSX spreadsheet
Att E - Business Proposal.docx DOCX document
Att J - Attestation Form.docx DOCX document
Att H - Reference Check Form.docx DOCX document
Att B3 - IOT-SaaS.docx DOCX document
Att G - Q&A Template.xlsx XLSX spreadsheet
RFP 27-87793 Main Document.pdf PDF
2026 INEB Dashboard.xlsx XLSX spreadsheet
HHW HCC HIP Member Assignment File Update to EB.xlsx XLSX spreadsheet
Att M - Infrastructure Overview.docx DOCX document
HIP Member Demographic File to EB.xlsx XLSX spreadsheet
Att F - Technical Proposal - Enrollment Broker RFP 27-87793.docx DOCX document
Quarterly Potentials File to EB.xls XLS spreadsheet
Pathways EB Selection Assign Response File to EB.xlsx XLSX spreadsheet
Att L - AI - Technical Proposal Questions.docx DOCX document
2024 INEB Dashboard.xlsx XLSX spreadsheet
Potentials File to EB.xls XLS spreadsheet
Att I - Pre-Proposal Network Form.docx DOCX document
2024 INEB Member Services.xlsx XLSX spreadsheet
Level Of Care File to EB.xls XLS spreadsheet
Pre-Proposal Conference RFP 87793.pptx PPTX presentation
EB- Permanent Pathway Exclusion Report.xls XLS spreadsheet
Att A - IVOSB Commitment Form.docx DOCX document
MCE Provider File to EB.xlsx XLSX spreadsheet
2026 - INEB Ongoing Notices Summary - Pathways.xlsx XLSX spreadsheet
Att B2 - IOT-PaaS.docx DOCX document
Pathways EB Recipient File to EB.xlsx XLSX spreadsheet
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Text version

01-2025 MAXIMUS Dashboard January 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,822Education - Health Plan41801 HIP Inquiry2132
Hoosier Care Connect3,075Referral - FSSA397Referral - Health Plan1715
Healthy Indiana Plan4,070Education - General Program Information33712 HIP Referral to Plan1541
HIP Chats517Referral - Health Plan23603 HIP Plan/Provider Information1289
Indiana PathWays for Aging5,146Referral - Traditional Medicaid138Referral - FSSA1280
Education - Guardianship/AR8910 HIP Benefits/Covered Services1127
Just Cause ProcessingHCCHHWHIPPATHEducation - Choice Period5408 HIP Eligibility/General Information948
Prior Month Pending0250Education - Application37Education - Health Plan835
Requested23180Referral - DFR/FSSA3604 HIP Plan Selection260
Approved0280Pharmacy - Health Plan3509 Eligibility/Referral to DFR204
Denied0050
Pending23100Top Ten Inbound HHW Calls By ReasonTop Five HIP Chats By Reason
Education - Health Plan1180Call In For More Information201
Complaints by EntityReferral - Health Plan1048Eligibility78
Anthem1Referral - FSSA970Application Process76
CareSource0Education - General Program Information771Covered Services17
FSSA / DFR / State1Referral - Gainwell Package C304POWER Account9
Gainwell0Education - Choice Period142
Humana1Education - Guardianship/AR136Top Ten Inbound PathWays Calls By Reason
Managed Health Services1Education - Application120Education - Health Plan1970
Maximus0Referral - Traditional Medicaid91Referral - FSSA1659
MDWise1Dental/Vision - Health Plan55Education - General Program Information1645
United Healthcare3Referral - Health Plan1215
Verida0Education - Guardianship/AR489
Education - Application313
Transfer - FSSA258
Transfer - Health Plan246
Referral - PATH Member Services207
Referral - Traditional Medicaid178

