2025 INEB Dashboard.xlsx
XLSX spreadsheet 200 KB Posted
- 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.
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01-2025 MAXIMUS Dashboard January 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,822 | Education - Health Plan | 418 | 01 HIP Inquiry | 2132 | |||
| Hoosier Care Connect | 3,075 | Referral - FSSA | 397 | Referral - Health Plan | 1715 | |||
| Healthy Indiana Plan | 4,070 | Education - General Program Information | 337 | 12 HIP Referral to Plan | 1541 | |||
| HIP Chats | 517 | Referral - Health Plan | 236 | 03 HIP Plan/Provider Information | 1289 | |||
| Indiana PathWays for Aging | 5,146 | Referral - Traditional Medicaid | 138 | Referral - FSSA | 1280 | |||
| Education - Guardianship/AR | 89 | 10 HIP Benefits/Covered Services | 1127 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 54 | 08 HIP Eligibility/General Information | 948 |
| Prior Month Pending | 0 | 2 | 5 | 0 | Education - Application | 37 | Education - Health Plan | 835 |
| Requested | 2 | 3 | 18 | 0 | Referral - DFR/FSSA | 36 | 04 HIP Plan Selection | 260 |
| Approved | 0 | 2 | 8 | 0 | Pharmacy - Health Plan | 35 | 09 Eligibility/Referral to DFR | 204 |
| Denied | 0 | 0 | 5 | 0 | ||||
| Pending | 2 | 3 | 10 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1180 | Call In For More Information | 201 | |||||
| Complaints by Entity | Referral - Health Plan | 1048 | Eligibility | 78 | ||||
| Anthem | 1 | Referral - FSSA | 970 | Application Process | 76 | |||
| CareSource | 0 | Education - General Program Information | 771 | Covered Services | 17 | |||
| FSSA / DFR / State | 1 | Referral - Gainwell Package C | 304 | POWER Account | 9 | |||
| Gainwell | 0 | Education - Choice Period | 142 | |||||
| Humana | 1 | Education - Guardianship/AR | 136 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 1 | Education - Application | 120 | Education - Health Plan | 1970 | |||
| Maximus | 0 | Referral - Traditional Medicaid | 91 | Referral - FSSA | 1659 | |||
| MDWise | 1 | Dental/Vision - Health Plan | 55 | Education - General Program Information | 1645 | |||
| United Healthcare | 3 | Referral - Health Plan | 1215 | |||||
| Verida | 0 | Education - Guardianship/AR | 489 | |||||
| Education - Application | 313 | |||||||
| Transfer - FSSA | 258 | |||||||
| Transfer - Health Plan | 246 | |||||||
| Referral - PATH Member Services | 207 | |||||||
| Referral - Traditional Medicaid | 178 |
02-2025 MAXIMUS Dashboard February 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,302 | Education - Health Plan | 345 | 01 HIP Inquiry | 2213 | |||
| Hoosier Care Connect | 1,333 | Referral - FSSA | 294 | Referral - Health Plan | 1495 | |||
| Healthy Indiana Plan | 3,451 | Education - General Program Information | 218 | 12 HIP Referral to Plan | 1465 | |||
| HIP Chats | 140 | Referral - Health Plan | 211 | 03 HIP Plan/Provider Information | 1289 | |||
| Indiana PathWays for Aging | 4,108 | Referral - Traditional Medicaid | 157 | Referral - FSSA | 1103 | |||
| Education - Guardianship/AR | 53 | 10 HIP Benefits/Covered Services | 1092 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Referral - DFR/FSSA | 42 | Education - Health Plan | 800 |
| Prior Month Pending | 2 | 3 | 10 | 0 | Education - Choice Period | 33 | 08 HIP Eligibility/General Information | 646 |
