Indiana
Indiana has no current legislation involving the patient-centered medical home (PCMH), but is experimenting with PCMH care delivery components through grant-funded pilot programs and private payer initiatives. In September of 2013, CMS granted a one-year extension of the Healthy Indiana plan 1115 Medicaid waiver, which allowed the state to continue providing Medicaid coverage for many low-income residents. In January of 2015, Governor Mike Pence and HHS reached an agreement on the state's Medicaid expansion proposal, which will make as many as 350,000 Hoosiers eligible for coverage.
Primary Care Innovations and PCMH Activity
| Dual Eligible | 2703 SPA | CPC | CPC+ | PCMH QHP | PCMH Legislation | Private Payer |
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Public Payer Programs
| Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
|---|---|---|---|---|
| Columbus Regional Medical Neighborhood Demonstration - Indiana | Grant | Columbus | CMS Health Care Innovation Award - PCMN Demonstration |
Private Payer Programs
| Program Name | Payer Type | Coverage Area | Parent Program | Outcomes |
|---|---|---|---|---|
| Anthem BlueCross BlueShield ACO- Franciscan Alliance | Commercial | Statewide | Anthem BlueCross ACO | |
| Cigna Accountable Care Program - Franciscan Alliance | Commercial | Indianapolis-area and northern Indiana | Cigna Collaborative Care Program | |
| Enhanced Personal Health Care Program - Indiana | Commercial | Statewide | Anthem - Enhanced Personal Health Care |
   
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State Facts:
Population:
6,404,000
Uninsured Population:
12%
Total Medicaid Spending FY 2013:
$8.0 Billion
Overweight/Obese Adults:
67.3%
Poor Mental Health among Adults:
36.2%
Medicaid Expansion:
Yes
News and Events
July 4, 2015 | Los Angeles Times
June 17, 2015 | News Medical