02-2025 MAXIMUS Dashboard February 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,302Education - Health Plan34501 HIP Inquiry2213
Hoosier Care Connect1,333Referral - FSSA294Referral - Health Plan1495
Healthy Indiana Plan3,451Education - General Program Information21812 HIP Referral to Plan1465
HIP Chats140Referral - Health Plan21103 HIP Plan/Provider Information1289
Indiana PathWays for Aging4,108Referral - Traditional Medicaid157Referral - FSSA1103
Education - Guardianship/AR5310 HIP Benefits/Covered Services1092
Just Cause ProcessingHCCHHWHIPPATHReferral - DFR/FSSA42Education - Health Plan800
Prior Month Pending23100Education - Choice Period3308 HIP Eligibility/General Information646
Requested1330Pharmacy - Traditional Medicaid3304 HIP Plan Selection280
Approved2420Pharmacy - Health Plan3007 HIP Power Account197
Denied0050
Pending1260Top Ten Inbound HHW Calls By ReasonTop Five HIP Chats By Reason
Education - Health Plan1123Call In For More Information53
Complaints by EntityReferral - Health Plan979Eligibility26
Anthem4Referral - FSSA918Application Process14
CareSource0Education - General Program Information533Covered Services3
FSSA / DFR / State2Referral - Gainwell Package C310POWER Account3
Gainwell0Education - Choice Period121
Humana6Education - Guardianship/AR119Top Ten Inbound PathWays Calls By Reason
Managed Health Services0Referral - Traditional Medicaid112Education - Health Plan1762
Maximus0Education - Application91Referral - FSSA1399
MDWise1Dental/Vision - Health Plan68Education - General Program Information1136
United Healthcare0Referral - Health Plan1016
Verida0Education - Guardianship/AR324
Transfer - Health Plan235
Education - Application210
Transfer - FSSA209
Referral - PATH Member Services176
Transfer - PATH Member Services137

03-2025 MAXIMUS Dashboard March 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,335Referral - FSSA25501 HIP Inquiry2062
Hoosier Care Connect1,132Education - Health Plan24712 HIP Referral to Plan1446
Healthy Indiana Plan3,339Education - General Program Information171Referral - Health Plan1438
HIP Chats10Referral - Health Plan17003 HIP Plan/Provider Information1224
Indiana PathWays for Aging3,812Referral - Traditional Medicaid12110 HIP Benefits/Covered Services1077
Referral - DFR/FSSA43Referral - FSSA1057
Just Cause ProcessingHCCHHWHIPPATHEducation - Choice Period39Education - Health Plan664
Prior Month Pending1260Education - Guardianship/AR3508 HIP Eligibility/General Information550
Requested57200Pharmacy - Health Plan2704 HIP Plan Selection253
Approved53120Pharmacy - Traditional Medicaid2407 HIP Power Account220
Denied0250
Pending1490Top Ten Inbound HHW Calls By ReasonTop Five HIP Chats By Reason
Education - Health Plan1063Call In For More Information7
Complaints by EntityReferral - Health Plan1021Application Process1
Anthem5Referral - FSSA879Covered Services1
CareSource0Education - General Program Information533HIP Plus Questions1
FSSA / DFR / State1Referral - Gainwell Package C276
Gainwell0Education - Choice Period120Top Ten Inbound PathWays Calls By Reason
Humana0Referral - Traditional Medicaid98Education - Health Plan1528
Managed Health Services0Education - Guardianship/AR82Referral - FSSA1251
Maximus0Referral - DFR/FSSA79Education - General Program Information1028
MDWise0Education - Application68Referral - Health Plan997
United Healthcare2Transfer - Health Plan232
Verida0Transfer - FSSA220
Education - Application185
Referral - PATH Member Services183
Education - Guardianship/AR164
Referral - Traditional Medicaid145