| Requested | 1 | 3 | 3 | 0 | Pharmacy - Traditional Medicaid | 33 | 04 HIP Plan Selection | 280 |
| Approved | 2 | 4 | 2 | 0 | Pharmacy - Health Plan | 30 | 07 HIP Power Account | 197 |
| Denied | 0 | 0 | 5 | 0 | ||||
| Pending | 1 | 2 | 6 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1123 | Call In For More Information | 53 | |||||
| Complaints by Entity | Referral - Health Plan | 979 | Eligibility | 26 | ||||
| Anthem | 4 | Referral - FSSA | 918 | Application Process | 14 | |||
| CareSource | 0 | Education - General Program Information | 533 | Covered Services | 3 | |||
| FSSA / DFR / State | 2 | Referral - Gainwell Package C | 310 | POWER Account | 3 | |||
| Gainwell | 0 | Education - Choice Period | 121 | |||||
| Humana | 6 | Education - Guardianship/AR | 119 | Top Ten Inbound PathWays Calls By Reason | ||||
| Managed Health Services | 0 | Referral - Traditional Medicaid | 112 | Education - Health Plan | 1762 | |||
| Maximus | 0 | Education - Application | 91 | Referral - FSSA | 1399 | |||
| MDWise | 1 | Dental/Vision - Health Plan | 68 | Education - General Program Information | 1136 | |||
| United Healthcare | 0 | Referral - Health Plan | 1016 | |||||
| Verida | 0 | Education - Guardianship/AR | 324 | |||||
| Transfer - Health Plan | 235 | |||||||
| Education - Application | 210 | |||||||
| Transfer - FSSA | 209 | |||||||
| Referral - PATH Member Services | 176 | |||||||
| Transfer - PATH Member Services | 137 |
03-2025 MAXIMUS Dashboard March 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,335 | Referral - FSSA | 255 | 01 HIP Inquiry | 2062 | |||
| Hoosier Care Connect | 1,132 | Education - Health Plan | 247 | 12 HIP Referral to Plan | 1446 | |||
| Healthy Indiana Plan | 3,339 | Education - General Program Information | 171 | Referral - Health Plan | 1438 | |||
| HIP Chats | 10 | Referral - Health Plan | 170 | 03 HIP Plan/Provider Information | 1224 | |||
| Indiana PathWays for Aging | 3,812 | Referral - Traditional Medicaid | 121 | 10 HIP Benefits/Covered Services | 1077 | |||
| Referral - DFR/FSSA | 43 | Referral - FSSA | 1057 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 39 | Education - Health Plan | 664 |
| Prior Month Pending | 1 | 2 | 6 | 0 | Education - Guardianship/AR | 35 | 08 HIP Eligibility/General Information | 550 |
| Requested | 5 | 7 | 20 | 0 | Pharmacy - Health Plan | 27 | 04 HIP Plan Selection | 253 |
| Approved | 5 | 3 | 12 | 0 | Pharmacy - Traditional Medicaid | 24 | 07 HIP Power Account | 220 |
| Denied | 0 | 2 | 5 | 0 | ||||
| Pending | 1 | 4 | 9 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 1063 | Call In For More Information | 7 | |||||
| Complaints by Entity | Referral - Health Plan | 1021 | Application Process | 1 | ||||
| Anthem | 5 | Referral - FSSA | 879 | Covered Services | 1 | |||
| CareSource | 0 | Education - General Program Information | 533 | HIP Plus Questions | 1 | |||
| FSSA / DFR / State | 1 | Referral - Gainwell Package C | 276 | |||||
| Gainwell | 0 | Education - Choice Period | 120 | Top Ten Inbound PathWays Calls By Reason | ||||
| Humana | 0 | Referral - Traditional Medicaid | 98 | Education - Health Plan | 1528 | |||
| Managed Health Services | 0 | Education - Guardianship/AR | 82 | Referral - FSSA | 1251 | |||
| Maximus | 0 | Referral - DFR/FSSA | 79 | Education - General Program Information | 1028 | |||
