Anthem Medicaid notified Columbus Regional Health of its intent to remove Columbus Regional Health Physicians—our network of primary and specialty care providers—from coverage, effective July 1, 2026.
This change applies to the following Anthem Medicaid plans:
- Pathways for Aging
- Healthy Indiana Plan (HIP)
- Hoosier Healthwise
- Hoosier Care Connect
We certainly understand any concerns you may have around this change and want to assure you that your health and access to care remain our top priorities. Our team is committed to helping you understand your options and continue receiving care from your trusted CRH provider. Included is a list of Frequently Asked Questions (FAQ) that will help you understand the situation and your options. Plan options and contact information are listed in the FAQ.
Anthem Medicaid
Frequently Asked Questions – For Patients
What is changing?
Effective July 1, 2026, Anthem Medicaid plans will no longer consider Columbus Regional Health Physicians (CRHP) in-network. This change impacts CRHP primary care and specialty care practices and providers.
Although hospital-based and inpatient services remain unaffected, any CRHP provider-associated fees (including hospitalists, etc.) will not be covered.
The impacted Anthem Medicaid plans include:
- Pathways for Aging
- HIP (Healthy Indiana Plan)
- Hoosier Healthwise
- Hoosier Care Connect
Why is this happening?
Anthem informed Columbus Regional Health of its decision to terminate network participation for CRHP physician practices effective July 1, 2026. This was a decision made by Anthem for business reasons.
Will I still be able to see my CRHP provider?
Yes. Despite Anthem’s decision, CRH values you as a patient and we are committed to helping you stay with your preferred CRH provider through a variety of options special criteria options including:
- Continuation of care protections
- Attempting to change to another Medicaid managed care plan that remains in-network with CRHP by filing a grievance
If you or a covered loved one do not meet these special criteria, your CRH provider’s office will work with you until you can enroll in a new plan during open enrollment (November 1- December 15) so that you can keep seeing your preferred CRH provider(s) and keep receiving quality care close to home.
What does “continuation of care” mean?
Under the CRHP-Anthem Medicaid contract, certain patients may continue receiving coverage for services from their CRHP provider:
- Up to 60 days of continued care following termination
- Pregnancy-related care through delivery and six weeks postpartum for patients in their second or third trimester at the time of termination
- Patients receiving active treatment for an acute or chronic condition may qualify for continued care for up to 90 days or until completion of the course of treatment
Can I switch to another Medicaid insurance plan?
Some patients may qualify for a Special Enrollment Period (SEP) to switch to another Medicaid Managed Care Entity (MCE) if there are circumstances under which in-network care is not accessible or available. See definition below.
Pathways for Aging
Other available MCEs may include:
Patients enrolled in a Medicare Advantage plan may need to align both their Medicare Advantage and Medicaid managed care plans. Patients with Traditional Medicare and Anthem Pathways can call and switch their Pathways plan once per year for any reason.
Phone: 877-284-9294
HIP (Healthy Indiana Plan)
Other available MCEs may include:
- CareSource
- Managed Health Services
Phone: 877-438-4479
Hoosier Healthwise
Other available MCEs may include:
- CareSource
- Managed Health Services
Phone: 800-889-9949
Hoosier Care Connect
Other available MCEs may include:
- Managed Health Service
- UnitedHealthcare
Phone: 866-963-7383
What is a Special Enrollment Period (SEP)?
A Special Enrollment Period allows eligible patients to change their Medicaid managed care plan outside of normal open enrollment periods due to qualifying circumstances.
To attempt to qualify for a Special Enrollment Period, you will need to:
- File a grievance with Anthem by filling out the Member Grievance Form on their website.
- Make note of the Reference Number for the grievance once it is obtained.
- Call the specific enrollment broker for your Medicaid program and let them know that they filed a grievance with Anthem. Provide them with the Reference Number. This will escalate it to the state level, and a decision will be made to determine if it is justified cause to switch to a different Medicaid plan.
Patients can always switch to another in-network plan during open enrollment which runs from November 1-December 15, 2026. New coverage would start January 1, 2027.
Who can help me understand my options?
For support or to have this information translated, please contact:
812-379-4449
What insurance plans does my Columbus Regional Health provider accept?
For the most current list of accepted insurance plans, visit: https://www.crh.org/patients-visitors/in-network-health-plans
Will emergency care still be covered?
CRH will never turn away a patient seeking emergency care, regardless of coverage. Patients experiencing a medical emergency should seek care immediately.