04-2025 MAXIMUS Dashboard April 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,443Referral - FSSA23501 HIP Inquiry1625
Hoosier Care Connect891Education - Health Plan225Referral - Health Plan1336
Healthy Indiana Plan3,439Referral - Health Plan19012 HIP Referral to Plan1219
HIP Chats0Education - General Program Information17203 HIP Plan/Provider Information1045
Indiana PathWays for Aging3,490Referral - Traditional Medicaid102Referral - FSSA1015
Education - Guardianship/AR4710 HIP Benefits/Covered Services955
Just Cause ProcessingHCCHHWHIPPATHEducation - Choice Period3708 HIP Eligibility/General Information445
Prior Month Pending1490Transfer - FSSA28Education - Health Plan421
Requested55110Pharmacy - Health Plan2607 HIP Power Account225
Approved3680Transfer - Health Plan23Pharmacy - Health Plan180
Denied1040
Pending2380Top Ten Inbound HHW Calls By ReasonTop Five HIP Chats By Reason
Referral - Health Plan901Call In For More InformationN/A
Complaints by EntityReferral - FSSA859Application ProcessN/A
Anthem2Education - Health Plan803Covered ServicesN/A
CareSource0Education - General Program Information523HIP Plus QuestionsN/A
FSSA / DFR / State0Referral - Gainwell Package C306
Gainwell0Education - Choice Period98Top Ten Inbound PathWays Calls By Reason
Humana1Transfer - Health Plan97Education - Health Plan1258
Managed Health Services0Education - Guardianship/AR93Referral - FSSA1034
Maximus0Transfer - FSSA81Education - General Program Information890
MDWise0Referral - Traditional Medicaid70Referral - Health Plan805
United Healthcare0Education - Guardianship/AR234
Verida1Transfer - Health Plan155
Transfer - FSSA153
Referral - PATH Member Services127
Education - Application122
Referral - Traditional Medicaid97

05-2025 MAXIMUS Dashboard May 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,205Education - Health Plan22901 HIP Inquiry1670
Hoosier Care Connect845Referral - FSSA221Referral - Health Plan1273
Healthy Indiana Plan3,139Education - General Program Information21012 HIP Referral to Plan1153
HIP Chats0Referral - Health Plan15203 HIP Plan/Provider Information1042
Indiana PathWays for Aging3,085Referral - Traditional Medicaid9610 HIP Benefits/Covered Services972
Education - Guardianship/AR44Referral - FSSA945
Just Cause ProcessingHCCHHWHIPPATHEducation - Choice Period4108 HIP Eligibility/General Information645
Prior Month Pending3370Referral - DFR/FSSA35Education - Health Plan520
Requested3060Transfer - Health Plan2807 HIP Power Account171
Approved32100Transfer - FSSA27Pharmacy - Health Plan168
Denied1100
Pending2030Top Ten Inbound HHW Calls By ReasonTop Five HIP Chats By Reason
Referral - Health Plan869Call In For More InformationN/A
Complaints by EntityEducation - Health Plan862Application ProcessN/A
Anthem2Referral - FSSA798Covered ServicesN/A
CareSource0Education - General Program Information551HIP Plus QuestionsN/A
FSSA / DFR / State0Referral - Gainwell Package C297
Gainwell0Education - Choice Period114Top Ten Inbound PathWays Calls By Reason
Humana0Education - Guardianship/AR104Education - Health Plan1220
Managed Health Services0Transfer - Health Plan88Education - General Program Information1115
Maximus0Referral - Traditional Medicaid85Referral - FSSA928
MDWise0Transfer - FSSA78Referral - Health Plan776
United Healthcare3Education - Guardianship/AR267
Verida1Transfer - Health Plan158
Transfer - FSSA135
Transfer - PATH Member Services120
Referral - Traditional Medicaid104
Education - Application96

