Anthem Hoosier Healthwise Prior Authorization

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Prior Authorization Requirements Anthem Blue Cross …

Details: To request or check the status of a prior authorization request or decision for a particular plan member, access our Interactive Care Reviewer (ICR) tool via Availity. Hoosier Healthwise: 866-408-6132. Healthy Indiana Plan: 844-533-1995. Submission of clinical documentation as requested by the Anthem Blue Cross and Blue Shield anthem hoosier healthwise provider portal

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› Url: https://providers.anthem.com/indiana-provider/claims/prior-authorization-requirements Go Now

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Pharmacy Prior Authorization Form - providers.anthem.com

Details: Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Pharmacy Prior Authorization Form anthem hip prior authorization indiana

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› Url: https://providers.anthem.com/docs/gpp/IN_CAID_PharmacyPriorAuthForm.pdf?v=202106041459 Go Now

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Prior-Authorization And Pre-Authorization Anthem.com

Details: Prior Authorization Health insurance can be complicated—especially when it comes to prior authorization (also referred to as pre-approval, pre-authorization and pre-certification). We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for your patients when it’s required. anthem hip prior authorization form

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› Url: https://www.anthem.com/provider/prior-authorization/ Go Now

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Indiana Health Coverage Programs Prior …

Details: Prior Authorization Request Form Fee-for-Service Gainwell Technologies P: 1-800-457-4584, option 7 F: 1-800-689-2759 Hoosier Healthwiseauthorize the Anthem Hoosier Healthwise P: 1-866-408-6132 F: 1-866-406-2803 CareSource Hoosier Healthwise P: 1 -844607 2831 F: 432 8924 MDwise Hoosier Healthwise P: 1 -888961 3100 F: 1 465 5581 anthem hoosier healthwise forms

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› Url: https://www.in.gov/medicaid/files/pa%20form.pdf Go Now

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Indiana Medicaid: Providers: Prior Authorization

Details: Hoosier Healthwise. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost anthem medicaid hip prior authorization

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› Url: http://www.in.gov/medicaid/providers/clinical-services/prior-authorization/ Go Now

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Serving Hoosier Healthwise, Healthy Indiana Plan and

Details: Hoosier Healthwise —1-866-408-6132 Hoosier Care Connect —1-844-284-1798 Healthy Indiana Plan —1-844-533-1995 Providers can submit prior authorization requests for any prescription drugs that require prior authorization to Anthem. Electronic prior authorization (ePA) is available through CoverMyMeds.* anthem hip authorization forms

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› Url: https://www.in.gov/medicaid/providers/files/Anthem-2021-IHCP-Roadshow.pdf Go Now

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Prior Authorization Forms - MDwise Inc.

Details: Medical Prior Authorization and Exclusion Lists for Hoosier Healthwise and HIP Effective 10/1/21 - NEW! - Archived v. 3/1/21. 2021 Searchable Behavioral Health Services that Require Prior Authorization for Hoosier Healthwise and HIP. For pharmacy prior authorization forms, please visit our pharmacy forms page. anthem medicaid indiana pa

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› Url: https://www.mdwise.org/for-providers/forms/prior-authorization Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: Prior Authorization Request Form Fee-for-Service Gainwell Technologies P: 1-800-457-4584, option 7 F: 1-800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 1-866-408-6132 F: 1-866-406-2803 Anthem

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› Url: https://www.mdwise.org/MediaLibraries/MDwise/Files/For%20Providers/Forms/Prior%20Authorization/universal_PA_form_HHW_HIP.pdf Go Now

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Precertification lookup tool Anthem

Details: Please verify benefit coverage prior to rendering services. Inpatient services and non-participating providers always require prior authorization. Providers: Select Hoosier Care Connect in the Line of Business field whenever applicable. See provider bulletin here for more information. Please note: This tool is for outpatient services only.

