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
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 health care.
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 Traditional Medicaid: Care
Select or Traditional 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
For complete information on the
RCP, please see the Right Choices Program
Policy Manual.