AdministrativeMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingMarch 25, 2025

Anthem will delegate care management to Carelon Health, Inc.

As of January 1, 2025, we have delegated some care management (case management and disease management services) to Carelon Health, Inc. With this delegation of services, there will be no process changes or impacts to your patients’ current plan or coverage.

This delegation of services will not impact the way we work with health plans and care providers. There will be no disruptions in service and the way that you work with care management staff. All contracts, policies, and procedures will remain unchanged. Additionally, all existing phone numbers, emails, websites, and portals will remain unchanged:

  • No change to services — Your patients’ current points of contact, engagement model, level of care, and service will not change. No action is needed from you.
  • A legal disclaimer — In your patients’ plan communication, you will see a footnote referencing the fact that these care management services are now being provided by Carelon Health, Inc. on behalf of Anthem.
  • Signature of care management/staff healthcare professional — While the team providing services will not change, you will see that their signatures may change to reflect Carelon Health, Inc.

Carelon Health, Inc. is a separate company providing care management services on behalf of the health plan.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for Aging through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.

INBCBS-CDCR-069511-24-CPN69434

PUBLICATIONS: April 2025 Provider Newsletter