| MDWise | 0 | Education - Application | 68 | Referral - Health Plan | 997 | |||
| United Healthcare | 2 | Transfer - Health Plan | 232 | |||||
| Verida | 0 | Transfer - FSSA | 220 | |||||
| Education - Application | 185 | |||||||
| Referral - PATH Member Services | 183 | |||||||
| Education - Guardianship/AR | 164 | |||||||
| Referral - Traditional Medicaid | 145 |
04-2025 MAXIMUS Dashboard April 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,443 | Referral - FSSA | 235 | 01 HIP Inquiry | 1625 | |||
| Hoosier Care Connect | 891 | Education - Health Plan | 225 | Referral - Health Plan | 1336 | |||
| Healthy Indiana Plan | 3,439 | Referral - Health Plan | 190 | 12 HIP Referral to Plan | 1219 | |||
| HIP Chats | 0 | Education - General Program Information | 172 | 03 HIP Plan/Provider Information | 1045 | |||
| Indiana PathWays for Aging | 3,490 | Referral - Traditional Medicaid | 102 | Referral - FSSA | 1015 | |||
| Education - Guardianship/AR | 47 | 10 HIP Benefits/Covered Services | 955 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 37 | 08 HIP Eligibility/General Information | 445 |
| Prior Month Pending | 1 | 4 | 9 | 0 | Transfer - FSSA | 28 | Education - Health Plan | 421 |
| Requested | 5 | 5 | 11 | 0 | Pharmacy - Health Plan | 26 | 07 HIP Power Account | 225 |
| Approved | 3 | 6 | 8 | 0 | Transfer - Health Plan | 23 | Pharmacy - Health Plan | 180 |
| Denied | 1 | 0 | 4 | 0 | ||||
| Pending | 2 | 3 | 8 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Referral - Health Plan | 901 | Call In For More Information | N/A | |||||
| Complaints by Entity | Referral - FSSA | 859 | Application Process | N/A | ||||
| Anthem | 2 | Education - Health Plan | 803 | Covered Services | N/A | |||
| CareSource | 0 | Education - General Program Information | 523 | HIP Plus Questions | N/A | |||
| FSSA / DFR / State | 0 | Referral - Gainwell Package C | 306 | |||||
| Gainwell | 0 | Education - Choice Period | 98 | Top Ten Inbound PathWays Calls By Reason | ||||
| Humana | 1 | Transfer - Health Plan | 97 | Education - Health Plan | 1258 | |||
| Managed Health Services | 0 | Education - Guardianship/AR | 93 | Referral - FSSA | 1034 | |||
| Maximus | 0 | Transfer - FSSA | 81 | Education - General Program Information | 890 | |||
| MDWise | 0 | Referral - Traditional Medicaid | 70 | Referral - Health Plan | 805 | |||
| United Healthcare | 0 | Education - Guardianship/AR | 234 | |||||
| Verida | 1 | Transfer - Health Plan | 155 | |||||
| Transfer - FSSA | 153 | |||||||
| Referral - PATH Member Services | 127 | |||||||
| Education - Application | 122 | |||||||
| Referral - Traditional Medicaid | 97 |
05-2025 MAXIMUS Dashboard May 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,205 | Education - Health Plan | 229 | 01 HIP Inquiry | 1670 | |||
| Hoosier Care Connect | 845 | Referral - FSSA | 221 | Referral - Health Plan | 1273 | |||
| Healthy Indiana Plan | 3,139 | Education - General Program Information | 210 | 12 HIP Referral to Plan | 1153 | |||
| HIP Chats | 0 | Referral - Health Plan | 152 | 03 HIP Plan/Provider Information | 1042 | |||
| Indiana PathWays for Aging | 3,085 | Referral - Traditional Medicaid | 96 | 10 HIP Benefits/Covered Services | 972 | |||
| Education - Guardianship/AR | 44 | Referral - FSSA | 945 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Choice Period | 41 | 08 HIP Eligibility/General Information | 645 |
