Caresource Indiana Inc

TO MAKE A LASTING DIFFERENCE IN OUR MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CARESOURCE INDIANA INC. IS A NONPROFIT HMO LICENSED BY THE STATE OF INDIANA.

CARESOURCE INDIANA INC. ("CSIN"CARESOURCE INDIANA") IS A NONPROFIT ORGANIZATION ESTABLISHED UNDER THE STATE LAW OF INDIANA. CSIN IS A MEMBER OF THE CARESOURCE GROUP OF NONPROFIT ORGANIZATIONS (THE "CARESOURCE GROUP"). THE MISSION OF THE CARESOURCE GROUP IS TO MAKE A LASTING DIFFERENCE IN ITS MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CSIN FIRMLY ADHERES TO THIS MISSION, WHICH IT TERMS AS THE ORGANIZATION'S "HEARTBEAT," BY PROVIDING SERVICES THAT GO WELL BEYOND THE DELIVERY OF MEDICAL BENEFITS. CSIN SERVES MEMBERS THROUGH THE FOLLOWING: (1) A QUALIFIED HEALTH PLAN OFFERED THROUGH THE FEDERAL HEALTH INSURANCE MARKETPLACE, PROVIDING LOW-COST COMPREHENSIVE COVERAGE FOR INDIVIDUALS AND FAMILIES; (2) MEDICARE ADVANTAGE, CONTRACTING WITH MEDICARE TO PROVIDE ALL PART A AND PART B BENEFITS; (3) DUAL ELIGIBLE SPECIAL NEEDS PLANS (D-SNPS), ENROLLING INDIVIDUALS WHO ARE ENTITLED TO BOTH MEDICARE (TITLE XVIII) AND MEDICAL ASSISTANCE FROM A STATE PLAN UNDER MEDICAID (TITLE XIX); AND (4) HOOSIER HEALTHWISE AND HEALTHY INDIANA PLAN ("HIP") MEDICAID EXPANSION PLANS. CSIN IS ACCREDITED THROUGH THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE ("NCQA") FOR ITS QUALIFIED HEALTH INSURANCE MARKETPLACE AND MEDICAID PLANS. ACCREDITATION IS THE MOST COMPREHENSIVE EVALUATION IN THE INDUSTRY AND THE ONLY ASSESSMENT THAT BASES RESULTS ON CLINICAL PERFORMANCE AND CONSUMER EXPERIENCE. CSIN FOCUSES ON PREVENTION WITH A GOAL OF IMPROVING MEMBER HEALTH, THE QUALITY OF HEALTH CARE SERVICES RECEIVED, AND ACCESSIBILITY OF HEALTH CARE SERVICES FOR ITS MEMBERS. THIS IS DONE THROUGH AN INNOVATIVE HEALTH AND WELLNESS METHODOLOGY. CSIN HAS BUILT A HIGH PERFORMING PROVIDER NETWORK TO OPERATE AS A HEALTH MAINTENANCE ORGANIZATION ("HMO"). THIS PROVIDER NETWORK RELIES HEAVILY UPON FEDERALLY QUALIFIED HEALTH CENTERS ("FQHCS"). FQHCS ARE GENERALLY HEALTH CARE PROVIDERS THAT HAVE BEEN RECOGNIZED BY THE FEDERAL GOVERNMENT AS PROVIDING CARE TO POPULATIONS THAT HAVE LIMITED ACCESS TO MEDICAL TREATMENT DUE TO CONDITIONS SUCH AS POVERTY AND GEOGRAPHIC LOCATION. RECOGNIZED FOR A COMMITMENT TO SERVING AT-RISK POPULATIONS, BEGINNING JAN. 1, 2017, CSIN BEGAN COORDINATING CARE FOR RECIPIENTS OF STATE SUPPORTED PROGRAMS THAT PROVIDE HEALTH SERVICES TO RECIPIENTS, THROUGH HOOSIER HEALTHWISE AND HIP. HOOSIER HEALTHWISE IS AVAILABLE TO PREGNANT WOMEN AND CHILDREN, AND HIP COVERS ADULTS 19 TO 64 YEARS OF AGE WHOSE INCOMES ARE LESS THAN 138% OF THE FEDERAL POVERTY LEVEL AND DO NOT MEET CERTAIN ELIGIBILITY REQUIREMENTS FOR OTHER HEALTH COVERAGE PROGRAMS. CSIN OFFERS TWO MEDICARE ADVANTAGE PLANS IN THE STATE. CSIN PRIMARILY ENROLLS LOW-INCOME INDIVIDUALS IN THESE PLANS. CSIN'S QUALIFIED HEALTH PLAN ON THE HEALTH INSURANCE MARKETPLACE PRIMARILY SERVES LOW-INCOME INDIVIDUALS AND WAS DESIGNED FOR THOSE LOW-INCOME ADULTS WHO ARE RECENTLY UNINSURED OR HAVE NEVER BEEN INSURED. THE PLAN IS AFFORDABLE, WITH LOW MONTHLY PREMIUMS, LOW COPAYS, LOW ANNUAL DEDUCTIBLES, AND FREE GENERIC PRESCRIPTIONS FOR SOME MEMBERS. MEMBERS HAVE THE CHOICE OF BUYING DENTAL AND VISION PLANS IN ADDITION TO THEIR MEDICAL