Anthem Hoosier Healthwise Prior Authorization

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Prior authorization requirements - Anthem Provider

(5 days ago) WEBTo 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. Hoosier Care Connect: 844-284-1798. Fax: Anthem Blue Cross and Blue Shield is the trade name …

https://providers.anthem.com/indiana-provider/claims/prior-authorization-requirements

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Indiana Medicaid: Providers: Prior Authorization - IN.gov

(6 days ago) WEBManaged Care Prior Authorization. The managed care entities (MCEs) are responsible for processing all PA requests for services covered under the managed care delivery system, and for notifying Healthy Indiana Plan (HIP), Hoosier Care Connect and Hoosier Healthwise members about PA decisions. To determine whether a procedure code …

https://www.in.gov/medicaid/providers/clinical-services/prior-authorization/

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Anthem Blue Cross and Blue Shield Indiana Medicaid Provider …

(7 days ago) WEBAnthem 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

https://mediprovider.empireblue.com/dam/medidocuments/ININ_CAID_ProviderManual.pdf?v=202101150221

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Serving Hoosier Healthwise, Healthy Indiana Plan and …

(3 days ago) WEBHoosier 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.*

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

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Serving Hoosier Healthwise, Healthy Indiana Plan and …

(3 days ago) WEBHow 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:

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

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Prior authorization update - Provider News

(1 days ago) WEBFor assistance with questions regarding the PA requirement change, please call Provider Services at one of the phone numbers listed below: Hoosier Healthwise — 866-408-6132. Healthy Indiana Plan — 844-533-1995. Hoosier Care Connect — 844-284-1798. Clinical Utilization Management Guidelines (CUMG) number.

https://providernews.anthem.com/indiana/articles/prior-authorization-update-15666

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Indiana Medicaid: Providers: Forms - IN.gov

(4 days ago) WEBNovember 2023. Enrollment/Discharge/Transfer (EDT) State Hospitals and 590 Program – State Form 32696 (R3/2-16)/OMPP 0747. External link. Provider Authorization [590 Program membership information for outside the 590 Program facility] – State Form 15899 (R5/10-18)/OMPP 2021. External link.

https://www.in.gov/medicaid/providers/provider-references/forms/

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Provider News - Anthem

(3 days ago) WEBEffective 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.

https://providernews.anthem.com/indiana/articles/prior-authorization-changes-1-3122

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Prior Authorization MHS Indiana

(1 days ago) WEBA Prior Authorization (PA) is an authorization from MHS to provide services designated as requiring approval prior to treatment and/or payment. All procedures requiring authorization must be obtained by contacting MHS prior to rendering services. PA is required for certain services/procedures which are frequently over- …

https://www.mhsindiana.com/providers/prior-authorization.html

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Prior authorization update - Provider News

(7 days ago) WEBFor assistance with questions regarding the PA requirement change, please call Provider Services at one of the phone numbers listed below: Hoosier Healthwise — 866-408-6132. Healthy Indiana Plan — 844-533-1995. Hoosier Care Connect — 844-284-1798. CUMG number.

https://providernews.anthem.com/indiana/articles/prior-authorization-update-18473-18473

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Indiana Health Coverage Programs Prior Authorization …

(6 days ago) WEBCheck the radio button of the entity that must authorize the service. (For managed care, check the member’s plan, unless the service is carved out [delivered as fee-for-service].) 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.

https://www.mhsindiana.com/content/dam/centene/mhsindiana/medicaid/pdfs/508-IHCP-Universal-PA-Form2021.pdf

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Hoosier Healthwise Preferred Drug List Introduction - Anthem …

(7 days ago) WEBServing Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Anthem has a prior authorization (PA) program that adheres to FDA-approved dosing guidelines. PA = prior authorization required (Prior authorization is the process of obtaining approval of benefits before certain prescriptions may be filled.)

https://providers.anthem.com/docs/gpp/IN_CAID_HHWPDL_Intro.pdf?v=202106141349

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Indiana Health Coverage Programs Prior Authorization …

(7 days ago) WEBIHCP Prior Authorization Request Form Version 9.0, January 2024 Page 1 of 1 Indiana Health Coverage Programs Request Form Fee-for-Service Acentra Health P: 866-725-9991 F: 800-261-2774 Hoosier Healthwiseauthorize the Anthem Hoosier Healthwise P: 866-408-6132 F: 866-406-2803 CareSource Hoosier Healthwise P: 844 -607 2831 F: …

https://www.in.gov/medicaid/files/pa%20form.pdf

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