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MDwise Right Choices Program

WebMDwise will review your medical history with your doctors. The team will then decide if you would benefit from staying in, or if you should leave, the Right Choices Program. If you have questions about Right Choices, call MDwise customer service at 1-800-356-1204 and ask to speak with your assigned care manager.

Actived: 2 days ago

URL: http://ww.mdwise.org/Uploads/Public/Documents/MDwise/Right_ChoicesProgram_all-accessible.pdf

Effective Date Policy

WebPOLICY: Providers will be effective with MDwise either on the first of the month following the receipt of a complete network participation request or the first of the month following the contract execution for brand new providers per the additional guidance below: For brand-new providers requesting to join the network, once MDwise has received

Category:  Health Go Health

MDwise Formulary Introduction

WebPhysicians and Pharmacies call (844) 336-2677 or FAX: (858) 790- 7100. Quantity Limits: For certain drugs, the plan limits the amount of the drug that is covered. Drugs that are subject to a quantity limit will have a “QL” symbol next to the drug. Refill Limitations:

Category:  Health Go Health

MDwise Formulary Introduction Hoosier Healthwise (HHW)

WebST; QL (1 EA per 30 days) budesonide inhalation suspension for nebulization 0.25 mg/2 mL, 0.5 mg/2 mL. Tier 1. QL (60 ML per 15 days) budesonide inhalation suspension for nebulization 1 mg/2 mL. Tier 1. QL (30 ML per 15 days) Flovent Diskus inhalation blister with device 100 mcg/actuation, 50 mcg/actuation. Tier 2.

Category:  Health Go Health

Referral for Behavioral Health Services

WebTitle: Referral for Behavioral Health Services Author: MDwise Subject: Referral for Behavioral Health Services Keywords: Referral for Behavioral Health Services, Current concerns, Current Medications, Medical Problems, MDwise

Category:  Medical Go Health

IHCP Provider Ownership and Managing Individual …

WebIHCP Provider Enrollment Unit 2 of 16 IHCP Provider Ownership and P.O. Box 7263 Managing Individual Maintenance Form Indianapolis, IN 46207-7263 Version 1.0; October 1, 2020

Category:  Health Go Health

Medical Prior Authorization and Exclusion Lists

WebMedical Services that Require Prior Authorization for Hoosier Healthwise and Healthy Indiana Plan 3 HHHIPP0720 1/22 Type of Service Requires PA Coding Bariatric Surgery Yes Roux-en-Y- 43846, 43847

Category:  Medical Go Health

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