Hoosier Healthwise Member Forms

MDwise care managers can help you make goals for your health. They work with you, your doctors, family and caregivers to do this. They want you to make the best choices for your health. Care managers can help you understand your health conditions and how to best manage them. Care management also assists you with:
• Understanding your condition.
• Understanding your medications.
• Getting supplies and equipment you need.
• Finding care from special doctors.
• Getting information about your condition.
• Scheduling appointments.
• Talking to doctors about your condition(s) and how you are doing.
• Getting help from other organizations.

Hoosier Healthwise Member Consent Form
MDwise Panel Add Form
Care Management/Disease Management Referral Form

 

INcontrol forms:

Asthma Action Plan
Diabetes Action Plan