| Prior Month Pending | 3 | 3 | 7 | 0 | Referral - DFR/FSSA | 35 | Education - Health Plan | 520 |
| Requested | 3 | 0 | 6 | 0 | Transfer - Health Plan | 28 | 07 HIP Power Account | 171 |
| Approved | 3 | 2 | 10 | 0 | Transfer - FSSA | 27 | Pharmacy - Health Plan | 168 |
| Denied | 1 | 1 | 0 | 0 | ||||
| Pending | 2 | 0 | 3 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Referral - Health Plan | 869 | Call In For More Information | N/A | |||||
| Complaints by Entity | Education - Health Plan | 862 | Application Process | N/A | ||||
| Anthem | 2 | Referral - FSSA | 798 | Covered Services | N/A | |||
| CareSource | 0 | Education - General Program Information | 551 | HIP Plus Questions | N/A | |||
| FSSA / DFR / State | 0 | Referral - Gainwell Package C | 297 | |||||
| Gainwell | 0 | Education - Choice Period | 114 | Top Ten Inbound PathWays Calls By Reason | ||||
| Humana | 0 | Education - Guardianship/AR | 104 | Education - Health Plan | 1220 | |||
| Managed Health Services | 0 | Transfer - Health Plan | 88 | Education - General Program Information | 1115 | |||
| Maximus | 0 | Referral - Traditional Medicaid | 85 | Referral - FSSA | 928 | |||
| MDWise | 0 | Transfer - FSSA | 78 | Referral - Health Plan | 776 | |||
| United Healthcare | 3 | Education - Guardianship/AR | 267 | |||||
| Verida | 1 | Transfer - Health Plan | 158 | |||||
| Transfer - FSSA | 135 | |||||||
| Transfer - PATH Member Services | 120 | |||||||
| Referral - Traditional Medicaid | 104 | |||||||
| Education - Application | 96 |
06-2025 MAXIMUS Dashboard June 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,138 | Education - Health Plan | 363 | 01 HIP Inquiry | 1826 | |||
| Hoosier Care Connect | 1,122 | Education - General Program Information | 285 | Referral - Health Plan | 1235 | |||
| Healthy Indiana Plan | 3,089 | Referral - FSSA | 251 | 12 HIP Referral to Plan | 1215 | |||
| HIP Chats | 0 | Referral - Health Plan | 212 | 03 HIP Plan/Provider Information | 1122 | |||
| Indiana PathWays for Aging | 2,881 | Referral - Traditional Medicaid | 141 | 10 HIP Benefits/Covered Services | 1031 | |||
| Referral - DFR/FSSA | 63 | Referral - FSSA | 967 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Guardianship/AR | 47 | 08 HIP Eligibility/General Information | 573 |
| Prior Month Pending | 2 | 0 | 3 | 0 | Education - Choice Period | 43 | Education - Health Plan | 563 |
| Requested | 2 | 3 | 11 | 0 | Transfer - FSSA | 26 | 09 Eligibility/Referral to DFR | 226 |
| Approved | 2 | 1 | 5 | 0 | Pharmacy - Health Plan | 25 | 07 HIP Power Account | 210 |
| Denied | 0 | 0 | 2 | 0 | ||||
| Pending | 2 | 2 | 7 | 0 | Top Ten Inbound HHW Calls By Reason | Top Five HIP Chats By Reason | ||
| Education - Health Plan | 949 | N/A | ||||||
| Complaints by Entity | Referral - FSSA | 810 | ||||||
| Anthem | 2 | Referral - Health Plan | 770 | Top Ten Inbound PathWays Calls By Reason | ||||
| CareSource | 0 | Education - General Program Information | 593 | Education - Health Plan | 1297 | |||
| FSSA / DFR / State | 1 | Referral - Gainwell Package C | 341 | Education - General Program Information | 1092 | |||
| Gainwell | 0 | Education - Choice Period | 100 | Referral - FSSA | 879 | |||
| Humana | 1 | Education - Guardianship/AR | 81 | Referral - Health Plan | 760 | |||
| Managed Health Services | 1 | Transfer - Health Plan | 78 | Education - Guardianship/AR | 241 | |||