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› Url: https://providers.anthem.com/indiana-provider/claims/prior-authorization-requirements/precertification-lookup Go Now

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Indiana Medicaid: Providers: Forms - IN.gov

Details: Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost

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› Url: http://www.in.gov/medicaid/providers/provider-references/forms/ Go Now

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Medical Prior Authorization and Exclusion Lists

Details: Medical Services that Require Prior Authorization for Hoosier Healthwise and Healthy Indiana Plan 6 HHW-HIPM0498 6/21 Type of Service Requires PA Coding Durable Medical Equipment Rental Yes, billed per item, >$500/ month E0193, E0194, E0277, E0302, E0304, E0373, E0450, E0460, E0461,

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› Url: https://www.mdwise.org/MediaLibraries/MDwise/Files/For%20Providers/Forms/Prior%20Authorization/Medical-PA-and-Exclusion-Lists-for-HHW-and-HIP.pdf Go Now

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Anthem Blue Cross and Blue Shield (Anthem)

Details: Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect How to obtain prior authorization (cont.) Anthem is pleased to offer ICR, a website providers can use to request PA for Hoosier Healthwise, HIP and Hoosier Care Connect services. ICR is accessible via the Availity Portal at no cost to providers.

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› Url: https://providers.anthem.com/docs/gpp/IN_CAID_CMS1500UB04ClaimFormPresentation.pdf?v=202106141348 Go Now

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Serving Hoosier Healthwise, Healthy Indiana Plan and

Details: How to obtain prior authorization (cont.) Anthem is pleased to offer the Interactive Care Reviewer (ICR), a website providers can use to request PA for Hoosier Healthwise, HIP and Hoosier Care Connect services. ICR is accessible via the Availity Portal at no cost to providers. ICR will accept the following types of requests for our members:

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› Url: https://www.in.gov/medicaid/providers/files/IHCP-Works-2020-Anthem-Claim-Requirements-101.pdf Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: Prior Authorization Request Form Fee-for-Service Cooperative Managed Care Services (CMCS) P: 800-269-5720 F: 800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 866-408-7187 F: 866-406-2803 Anthem

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› Url: https://www.mdwise.org/MediaLibraries/MDwise/Files/For%20Providers/Forms/Prior%20Authorization/universal_PA_form_HHW_HIP_HCC.pdf Go Now

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Hoosier Care Connect Prior Authorization Form - Monstruonauta

Details: Healthwise anthem hip caresource hip mdwise hip mhs hip anthem hoosier care connect mhs hoosier care connect p: Depending on the medication, other medications on the pdl have not. Anthem Blue Cross Ct . 2021 searchable behavioral health services that require prior authorization for hoosier healthwise and hip.

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› Url: https://dari.good-searcher.com/hoosier-care-connect-prior-authorization-form/ Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: Prior Authorization Request Form Fee-for-Service Cooperative Managed Care Services (CMCS) P: 800-269-5720 F: 800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 866-408-7187 F: 866-406-2803 Anthem Hoosier Healthwise –SFHN P: 800 -291 4140 F: 800 747 3693 MDwise Hoosier Healthwise See www.mdwise.org

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› Url: https://www.ecommunity.com/sites/default/files/uploads/2016-09/Universal-Prior-Authorization-Form-Hoosier-Healthwise-Healthy-Indiana-Plan.pdf Go Now

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Provider Communications

Details: Sep 1, 2019 • State & Federal / Medicaid. Effective December 1, 2019, prior authorization (PA) requirements are changing for the codes listed below. The listed codes will require PA by Anthem Blue Cross and Blue Shield for Hoosier Healthwise, Healthy Indiana Plan (HIP) and Hoosier Care Connect members.

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› Url: https://providernews.anthem.com/indiana/article/prior-authorization-changes-1 Go Now

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Anthem Blue Cross and Blue Shield Serving Hoosier

Details: Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect How to obtain prior authorization (cont.) •Anthem is pleased to offer Interactive Care Reviewer (ICR), a website providers can use to request prior authorization for Hoosier Healthwise, Healthy Indiana Plan (HIP) and Hoosier Care Connect services.