06-2025 MAXIMUS Dashboard June 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,138Education - Health Plan36301 HIP Inquiry1826
Hoosier Care Connect1,122Education - General Program Information285Referral - Health Plan1235
Healthy Indiana Plan3,089Referral - FSSA25112 HIP Referral to Plan1215
HIP Chats0Referral - Health Plan21203 HIP Plan/Provider Information1122
Indiana PathWays for Aging2,881Referral - Traditional Medicaid14110 HIP Benefits/Covered Services1031
Referral - DFR/FSSA63Referral - FSSA967
Just Cause ProcessingHCCHHWHIPPATHEducation - Guardianship/AR4708 HIP Eligibility/General Information573
Prior Month Pending2030Education - Choice Period43Education - Health Plan563
Requested23110Transfer - FSSA2609 Eligibility/Referral to DFR226
Approved2150Pharmacy - Health Plan2507 HIP Power Account210
Denied0020
Pending2270Top Ten Inbound HHW Calls By ReasonTop Five HIP Chats By Reason
Education - Health Plan949N/A
Complaints by EntityReferral - FSSA810
Anthem2Referral - Health Plan770Top Ten Inbound PathWays Calls By Reason
CareSource0Education - General Program Information593Education - Health Plan1297
FSSA / DFR / State1Referral - Gainwell Package C341Education - General Program Information1092
Gainwell0Education - Choice Period100Referral - FSSA879
Humana1Education - Guardianship/AR81Referral - Health Plan760
Managed Health Services1Transfer - Health Plan78Education - Guardianship/AR241
Maximus0Referral - Traditional Medicaid75Transfer - Health Plan120
MDWise0Transfer - FSSA71Education - Application107
United Healthcare2Transfer - PATH Member Services105
Verida0Transfer - FSSA100
Referral - Traditional Medicaid98

07-2025 MAXIMUS Dashboard July 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,496Education - Health Plan35001 HIP Inquiry1989
Hoosier Care Connect1,039Education - General Program Information313Referral - Health Plan1404
Healthy Indiana Plan3,244Referral - FSSA27612 HIP Referral to Plan1312
HIP Chats0Referral - Health Plan25803 HIP Plan/Provider Information1192
Indiana PathWays for Aging1,969Referral - Traditional Medicaid148Referral - FSSA1064
Education - Guardianship/AR6610 HIP Benefits/Covered Services989
Just Cause ProcessingHCCHHWHIPPATHReferral - DFR/FSSA66Education - Health Plan657
Prior Month Pending2270Education - Choice Period4808 HIP Eligibility/General Information604
Requested1450Pharmacy - Health Plan2709 Eligibility/Referral to DFR266
Approved0430Transfer - Health Plan2507 HIP Power Account213
Denied0050
Pending3240Top Ten Inbound HHW Calls By ReasonTop Ten Inbound PathWays Calls By Reason
Education - Health Plan1060Education - Health Plan1105
Complaints by EntityReferral - FSSA928Education - General Program Information748
Anthem1Referral - Health Plan923Referral - FSSA657
CareSource1Education - General Program Information660Referral - Health Plan528
FSSA / DFR / State0Referral - Gainwell Package C403Education - Guardianship/AR212
Gainwell0Education - Guardianship/AR152Transfer - PATH Member Services116
Humana1Education - Choice Period116Transfer - FSSA75
Managed Health Services0Referral - Traditional Medicaid102Referral - Traditional Medicaid68
Maximus0Pharmacy - Health Plan83Transfer - Health Plan62
MDWise0Transfer - FSSA83Education - Application60
United Healthcare3
Verida0

08-2025 MAXIMUS Dashboard August 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,514Education - Health Plan33001 HIP Inquiry1852
Hoosier Care Connect925Education - General Program Information321Referral - Health Plan1403
Healthy Indiana Plan3,096Referral - FSSA23812 HIP Referral to Plan1248
HIP Chats0Referral - Health Plan20003 HIP Plan/Provider Information1166
Indiana PathWays for Aging1,894Referral - Traditional Medicaid15510 HIP Benefits/Covered Services992
Education - Guardianship/AR69Referral - FSSA984
Just Cause ProcessingHCCHHWHIPPATHReferral - DFR/FSSA5908 HIP Eligibility/General Information653
Prior Month Pending3240Education - Choice Period39Education - Health Plan625
Requested22170Pharmacy - Traditional Medicaid2509 Eligibility/Referral to DFR199
Approved3160Transfer - FSSA19Education - Guardianship/AR185
Denied0110
Pending22140Top Ten Inbound HHW Calls By ReasonTop Ten Inbound PathWays Calls By Reason
Education - Health Plan1095Education - Health Plan1055
Complaints by EntityReferral - Health Plan1019Education - General Program Information773
Anthem1Referral - FSSA980Referral - FSSA641
CareSource0Education - General Program Information826Referral - Health Plan437
FSSA / DFR / State2Referral - Gainwell Package C414Education - Guardianship/AR225
Gainwell0Education - Guardianship/AR178Transfer - PATH Member Services106
Humana0Education - Choice Period133Education - Application69
Managed Health Services1Referral - Traditional Medicaid94Transfer - FSSA67
Maximus0Pharmacy - Health Plan77Transfer - Health Plan67
MDWise1Referral - DFR/FSSA64Referral - Traditional Medicaid60
United Healthcare2
Verida0

