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4C Health reports growing demand, warns of potential HIP coverage losses
Summary
Dr. Carrie Cadwell told Miami County commissioners that 4C Health served 2,173 unique local clients in 2025 and described expanded crisis services; she warned proposed HIP work requirements could cause a 12–15% coverage loss statewide and outlined plans to help affected members.
Dr. Carrie Cadwell, director at 4C Health, told the Miami County Board of Commissioners that the agency served 2,173 unique Miami County individuals in 2025 and delivered 53,497 services, with 785 admissions over the year. "In 2025, 4C Health served 2,173 unique individuals in Miami County," Cadwell said, and she provided a breakdown of payer and age mix during the annual update.
Cadwell described access metrics the agency has achieved: a same‑day walk‑in model averages 0.4 days to initial intake and 6.4 days to a second appointment, and mobile crisis teams deployed 328 times in Miami County during 2025. She said psychiatric emergency evaluations can be same‑ or next‑day while routine psychiatric access can extend up to four weeks; 4C Health is recruiting psychiatrists and nurse practitioners to shorten wait times to a two‑week goal.
Cadwell also raised a policy concern: anticipated January 2027 HIP work requirements could lead to a 12–15% coverage loss statewide. She said staff will identify HIP members and offer supports to meet the proposed 80‑hours‑per‑month work/volunteer requirement to avoid disenrollment. Commissioners heard that 62% of the agency’s payer mix is Medicaid/HIP, 21% commercial, 11% Medicare and 6% self‑pay, and that engagement drops for the 18–25 age cohort during the transition to self‑directed care.
The presentation closed with an emphasis on retaining weekly access gains while preparing outreach and enrollment support if state work requirements are implemented. No formal action was taken; staff indicated they will continue coordination with county partners and report back on recruitment progress and any measurable change in wait times.