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› Url: https://mediprovider.empireblue.com/dam/medidocuments/ININ_CAID_UB04InstitutionalProviders2017AnnualWorkshop.pdf?v=202101150236 Go Now

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Anthem Hoosier Healthwise / Healthy Indiana Plan

Details: Anthem Hoosier Healthwise / Healthy Indiana Plan Self-Referral Services may require prior-authorization 8. Key Contacts for Behavioral Healthfor Behavioral Health Joe Garten, Ph.D. Prior Authorizations: Hoosier Healthwise: 866-408-7187 Healthy Indiana Plan: 866 398 1922 9

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› Url: https://secure.iot.in.gov/dcs/files/BehavioralHealthProviderTraining07182011.pdf Go Now

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Provider Communications

Details: Hoosier Healthwise: 1-866-408-6132 ; HIP: 1-844-533-1995 ; Hoosier Care Connect: 1-844-284-1798 * Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield.

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› Url: https://providernews.anthem.com/indiana/article/prior-authorization-requirements-for-hcpcs-code-55899-2 Go Now

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Anthem Blue Cross and Blue Shield Indiana Medicaid

Details: Anthem Services Hoosier Healthwise Healthy Indiana Plan Hoosier Care Connect Provider Services 1-866-408-6132 M-F, 8 a.m.-8 p.m. 1-844-533-1995 M-F, 8 a.m.-8 p.m. 1-844-284-1798 M-F, 8 a.m.-8 p.m. Prior Authorization – Utilization Management 1-866-408-6132 M-F, 8 a.m.-5 p.m. 1-844-533-1995 M-F, 8 a.m.-5 p.m. 1-844-284-1798

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› Url: https://mediprovider.empireblue.com/dam/medidocuments/ININ_CAID_ProviderManual.pdf?v=202101150221 Go Now

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Prior authorization requests for Indiana Health Coverage

Details: Please check the member’s MCE website to determine which procedures require authorization and where to fax the request. Thank you for the service you provide to our members. Anthem prior authorization contact information To discuss utilization management process and authorizations: Hoosier Healthwise, HIP and Hoosier Care Connect HIP only

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› Url: https://www.mdwise.org/MediaLibraries/MDwise/Files/For%20Providers/Forms/Prior%20Authorization/MCE_Provider_PA_update.pdf Go Now

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Residential Inpatient Substance Use Disorder Treatment Prior

Details: Anthem Hoosier Healthwise InpatientP: 1-866-408-6132 F: : 1 -877 434 7578 prior authorization, PA, inpatient and residential treatment, substance use disorder, SUD, Residential/Inpatient Substance Use Disorder Treatment Prior Authorization Request Form, Initial Assessment Form for Substance Use Disorder Treatment Admission, Re

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› Url: https://www.mhsindiana.com/content/dam/centene/mhsindiana/medicaid/pdfs/Residential-Inpatient-Substance-Use-Disorder-Treatment-Prior.pdf Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: IHCP Prior Authorization Request Form Version 6.1, March 2021 Page 1 of 1 Indiana Health Coverage Programs Prior Authorization Request Form Fee-for-Service Gainwell Technologies P: 1-800-457-4584, option 7 F: 1-800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 1-866-408-6132 F: 1-866-406-2803

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› Url: https://www.uhcprovider.com/content/dam/provider/docs/public/commplan/in/forms/Prior-Authorization-Request-Form.pdf Go Now

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Hoosier Care Connect Prior Authorization Form - Monstruonauta

Details: Medical claim dispute/appeal form (pdf) prior authorization. Hoosier care connect anthem hoosier care connect p: A prior authorization (pa) is an authorization from mhs to provide services designated as requiring approval prior to treatment and/or payment. To request prior authorization, please submit your request online or. Ihcp prior