09-2025 MAXIMUS Dashboard September 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,396Education - Health Plan39601 HIP Inquiry1734
Hoosier Care Connect937Education - General Program Information335Referral - Health Plan1400
Healthy Indiana Plan3,144Referral - FSSA25112 HIP Referral to Plan1355
HIP Chats0Referral - Health Plan23803 HIP Plan/Provider Information1111
Indiana PathWays for Aging1,833Referral - Traditional Medicaid12410 HIP Benefits/Covered Services1011
Education - Guardianship/AR76Referral - FSSA959
Just Cause ProcessingHCCHHWHIPPATHReferral - DFR/FSSA54Education - Health Plan668
Prior Month Pending22140Education - Choice Period3808 HIP Eligibility/General Information603
Requested78120Transfer - FSSA3209 Eligibility/Referral to DFR223
Approved44110Pharmacy - Health Plan29Education - Guardianship/AR188
Denied0030
Pending56120Top Ten Inbound HHW Calls By ReasonTop Ten Inbound PathWays Calls By Reason
Education - Health Plan1143Education - Health Plan940
Complaints by EntityReferral - Health Plan947Education - General Program Information909
AnthemReferral - FSSA922Referral - FSSA631
CareSourceEducation - General Program Information681Referral - Health Plan461
FSSA / DFR / StateReferral - Gainwell Package C355Education - Guardianship/AR238
GainwellEducation - Guardianship/AR159Transfer - PATH Member Services95
HumanaEducation - Choice Period125Education - Application79
Managed Health ServicesReferral - Traditional Medicaid78Transfer - Health Plan77
MaximusReferral - DFR/FSSA71Referral - Traditional Medicaid42
MDWiseDental/Vision - Health Plan57Transfer - FSSA38
United Healthcare1
Verida

10-2025 MAXIMUS Dashboard October 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise2,453Education - General Program Information38301 HIP Inquiry1450
Hoosier Care Connect956Education - Health Plan369Referral - Health Plan1253
Healthy Indiana Plan3,327Referral - FSSA29912 HIP Referral to Plan1096
HIP Chats0Referral - Health Plan23903 HIP Plan/Provider Information997
Indiana PathWays for Aging2,248Referral - Traditional Medicaid151Referral - FSSA909
Education - Choice Period7110 HIP Benefits/Covered Services876
Just Cause ProcessingHCCHHWHIPPATHEducation - Guardianship/AR58Education - Health Plan617
Prior Month Pending35120Referral - DFR/FSSA4408 HIP Eligibility/General Information540
Requested3960Pharmacy - Traditional Medicaid3109 Eligibility/Referral to DFR233
Approved45110Transfer - Health Plan29Education - Choice Period226
Denied0000
Pending2970Top Ten Inbound HHW Calls By ReasonTop Ten Inbound PathWays Calls By Reason
Education - Health Plan993Education - General Program Information971
Complaints by EntityReferral - Health Plan848Education - Health Plan942
AnthemReferral - FSSA756Referral - FSSA662
CareSourceEducation - General Program Information661Referral - Health Plan556
FSSA / DFR / State1Referral - Gainwell Package C277Education - Choice Period186
GainwellEducation - Choice Period170Education - Guardianship/AR186
Humana2Education - Guardianship/AR127Transfer - PATH Member Services97
Managed Health Services1Referral - Traditional Medicaid69Education - Application75
MaximusReferral - DFR/FSSA59Transfer - FSSA61
MDWiseTransfer - FSSA59Referral - Traditional Medicaid56
United Healthcare
Verida

