RIGHT CHOICES PROGRAM
The Right Choices Program (RCP) is designed to safeguard against
unnecessary or inappropriate use of Medicaid services. The RCP will
identify members who use their Medicaid in an excessive way or in a
pattern that is inappropriate. Some examples of this include
members who go to the ER multiple times for non-emergency care or
it can mean members who have a large number of drugs prescribed by
multiple providers.
If you are contacted about being enrolled in the Right Choices
Program, you can expect to be assigned to
- One primary medical provider (PMP)
- One pharmacy
- One hospital (for non-emergency visits)
You will also collaborate with a care coordination team to teach
you appropriate ways to manage your healthcare.
You do have the right to appeal your enrollment in the Right
Choices Program.
Hoosier Healthwise (HHW) or Health Indiana Plan (HIP): A HHW or
HIP member should appeal directly to his or her health care
plan.
Care Select (CS) or Fee-For-Service (FFS) Members: Care Select
or Fee For Service Medicaid members should appeal to FSSA Hearings
and Appeals. Your appeal must be in writing and delivered
to:
Family and Social Services
Administration
Attn: Hearings and Appeals
Section
402 West Washington Street, Room
E034
Indianapolis, IN 46204