| Maximus | 0 | Referral - Traditional Medicaid | 75 | Transfer - Health Plan | 120 | |||
| MDWise | 0 | Transfer - FSSA | 71 | Education - Application | 107 | |||
| United Healthcare | 2 | Transfer - PATH Member Services | 105 | |||||
| Verida | 0 | Transfer - FSSA | 100 | |||||
| Referral - Traditional Medicaid | 98 |
07-2025 MAXIMUS Dashboard July 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,496 | Education - Health Plan | 350 | 01 HIP Inquiry | 1989 | |||
| Hoosier Care Connect | 1,039 | Education - General Program Information | 313 | Referral - Health Plan | 1404 | |||
| Healthy Indiana Plan | 3,244 | Referral - FSSA | 276 | 12 HIP Referral to Plan | 1312 | |||
| HIP Chats | 0 | Referral - Health Plan | 258 | 03 HIP Plan/Provider Information | 1192 | |||
| Indiana PathWays for Aging | 1,969 | Referral - Traditional Medicaid | 148 | Referral - FSSA | 1064 | |||
| Education - Guardianship/AR | 66 | 10 HIP Benefits/Covered Services | 989 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Referral - DFR/FSSA | 66 | Education - Health Plan | 657 |
| Prior Month Pending | 2 | 2 | 7 | 0 | Education - Choice Period | 48 | 08 HIP Eligibility/General Information | 604 |
| Requested | 1 | 4 | 5 | 0 | Pharmacy - Health Plan | 27 | 09 Eligibility/Referral to DFR | 266 |
| Approved | 0 | 4 | 3 | 0 | Transfer - Health Plan | 25 | 07 HIP Power Account | 213 |
| Denied | 0 | 0 | 5 | 0 | ||||
| Pending | 3 | 2 | 4 | 0 | Top Ten Inbound HHW Calls By Reason | Top Ten Inbound PathWays Calls By Reason | ||
| Education - Health Plan | 1060 | Education - Health Plan | 1105 | |||||
| Complaints by Entity | Referral - FSSA | 928 | Education - General Program Information | 748 | ||||
| Anthem | 1 | Referral - Health Plan | 923 | Referral - FSSA | 657 | |||
| CareSource | 1 | Education - General Program Information | 660 | Referral - Health Plan | 528 | |||
| FSSA / DFR / State | 0 | Referral - Gainwell Package C | 403 | Education - Guardianship/AR | 212 | |||
| Gainwell | 0 | Education - Guardianship/AR | 152 | Transfer - PATH Member Services | 116 | |||
| Humana | 1 | Education - Choice Period | 116 | Transfer - FSSA | 75 | |||
| Managed Health Services | 0 | Referral - Traditional Medicaid | 102 | Referral - Traditional Medicaid | 68 | |||
| Maximus | 0 | Pharmacy - Health Plan | 83 | Transfer - Health Plan | 62 | |||
| MDWise | 0 | Transfer - FSSA | 83 | Education - Application | 60 | |||
| United Healthcare | 3 | |||||||
| Verida | 0 |
08-2025 MAXIMUS Dashboard August 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,514 | Education - Health Plan | 330 | 01 HIP Inquiry | 1852 | |||
| Hoosier Care Connect | 925 | Education - General Program Information | 321 | Referral - Health Plan | 1403 | |||
| Healthy Indiana Plan | 3,096 | Referral - FSSA | 238 | 12 HIP Referral to Plan | 1248 | |||
| HIP Chats | 0 | Referral - Health Plan | 200 | 03 HIP Plan/Provider Information | 1166 | |||
| Indiana PathWays for Aging | 1,894 | Referral - Traditional Medicaid | 155 | 10 HIP Benefits/Covered Services | 992 | |||
| Education - Guardianship/AR | 69 | Referral - FSSA | 984 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Referral - DFR/FSSA | 59 | 08 HIP Eligibility/General Information | 653 |
| Prior Month Pending | 3 | 2 | 4 | 0 | Education - Choice Period | 39 | Education - Health Plan | 625 |
