Care Select
Care Select is a health care program that is designed
to serve Medicaid recipients who may have special health needs or
benefit from specialized attention. In Care Select,
you pick a primary doctor and a health plan by choosing one of the
Care Management Organizations (CMOs) contracted with the State to
coordinate your health care needs. The CMO will assist you in
coordinating your health care benefits and tailor them to your
individual needs, circumstances, and preferences.
People served by Care Select may be aged, blind,
disabled, wards of the court and foster children, or children
receiving adoptive services. You must also have one of the
following medical conditions:
- Asthma
- Diabetes
- Heart Failure
- Congestive Heart Failure
- Hypertensive Heart Disease
- Hypertensive Kidney Disease
- Rheumatic Heart Illness
- Severe Mental Illness
- Serious Emotional Disturbance (SED) for Wards and Fosters
- Depression
Care Select is an optional program for those who
qualify. If you think you should be in this program, discuss
it with your doctor. Your doctor can request that you be added to
this program if you have a qualifying disease and meet all other
criteria. If you qualify for Care Select, but do not
wish to be on Care Select, you may choose to be on
Traditional Medicaid.
Health Plans
In Care Select, you select either Advantage
or MDwise as your health plan. You can visit "Help
Choosing a Health Plan" on this site to decide how to pick the
best health plan for you. Once you are enrolled, your health
plan will be your first stop for any questions about your
care. If you are unsure of your benefits or have any
questions about your coverage, call your health plan or contact our
enrollment broker, Maximus.
- ADVANTAGE: 1-800-784-3981
- MDwise: 1-800-356-1204; 1-317-630-2831 (Indianapolis area)
- MAXIMUS (enrollment broker): 1-866-963-7383
What services are covered?
This is a general description of the covered services under the
Care Select program. This is not a complete list and
is provided for informational purposes only. For more information,
please contact your health plan for specific questions
about your medical coverage under Care Select:
Preventive Services: This includes medical
services like:
- Disease Management
- Family Planning
- Prescription Drugs
- Doctor's Office Visits
Behavior and Mental Health Services: Coverage
includes outpatient mental health services you receive from:
- Physicians
- Local Center for Mental Health
- Social workers in your community
Disease Management: This service will provide
education and teach you ways to manage certain conditions, such
as:
- Diabetes
- Childhood asthma
- Congestive Heart Failure
- High Blood Pressure
- Cardiovascular Disease
Eye Care: Coverage includes annual exams and
glasses.
Inpatient/Outpatient Hospital Care: Services
include:
- Prescription Drugs
- Laboratories/X-rays
- Other diagnostic tests that are considered medically necessary
during the stay
Home Health Care & Services: Services
include:
- Durable Medical Equipment
- Incontinence Supplies
- Medical supplies, equipment, and appliances
Transportation: Up to 20 one-way trips per year
without prior authorization
Dental: Covered services include annual exams
and preventive care.
Pregnancy Care: Including:
- Prenatal Care
- Delivery
- Midwife Services
Emergency Care: Including:
- Hospital Admittance
- Transportation
- Medically necessary screening services