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› Url: https://suyo.howdoyoucookquinoa.com/hoosier-care-connect-prior-authorization-form/ Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: IHCP Prior Authorization Request Form Version 5.0, January 2019 Page 1 of 1 Indiana Health Coverage Programs Prior Authorization Request Form Fee-for-Service Cooperative Managed Care Services (CMCS) P: 1-800-269-5720 F: 1-800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 1-866-408-6132button F: 1-866-406-2803

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› Url: https://www.mhsindiana.com/content/dam/centene/mhsindiana/medicaid/pdfs/IHCP-Prior-Auth-Form.pdf Go Now

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Program Information Anthem

Details: Package A is for children and pregnant women. Package C is for preventive, primary and acute care services for children under 19 years of age who don’t qualify for Package A. See the Anthem Provider Operations Manual for a list of Hoosier Healthwise benefits and services. You can find out more online or by calling 800-889-9949.

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› Url: https://providers.anthem.com/indiana-provider/member-eligibility-and-pharmacy/program-information Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: IHCP Prior Authorization Request Form Version 5.3, June 2020 Page 1 of 1 Indiana Health Coverage Programs Prior Authorization Request Form Fee-for-Service DXC Technology P: 1-800-457-4584, option 7Check the F: 1-800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 1-866-408-6132 F: 1-866-406-2803

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IN Prior Authorization Request Form - Fill and Sign

Details: Indiana Health Coverage Programs Prior Authorization Request Form Traditional Hoosier Healthwise Check the box of the plan in which the member is enrolled. Healthy Indiana Plan Care Select Advantage Traditional Anthem Hoosier Healthwise Anthem HHW SFHN MDwise Hoosier Healthwise MHS Hoosier Healthwise Anthem HIP MDwise HIP MHS HIP …

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› Url: https://www.uslegalforms.com/form-library/56069-in-prior-authorization-request-form Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: Prior Authorization Request Form Fee-for-Service Cooperative Managed Care Services (CMCS) P: 800-269-5720 F: 800-689-2759 Hoosier Healthwise Anthem Hoosier Healthwise P: 866-408-6132 F: 866 -406 2803 Anthem

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› Url: https://loyolamedicinetransport.org/images/Documents/IHCP-Prior-Auth-Form.pdf Go Now

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Provider Communications

Details: Oct 1, 2019 • State & Federal / Medicaid. This communication applies to the Medicaid and Medicare Advantage programs for Anthem Blue Cross and Blue Shield (Anthem). Effective November 1, 2019, prior authorization (PA) requirements will change for the following services.These services will require PA by Anthem for Hoosier Healthwise, Healthy Indiana …

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› Url: https://providernews.anthem.com/indiana/article/prior-authorization-requirements-for-global-march-mptac-ccrt-configuration Go Now

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Hoosier Care Connect Anthem - Monstruonauta

Details: Anthem hoosier care connect p: •members enrolled in hoosier healthwise, including the children’s health insurance program (chip), will continue to be transitioned out of managed. And hoosier care connect how to obtain prior authorization providers may call anthem to request prior authorization for medical and behavioral health services

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› Url: https://ryannoelfraser.com/hoosier-care-connect-anthem/ Go Now

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CMS-1500 professional providers - Anthem

Details: How to obtain prior authorization (cont.) Anthem is pleased to offer ICR, a website providers can use to request prior authorization for Hoosier Healthwise, Healthy Indiana Plan (HIP) and Hoosier Care Connect services. ICR is accessible via Availity at no cost to providers. ICR will accept the following types of requests for Indiana Medicaid

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› Url: https://mediprovider.empireblue.com/dam/medidocuments/ININ_CAID_ProfessionalProviders2017AnnualWorkshop.pdf?v=202101150221 Go Now

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Substance Use Disorder (SUD) Universal Prior Authorization

Details: Residential/Inpatient Substance Use Disorder Treatment Prior Authorization Request Form Page 1 of 2 Version 3.1, March 2021 Indiana Health Coverage Programs Healthwise Anthem Hoosier Healthwise P: 1-866-408 -6132 F: Inpatient: 1 …