| Requested | 2 | 2 | 17 | 0 | Pharmacy - Traditional Medicaid | 25 | 09 Eligibility/Referral to DFR | 199 |
| Approved | 3 | 1 | 6 | 0 | Transfer - FSSA | 19 | Education - Guardianship/AR | 185 |
| Denied | 0 | 1 | 1 | 0 | ||||
| Pending | 2 | 2 | 14 | 0 | Top Ten Inbound HHW Calls By Reason | Top Ten Inbound PathWays Calls By Reason | ||
| Education - Health Plan | 1095 | Education - Health Plan | 1055 | |||||
| Complaints by Entity | Referral - Health Plan | 1019 | Education - General Program Information | 773 | ||||
| Anthem | 1 | Referral - FSSA | 980 | Referral - FSSA | 641 | |||
| CareSource | 0 | Education - General Program Information | 826 | Referral - Health Plan | 437 | |||
| FSSA / DFR / State | 2 | Referral - Gainwell Package C | 414 | Education - Guardianship/AR | 225 | |||
| Gainwell | 0 | Education - Guardianship/AR | 178 | Transfer - PATH Member Services | 106 | |||
| Humana | 0 | Education - Choice Period | 133 | Education - Application | 69 | |||
| Managed Health Services | 1 | Referral - Traditional Medicaid | 94 | Transfer - FSSA | 67 | |||
| Maximus | 0 | Pharmacy - Health Plan | 77 | Transfer - Health Plan | 67 | |||
| MDWise | 1 | Referral - DFR/FSSA | 64 | Referral - Traditional Medicaid | 60 | |||
| United Healthcare | 2 | |||||||
| Verida | 0 |
09-2025 MAXIMUS Dashboard September 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,396 | Education - Health Plan | 396 | 01 HIP Inquiry | 1734 | |||
| Hoosier Care Connect | 937 | Education - General Program Information | 335 | Referral - Health Plan | 1400 | |||
| Healthy Indiana Plan | 3,144 | Referral - FSSA | 251 | 12 HIP Referral to Plan | 1355 | |||
| HIP Chats | 0 | Referral - Health Plan | 238 | 03 HIP Plan/Provider Information | 1111 | |||
| Indiana PathWays for Aging | 1,833 | Referral - Traditional Medicaid | 124 | 10 HIP Benefits/Covered Services | 1011 | |||
| Education - Guardianship/AR | 76 | Referral - FSSA | 959 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Referral - DFR/FSSA | 54 | Education - Health Plan | 668 |
| Prior Month Pending | 2 | 2 | 14 | 0 | Education - Choice Period | 38 | 08 HIP Eligibility/General Information | 603 |
| Requested | 7 | 8 | 12 | 0 | Transfer - FSSA | 32 | 09 Eligibility/Referral to DFR | 223 |
| Approved | 4 | 4 | 11 | 0 | Pharmacy - Health Plan | 29 | Education - Guardianship/AR | 188 |
| Denied | 0 | 0 | 3 | 0 | ||||
| Pending | 5 | 6 | 12 | 0 | Top Ten Inbound HHW Calls By Reason | Top Ten Inbound PathWays Calls By Reason | ||
| Education - Health Plan | 1143 | Education - Health Plan | 940 | |||||
| Complaints by Entity | Referral - Health Plan | 947 | Education - General Program Information | 909 | ||||
| Anthem | Referral - FSSA | 922 | Referral - FSSA | 631 | ||||
| CareSource | Education - General Program Information | 681 | Referral - Health Plan | 461 | ||||
| FSSA / DFR / State | Referral - Gainwell Package C | 355 | Education - Guardianship/AR | 238 | ||||
| Gainwell | Education - Guardianship/AR | 159 | Transfer - PATH Member Services | 95 | ||||
| Humana | Education - Choice Period | 125 | Education - Application | 79 | ||||
| Managed Health Services | Referral - Traditional Medicaid | 78 | Transfer - Health Plan | 77 | ||||
| Maximus | Referral - DFR/FSSA | 71 | Referral - Traditional Medicaid | 42 | ||||
| MDWise | Dental/Vision - Health Plan | 57 | Transfer - FSSA | 38 | ||||
