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Healthy Indiana Plan (HIP) Providers

MDwise to Reject Claims without a Patient Account Number NEW!

Effective February 1, 2012, the Office of Medicaid Policy and Planning (OMPP) is requiring MDwise to require providers to submit the provider's patient account number on all claims (CMS-1500 and UB-04).

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CORRECTION

The phone number for the ACS Clinical Call Center is 1-866-879-0106. Please update your records and refer to the Quick Contact Guide for additional information.

myMDwise Provider Portal

The myMDwise Provider web portal allows providers to securely view member eligibility for the MDwise Healthy Indiana Plan, Hoosier Healthwise, and Care Select.   New users can request an account online. Please fill out form completely and allow 1-5 days for account to be activated. Learn more.

Provider Enrollment

MDwise provides a full scope of health coverage to low income, uninsured Hoosiers. MDwise invites providers of all specialties to join our statewide Healthy Indiana Plan.

 

The Healthy Indiana Plan is designed by the State of Indiana to offer a basic health insurance benefit plan, subject to individual contributions, and paired with a personal health account referred to as a POWER Account to Hoosiers without access to employer sponsored health insurance.

 

Providers who wish to participate as a HIP provider must contact the MDwise delivery system in your region and complete the MDwise forms.

 

Announcements NEW!

BH Prior Auth Update pdf format
NDC Code Requirement pdf format

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Helpful Documents

Provider Toolkit pdf format
Quick Contact Guide pdf format
Provider FAQ's pdf format
Programs Flow Sheet pdf format

Need Claims Info?

MDwise accepts claims in electronic format through several clearinghouses learn more..

Clarification of Services to Members by Chiropractors and Optometrists.

Chiropractic services and vision (refraction) services are not covered benefits under the Healthy Indiana Plan (HIP). However, Chiropractors and Optometrists may perform covered services for HIP members, as long as those covered services are within their scope of practice.

MDwise is here to help.

For questions, please call us at 1.800.356.1204 or 317.630.2831 if you are in the Indianapolis area.

 

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