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• Individuals who are already receiving hospice upon being eligible for PathWays, • Individuals participating in self-directed Medicaid services, and • American Indians and Alaskan Natives (AI/AN). For more information refer to 2402.15.15.20.
PathWays information is not stored in the eligibility system and DFR will not have visibility to PathWays assignments. If there are questions regarding the PathWays program, the member or their authorized representative can contact the MCE (managed care entity) on their insurance card.
If the MCE is unable to resolve the issue/concern, then direct the member/AR to:
PathWays Phone Numbers Pathways Member Support Services (MSS) Support for eligible Medicaid members, age 60 or older who are enrolled in PathWays for Aging, with navigating the various options and care transitions associated with managed care, long term care and waiver services. Pathways Member Support Services Helpline: 877-738-3511 Indiana PathWays for Aging (Enrollment Broker): Assists members with initial plan selections and plan changes, including just cause requests Indiana Pathways for Aging Indiana PathWays for Aging Helpline: 87-PATHWAY-4 (877-284-9294)
1 42 CFR 435.520 2 42 CFR 435.530 3 42 CFR 435.540 4 IC 12-10-6-1 5 IC 12-15-41; Social Security Act (SSA) 1902(a)(10)(ii)(XV); SSA 1902(a)(10)(ii)(XVI) 6 SSA 1902(a)(10)(E) 7 SSA 1905(p)(3) 8 SSA 1902(a)(10)(E) 9 42 CFR 431.625(d) 10 SSA 1902(a)(10)(E) 11 SSA 1905(p)(3)(A)(i) 12 SSA 1902(a)(10)(E) 13 SSA 1905(p)(3) 14 SSA 1902(e)(6)