| United Healthcare | 1 | |||||||
| Verida |
10-2025 MAXIMUS Dashboard October 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 2,453 | Education - General Program Information | 383 | 01 HIP Inquiry | 1450 | |||
| Hoosier Care Connect | 956 | Education - Health Plan | 369 | Referral - Health Plan | 1253 | |||
| Healthy Indiana Plan | 3,327 | Referral - FSSA | 299 | 12 HIP Referral to Plan | 1096 | |||
| HIP Chats | 0 | Referral - Health Plan | 239 | 03 HIP Plan/Provider Information | 997 | |||
| Indiana PathWays for Aging | 2,248 | Referral - Traditional Medicaid | 151 | Referral - FSSA | 909 | |||
| Education - Choice Period | 71 | 10 HIP Benefits/Covered Services | 876 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Guardianship/AR | 58 | Education - Health Plan | 617 |
| Prior Month Pending | 3 | 5 | 12 | 0 | Referral - DFR/FSSA | 44 | 08 HIP Eligibility/General Information | 540 |
| Requested | 3 | 9 | 6 | 0 | Pharmacy - Traditional Medicaid | 31 | 09 Eligibility/Referral to DFR | 233 |
| Approved | 4 | 5 | 11 | 0 | Transfer - Health Plan | 29 | Education - Choice Period | 226 |
| Denied | 0 | 0 | 0 | 0 | ||||
| Pending | 2 | 9 | 7 | 0 | Top Ten Inbound HHW Calls By Reason | Top Ten Inbound PathWays Calls By Reason | ||
| Education - Health Plan | 993 | Education - General Program Information | 971 | |||||
| Complaints by Entity | Referral - Health Plan | 848 | Education - Health Plan | 942 | ||||
| Anthem | Referral - FSSA | 756 | Referral - FSSA | 662 | ||||
| CareSource | Education - General Program Information | 661 | Referral - Health Plan | 556 | ||||
| FSSA / DFR / State | 1 | Referral - Gainwell Package C | 277 | Education - Choice Period | 186 | |||
| Gainwell | Education - Choice Period | 170 | Education - Guardianship/AR | 186 | ||||
| Humana | 2 | Education - Guardianship/AR | 127 | Transfer - PATH Member Services | 97 | |||
| Managed Health Services | 1 | Referral - Traditional Medicaid | 69 | Education - Application | 75 | |||
| Maximus | Referral - DFR/FSSA | 59 | Transfer - FSSA | 61 | ||||
| MDWise | Transfer - FSSA | 59 | Referral - Traditional Medicaid | 56 | ||||
| United Healthcare | ||||||||
| Verida |
11-2025 MAXIMUS Dashboard November 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 4,060 | Education - Health Plan | 324 | Education - Health Plan | 4757 | |||
| Hoosier Care Connect | 869 | Education - General Program Information | 276 | 01 HIP Inquiry | 3978 | |||
| Healthy Indiana Plan | 6,456 | Referral - FSSA | 222 | MDWise Termination HIP | 3294 | |||
| HIP Chats | 0 | Referral - Health Plan | 165 | 10 HIP Benefits/Covered Services | 2791 | |||
| Indiana PathWays for Aging | 1,544 | Referral - Traditional Medicaid | 108 | 04 HIP Plan Selection | 2744 | |||
| Education - Choice Period | 68 | 12 HIP Referral to Plan | 2466 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Guardianship/AR | 59 | 03 HIP Plan/Provider Information | 2295 |
| Prior Month Pending | 2 | 9 | 7 | 0 | Referral - Health Plan Grievance | 33 | Referral - Health Plan | 1519 |
| Requested | 13 | 17 | 3 | 0 | Referral - DFR/FSSA | 28 | Referral - FSSA | 1345 |
| Approved | 3 | 6 | 4 | 0 | Pharmacy - Health Plan | 22 | 08 HIP Eligibility/General Information | 1017 |
| Denied | 0 | 1 | 2 | 0 | ||||
