Welcome Providers

Welcome to the MDwise network. We value your participation and hope to keep you informed by providing easily accessible resources and updates here. Information about MDwise guidelines, requirements and policies and procedures can be found in the provider manual.

MDwise Quick Contact Guides

View our comprehensive quick contact guide that includes delivery system contact information for Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect.

Click here for the MDwise Marketplace quick contact guide with contact information for MDwise Marketplace claims, pharmacy services, provider services and more.


HIP, PE HIP and HCC Claims Reprocessing

Effective immediately, MDwise will reprocess claims for Healthy Indiana Plan (HIP), Presumptive Eligibility (PE) HIP and Hoosier Care Connect that were denied or rejected for reasons of eligibility or authorizations for dates of service (DOS) from February 1, 2015 through October 1, 2015. 

For more information see the letter sent to providers.

UPDATE on MDwise Medicaid Prior Authorizations

Prior authorization requests for Indiana Health Coverage Programs: Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect

Click here to see the contact information for MDwise Delivery Systems.

MDwise Medicaid Prior Authorization Process

In order to provide the most prompt response times to providers, all prior authorization requests must be faxed to MDwise.
For more information, see our Provider Prior Authorization Guide.

News and Announcements

November 2, 2015

MDwise is now offering a new service to Healthy Indiana Plan providers. Using the MDwise Prepayment Tool on myMDwise, providers can get prepayment for services rendered up front.
Benefits of using the MDwise Prepayment Tool
  • Providers get prepayment for services rendered.
  • Members have accountability and visibility to their health care costs.
  • The new tool helps providers identify what services require prior authorization.
  • There are no additional costs or equipment required to use this tool. 

Provider types that can use the MDwise Prepayment Tool include the following:
  • Behavioral health providers.
  • Health clinics.
  • Physician offices.
  • Vision providers.
  • Dental providers.* 

*Note: Dental providers can use the MDwise Prepayment Tool and provide member receipts using the DentaQuest system, however they will not receive direct payment from the POWER Account. 

Learn more about how to sign up for this new service today.

If you have questions, please contact MDwise provider relations at 317.822.7300 ext. 5800.

October 30, 2015

MDwise would like to notify providers of a change in the claim submission for MDwise Excel Network (formerly known as Hoosier Alliance) Hoosier Healthwise claims. 

View the letter sent to providers for more information.

October 2015

The fall edition of MDwise's ProviderLink newsletter is now online.

July 2015

New Hoosier Care Connect Program
The Indiana Care Select program ended on July 1, 2015. Hoosier Care Connect is a new coordinated care program for those who are age 65 and over; blind or disabled and living in the community, and are not eligible for Medicare. Children who are wards of the state and current and former foster children may also elect to enroll in the program. Hoosier Care Connect promotes preventive and comprehensive coordinated care. It addresses the physical, behavioral, medical and social needs of members. Members with chronic conditions such as asthma and diabetes will be enrolled in the MDwise INcontrol program. This program will help members understand their health conditions and increase engagement in their health care management. Learn more about the MDwise INcontrol program. Members who need help in coordinating their health care will get personal case management and care coordination services.
If you have any questions about Hoosier Care Connect, please call MDwise customer service at 1-800-356-1204.

April 2015

MDwise Launches MDwise Excel Network Delivery System

MDwise Excel Network will assume all provider contracts previously held by Hoosier Alliance. The change will take place on July 1, 2015. See the Provider Letter sent to all MDwise providers.

January 2015

Provider Helpline Hours Are Changing for Hoosier Healthwise & Healthy Indiana Plan (HIP)

Effective February 1, 2015, the MDwise Healthy Indiana Plan and Hoosier Healthwise plans are changing the provider services helpline hours. The provider helpline will be available from 8:00 a.m. to 8:00 p.m. Monday through Friday. We hope that by changing our hours, we are better able to serve you.

View archived news and announcements