PLAN. MEMBERS CAN RECEIVE ASSISTANCE THROUGH CSIN'S MANY PROGRAMS DESIGNED TO REMOVE BARRIERS TO HEALTH AND WELL-BEING. CARESOURCE INDIANA CAN, THEREFORE, FURTHER ITS MISSION AS A MEANS OF IMPROVING THE HEALTH AND WELL-BEING OF INDIANA'S LOW-INCOME POPULATIONS. IN 2015, THE CARESOURCE GROUP CREATED A PILOT PROGRAM CALLED CARESOURCE LIFE SERVICES, WHICH COUPLES THE LARGEST LOW-INCOME SUBSIDY SAFETY NET, MEDICAID, WITH A HOLISTIC APPROACH TO ADDRESSING ECONOMIC WELL-BEING AND SOCIAL CONNECTEDNESS. LIFE SERVICES COORDINATES A RANGE OF RESOURCES THROUGH COMMUNITY AND EMPLOYER PARTNERSHIPS. A KEY COMPONENT OF LIFE SERVICES IS JOBCONNECT, AN INITIATIVE THAT HELPS MEMBERS TO INCREASE SKILLS AND ATTAIN CONNECTIONS TO LONG-TERM EMPLOYMENT. JOBCONNECT IS A PROGRAM AND MEMBER BENEFIT DESIGNED TO SERVE MEMBERS THAT ARE SEEKING ASSISTANCE WITH EDUCATION AND EMPLOYMENT GOALS. JOBCONNECT IS A VOLUNTARY PROGRAM THAT PAIRS INTERESTED MEMBERS WITH A LIFE COACH THAT WALKS ALONGSIDE THEM AS THEY IDENTIFY AND ADDRESS POTENTIAL BARRIERS TO THEIR GOALS. ONCE A MEMBER DECIDES TO PARTICIPATE IN JOBCONNECT, THEY WORK WITH A REGIONALLY BASED LIFE COACH THAT HELPS THE MEMBER IDENTIFY RESOURCE STRENGTHS, EDUCATIONAL AND TRAINING GOALS, AND EMPLOYMENT OPPORTUNITIES. PRIOR TO EMPLOYMENT PLACEMENT, ASSESSMENTS ARE COMPLETED THAT MAY INDICATE A NEED SURROUNDING THE SOCIAL DETERMINANTS OF HEALTH SUCH AS: FOOD STABILITY, HOUSING, CHILDCARE, TRANSPORTATION, ETC. TOGETHER WITH THE MEMBER, LIFE COACHES ARE ABLE TO COORDINATE, REFER, AND CONNECT MEMBERS WITH COMMUNITY RESOURCES AND PARTNERS THAT EXIST TO MEET PARTICULAR NEEDS. ONCE IMMEDIATE NEEDS ARE ADDRESSED AND AN EDUCATIONAL/EMPLOYMENT PLAN IS CREATED, THE MEMBER SETS GOALS AND DERIVES AN ACTION PLAN TO ACCOMPLISH THEIR GOALS. SOME MEMBERS MAY BE INTERESTED IN A TRAINING PROGRAM THAT BETTER EQUIPS THEM FOR SPECIFIC EMPLOYMENT POSITIONS WHILE OTHERS MAY BE READY FOR THE WORKFORCE AND NEED PREPARATION IN THE FORM OF RESUME ASSISTANCE, INTERVIEW PREP, SOFT SKILLS, ETC. LIFE COACHES SEEK TO UNDERSTAND THE JOB NEEDS AND PREFERENCES OF MEMBERS AND PREPARE THEM FOR JOB ATTAINMENT. THE GOAL IS TO HELP MEMBERS SECURE LONG-TERM EMPLOYMENT BY CONNECTING THEM WITH EMPLOYERS THAT PROVIDE FULL-TIME HOURS, BENEFITS, AND THE OPPORTUNITY FOR GROWTH. JOBCONNECT IS DESIGNED TO WORK WITH MEMBERS FOR UP TO 24 MONTHS TO HELP MEMBERS NAVIGATE THE EMPLOYMENT WORLD WHILE BALANCING THEIR HOME LIFE. IN 2018, CSIN BEGAN SERVING MEMBERS EXITING STATE PRISONS THROUGH A UNIQUE PILOT PARTNERSHIP WITH THE INDIANA DEPARTMENT OF CORRECTIONS AND THE INDIANA FAMILY SOCIAL SERVICES ADMINISTRATION. THE PROGRAM IS DESIGNED TO SUPPORT THE SUCCESSFUL REENTRY OF INDIVIDUALS RETURNING FROM PRISONS. AS A VOLUNTARY AND TRANSITIONAL BENEFIT, THE PROGRAM PROVIDES THE FOLLOWING SERVICES: (1) PRE-RELEASE CARE COORDINATION, INCLUDING IN-REACH SERVICES TO ASSIST IN TRANSITIONAL PLANNING; (2) A NETWORK OF COMMUNITY-BASED SUBSTANCE USE TREATMENT PROVIDERS ACROSS THE STATE OF INDIANA; AND (3) ACCESS TO RECOVERY SERVICES INCLUDING SUPPORTED HOUSING, EMPLOYMENT SERVICES, PEER-RECOVERY, COMMUNITY-BASED CARE MANAGEMENT, AND LIFE SKILLS. (3) ACCESS TO RECOVERY SERVICES INCLUDING SUPPORTED HOUSING, EMPLOYMENT SERVICES, PEER-RECOVERY, COMMUNITY-BASED CARE MANAGEMENT, AND LIFE SKILLS.