11-2025 MAXIMUS Dashboard November 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise4,060Education - Health Plan324Education - Health Plan4757
Hoosier Care Connect869Education - General Program Information27601 HIP Inquiry3978
Healthy Indiana Plan6,456Referral - FSSA222MDWise Termination HIP3294
HIP Chats0Referral - Health Plan16510 HIP Benefits/Covered Services2791
Indiana PathWays for Aging1,544Referral - Traditional Medicaid10804 HIP Plan Selection2744
Education - Choice Period6812 HIP Referral to Plan2466
Just Cause ProcessingHCCHHWHIPPATHEducation - Guardianship/AR5903 HIP Plan/Provider Information2295
Prior Month Pending2970Referral - Health Plan Grievance33Referral - Health Plan1519
Requested131730Referral - DFR/FSSA28Referral - FSSA1345
Approved3640Pharmacy - Health Plan2208 HIP Eligibility/General Information1017
Denied0120
Pending121940Top Ten Inbound HHW Calls By ReasonTop Ten Inbound PathWays Calls By Reason
Education - Health Plan3703Education - Health Plan876
Complaints by EntityMDWise Termination HHW2293Education - General Program Information768
AnthemReferral - FSSA1098Referral - FSSA511
CareSourceEducation - General Program Information1032Referral - Health Plan410
FSSA / DFR / StateReferral - Health Plan970Education - Guardianship/AR182
GainwellEducation - Guardianship/AR313Education - Choice Period99
Humana1Referral - Gainwell Package C232Transfer - PATH Member Services72
Managed Health Services1Education - Choice Period191Education - Application57
MaximusReferral - Traditional Medicaid79Referral - Traditional Medicaid48
MDWisePharmacy - Health Plan71Transfer - FSSA36
United Healthcare1
Verida

12-2025 MAXIMUS Dashboard December 2025

Total Calls by ProgramTop Ten Inbound HCC Calls By ReasonTop Ten Inbound HIP Calls By Reason
Hoosier Healthwise8,871Education - Health Plan286Education - Health Plan11037
Hoosier Care Connect807Education - General Program Information249MDWise Termination HIP9516
Healthy Indiana Plan12,412Referral - FSSA17001 HIP Inquiry7704
HIP Chats0Referral - Health Plan10904 HIP Plan Selection7279
Indiana PathWays for Aging1,688Referral - Traditional Medicaid7803 HIP Plan/Provider Information4007
Education - Choice Period7212 HIP Referral to Plan2734
Just Cause ProcessingHCCHHWHIPPATHEducation - Guardianship/AR4710 HIP Benefits/Covered Services2361
Prior Month Pending141840Just Cause Status Update40Referral - FSSA2314
Requested222200Just Cause Service Request31MDWise Termination HHW1700
Approved7500MDWise Termination HHW23Referral - Health Plan1454
Denied51040
Pending242500Top Ten Inbound HHW Calls By ReasonTop Ten Inbound PathWays Calls By Reason
Education - Health Plan8847Education - General Program Information1102
Complaints by EntityMDWise Termination HHW6835Education - Health Plan393
Anthem1Referral - FSSA1903Referral - FSSA239
CareSourceEducation - General Program Information1455Education - Choice Period165
FSSA / DFR / StateReferral - Health Plan1127Referral - Health Plan122
GainwellEducation - Guardianship/AR583Education - Guardianship/AR47
HumanaEducation - Choice Period231Transfer - PATH Member Services37
Managed Health ServicesReferral - Gainwell Package C171Education - Application27
MaximusEducation - Application141Referral - Traditional Medicaid16
MDWiseReferral - Traditional Medicaid92Pharmacy - Health Plan15
United Healthcare
Verida

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