# How One Home Care Provider is Adapting to the MCO Medicaid Model in Indiana (Christian Sullivan) Page: https://stenobird.com/podcast/home-care-strategy-lab-7276600/how-one-home-care-provider-is-adapting-to-the-mco-medicaid-model-in-indiana-christian-sullivan Text version: https://stenobird.com/podcast/home-care-strategy-lab-7276600/how-one-home-care-provider-is-adapting-to-the-mco-medicaid-model-in-indiana-christian-sullivan.md Podcast: [Home Care Strategy Lab](https://stenobird.com/podcast/home-care-strategy-lab-7276600) Published: 2026-03-11T12:00:00+00:00 Episode link: https://share.transistor.fm/s/5ba82ecf Audio file: https://media.transistor.fm/5ba82ecf/dba76bd5.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/home-care-strategy-lab-7276600/episodes/how-one-home-care-provider-is-adapting-to-the-mco-medicaid-model-in-indiana-christian-sullivan Duration seconds: 3948 ## Resource #50 Indiana switched its Medicaid home care system to Managed Care in 2024—and two years later, many providers say the transition is still a “hot mess,” to put it mildly. Christian Sullivan, an office manager at one of Altra Home Care’s four Indiana locations, shares what it’s really been like on the ground: navigating new MCO relationships, managing operational complexity, supporting clients stuck on long waiting lists, and what this shift could mean long term. Relevant for any home care operator—but especially those serving Medicaid or operating in managed care states. Christian Sullivan on LinkedIn chsulli@altrahomecare.com Altra Home Care Sponsors: Helper Heroes PocketRN ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/home-care-strategy-lab-7276600/episodes/how-one-home-care-provider-is-adapting-to-the-mco-medicaid-model-in-indiana-christian-sullivan/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/home-care-strategy-lab-7276600/how-one-home-care-provider-is-adapting-to-the-mco-medicaid-model-in-indiana-christian-sullivan.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.