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Anthem Blue Cross and Blue Shield Serving members enrolled

Details: Prior authorization (cont.) How to obtain PA . Hoosier Healthwise and Hoosier Care Connect: • Call our Utilization Management (UM) department at . 1-866-408-7187 • Or, fax the Universal PA form to . 1-866-406-2803. HIP: • Call our UM department at . 1-866-398-1922 • Or, fax the Universal PA form to . 1-866-406-2803

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Provider Communications

Details: Hoosier Healthwise: 1-866-408-6132; Healthy Indiana Plan: 1-844-533-1995; Hoosier Care Connect: 1-844-284-1798 . As it is not our policy to inform providers of proper billing processes within prior authorization responses, authorization responses do not include code-specific details.

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› Url: https://providernews.anthem.com/indiana/article/miscellaneous-durable-medical-equipment-dme-billing-guidelines-1 Go Now

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Indiana Health Coverage Programs Prior Authorization

Details: Prior Authorization Request Form Fee-for-Service Cooperative Managed Care Services (CMCS) P: 800-269-5720 F: 800-689-2759Check the box of Hoosier Healthwise Anthem Hoosier Healthwise P: 866-408-6132 F: 866-406-2803 Anthem

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› Url: https://www.mhsindiana.com/content/dam/centene/mhsindiana/medicaid/pdfs/IHCP-Prior-Auth-Form-July-2017.pdf Go Now

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Anthem Hoosier Healthwise Formulary

Details: And the formulary provides each hdo, by anthem hoosier healthwise formulary: emergency services requiring prior authorization procedures under the. State consent to coordinate care plan formulary are covered service quality and with the next, major bodily function to anthem hoosier healthwise formulary provides insight into all medical nature of.

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Hoosier Care Connect (HCC) Anthem BlueCross BlueShield

Details: Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let’s make healthy happen. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association.

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› Url: https://mss.anthem.com/in/benefits/hoosier-care-connect-medicaid.html Go Now

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Prior Authorization MHS Indiana

Details: How to Obtain a Prior Authorization. For DME, orthotics, prosthetics, home healthcare, and therapy (physical, occupational, speech), requests for services may be obtained via fax only: 1-866-912-4245. MHS will accept PA requests for emergent services up to two days following services for both contracted and non-contracted providers.

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› Url: https://www.mhsindiana.com/providers/prior-authorization.html Go Now

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Claims and Billing Tool - Anthem

Details: Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect 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

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Provider Forms MHS Indiana

Details: Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Hospital and Ancillary Credentialing Form (PDF) Non Contracted Provider Set-Up Form; Provider Specialty Profile Form (PDF) Claims. Medical Claim Dispute/Appeal Form (PDF) Prior Authorization. IHCP Prior Authorization Form (PDF) - Please call in prior authorization requests for

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Changes to The Franciscan Alliance Frequently - Anthem

Details: Effective January 1, 2020, the agreement between Anthem and the Franciscan Alliance will end. Prior to this date, certain Anthem members received their Hoosier Healthwise health care benefits through the Franciscan network of providers. Starting January 1, these members will receive their benefits through the Anthem network.

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› Url: https://mss.anthem.com/in/inin_caid_franciscanalliancefaq.pdf Go Now

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Provider Communications

Details: In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123.

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› Url: https://providernews.anthem.com/indiana/article/important-information-about-utilization-management-33 Go Now

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Prior Authorization CareSource

Details: CareSource PASSE™ evaluates prior authorization requests based on medical necessity and benefit limits. Services That Require Prior Authorization Please refer to the Procedure Code Lookup Tool to check whether a service requires prior authorization. All services that require prior authorization from CareSource PASSE should be authorized …

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Coronavirus (COVID-19) Anthem BlueCross BlueShield

Details: Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let’s make healthy happen. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association.

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