HNS Example.pdf

This is a health needs screening questionnaire example document related to Indiana's Medicaid Managed Care Organizations procurement. The document contains a standardized assessment tool with thirteen core health-related questions designed to evaluate beneficiary needs across multiple dimensions, including physical health concerns, medication use, healthcare utilization, functional limitations, mental health status, substance use, social determinants of health, and lead exposure screening. The questionnaire includes gender-specific questions regarding pregnancy and recent childbirth status. This screening tool appears intended for use by managed care organizations contracted to serve Indiana's Medicaid populations—Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging—to assess and document the health and social needs of approximately 1.5 million Hoosiers across four programs. The assessment methodology employs a binary yes/no response structure with question IDs and response IDs for systematic data collection and tracking.

The screening questionnaire serves as an operational resource for health needs assessment and care management functions within the managed care contract framework. Respondents to the Indiana Medicaid Managed Care Organizations procurement must demonstrate capability to implement standardized health screening protocols and manage the complex care needs of diverse beneficiary populations, including low-income children and pregnant women in Hoosier Healthwise, adults aged 19-64 in Healthy Indiana Plan, individuals under age 60 who are blind or disabled in Hoosier Care Connect, and seniors aged 60 and older with complex, long-term services and supports needs in PathWays for Aging. The tool's comprehensive nature—addressing clinical health status, functional capacity, behavioral health, social determinants, and preventive health screening—aligns with the evaluation criteria emphasizing management assessment and quality performance, including pay-for-outcomes programs and compliance tied to HEDIS and outcome measures.