| Pending | 12 | 19 | 4 | 0 | Top Ten Inbound HHW Calls By Reason | Top Ten Inbound PathWays Calls By Reason | ||
| Education - Health Plan | 3703 | Education - Health Plan | 876 | |||||
| Complaints by Entity | MDWise Termination HHW | 2293 | Education - General Program Information | 768 | ||||
| Anthem | Referral - FSSA | 1098 | Referral - FSSA | 511 | ||||
| CareSource | Education - General Program Information | 1032 | Referral - Health Plan | 410 | ||||
| FSSA / DFR / State | Referral - Health Plan | 970 | Education - Guardianship/AR | 182 | ||||
| Gainwell | Education - Guardianship/AR | 313 | Education - Choice Period | 99 | ||||
| Humana | 1 | Referral - Gainwell Package C | 232 | Transfer - PATH Member Services | 72 | |||
| Managed Health Services | 1 | Education - Choice Period | 191 | Education - Application | 57 | |||
| Maximus | Referral - Traditional Medicaid | 79 | Referral - Traditional Medicaid | 48 | ||||
| MDWise | Pharmacy - Health Plan | 71 | Transfer - FSSA | 36 | ||||
| United Healthcare | 1 | |||||||
| Verida |
12-2025 MAXIMUS Dashboard December 2025
| Total Calls by Program | Top Ten Inbound HCC Calls By Reason | Top Ten Inbound HIP Calls By Reason | ||||||
| Hoosier Healthwise | 8,871 | Education - Health Plan | 286 | Education - Health Plan | 11037 | |||
| Hoosier Care Connect | 807 | Education - General Program Information | 249 | MDWise Termination HIP | 9516 | |||
| Healthy Indiana Plan | 12,412 | Referral - FSSA | 170 | 01 HIP Inquiry | 7704 | |||
| HIP Chats | 0 | Referral - Health Plan | 109 | 04 HIP Plan Selection | 7279 | |||
| Indiana PathWays for Aging | 1,688 | Referral - Traditional Medicaid | 78 | 03 HIP Plan/Provider Information | 4007 | |||
| Education - Choice Period | 72 | 12 HIP Referral to Plan | 2734 | |||||
| Just Cause Processing | HCC | HHW | HIP | PATH | Education - Guardianship/AR | 47 | 10 HIP Benefits/Covered Services | 2361 |
| Prior Month Pending | 14 | 18 | 4 | 0 | Just Cause Status Update | 40 | Referral - FSSA | 2314 |
| Requested | 22 | 22 | 0 | 0 | Just Cause Service Request | 31 | MDWise Termination HHW | 1700 |
| Approved | 7 | 5 | 0 | 0 | MDWise Termination HHW | 23 | Referral - Health Plan | 1454 |
| Denied | 5 | 10 | 4 | 0 | ||||
| Pending | 24 | 25 | 0 | 0 | Top Ten Inbound HHW Calls By Reason | Top Ten Inbound PathWays Calls By Reason | ||
| Education - Health Plan | 8847 | Education - General Program Information | 1102 | |||||
| Complaints by Entity | MDWise Termination HHW | 6835 | Education - Health Plan | 393 | ||||
| Anthem | 1 | Referral - FSSA | 1903 | Referral - FSSA | 239 | |||
| CareSource | Education - General Program Information | 1455 | Education - Choice Period | 165 | ||||
| FSSA / DFR / State | Referral - Health Plan | 1127 | Referral - Health Plan | 122 | ||||
| Gainwell | Education - Guardianship/AR | 583 | Education - Guardianship/AR | 47 | ||||
| Humana | Education - Choice Period | 231 | Transfer - PATH Member Services | 37 | ||||
| Managed Health Services | Referral - Gainwell Package C | 171 | Education - Application | 27 | ||||
| Maximus | Education - Application | 141 | Referral - Traditional Medicaid | 16 | ||||
| MDWise | Referral - Traditional Medicaid | 92 | Pharmacy - Health Plan | 15 | ||||
| United Healthcare | ||||||||
| Verida |
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File details come from the government source that posted it. Updated .