Medicare AdvantageAdministrativeMedium impact
Bt202138: IHCP announces changes to 2022 contracts for Medicare Advantage plans focused on dually eligible members
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
Indiana is implementing new requirements for Dual Eligible Special Needs Plans (D-SNPs) effective 2022, including mandatory care coordination with Area Agencies on Aging, new reporting requirements for Medicare encounter data, and restrictions on using Medicaid provider listings for marketing.
Action Required
By July 5, 2021: D-SNPs operating in Indiana must review and comply with new SMAC contract requirements including establishing formal care coordination policies for high-risk members, implementing monthly Medicare encounter data reporting within 15 business days, obtaining FSSA written approval before using any materials referencing Indiana Medicaid programs, and maintaining required access to Indiana Health Information Exchange. Contact Andrew Bean at andrew.bean@fssa.in.gov for full contract details.