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FSSA/OMPP wants to make Medicaid better for members and they need your help. Apply to join Indiana Medicaid’s NEW Beneficiary Advisory Council (BAC) to share your experience. The BAC, composed of current and former Medicaid members and caretakers, will discuss policy and program changes. To apply, complete the BAC application and submit it via email or mail. Additionally, here is the website link for the FSSA BAC page: https://www.in.gov/fssa/ompp/advisory-committees/beneficiary-advisory-council

For 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, policies and procedures can be found in the provider manual.

News and Announcements

2025
Date		 Topic Announcement Audience
06/17/25 Plan Update Medication Authorization Updates (PDF) All Providers
03/27/25 Plan Update Prior Authorization List Correction (PDF) All Providers
03/10/25 Provider Training (PDF) Progeny Health Partnership (PDF) Hospitals
03/04/25 Provider Training (PDF) Gainwell Audit Review Program Webinar (PDF) All Providers
02/25/25 Plan Update Provider Portal Enhancements (PDF) All Providers
02/19/25 Claims Claims Processing Error- Rev Code 636 (PDF) Hospitals
01/21/25 Plan Update Progeny Health Partnership (PDF) Hospitals
2024
Date		 Topic Announcement Audience
11/15/24 Plan Update Delta Dental Partnership (PDF) All Providers
09/12/24 Plan Update Medication Authorization Updates September 2024 (PDF) All Providers
08/02/24 Plan Update Single Sign on for Provider and Authorization Portals (PDF) All Providers
07/02/24 General Notification Medical Records: Provider Responsibilities (PDF) All Providers
04/18/24 General Notification Member ID Card Error (PDF) All Providers
04/06/24 General Notification Change HealthCare Outage (PDF) All Providers
2023
Date		 Topic Announcement Audience
12/14/23 Plan Update Medication Authorization Updates December 2023 (PDF) All Providers
12/13/23 Plan Update Weight Loss Medication Coverage (PDF) All Providers
10/27/23 Plan Update Medication Authorization Updates October 2023 (PDF) All Providers
07/07/23 Plan Update UM Hierarchy (PDF) All Providers
06/02/23 Plan Update IHCP Transition to SUPDL (PDF) All Providers
02/01/23 Plan Update Blood Glucose Testing Supplies (PDF) DME Providers
2022
Date		 Topic Announcement Audience
12/29/22 Plan Update Claims Auditing Service Transition (PDF) All Providers
12/22/22 Claims HIP Fee Scheduling Issue (PDF) All Providers
08/10/22 General Notification National Formula Shortage (PDF) All Providers
06/18/22 Claims Outpatient HAF Reimbursement (PDF) Hospitals
03/29/22 Plan Update Medication Authorization Updates March 2022 (PDF) All Providers

Language Resources

MDwise supports the needs of our members and helps providers deliver culturally and linguistically appropriate services. Here are some resources that can help providers with that effort.

Interpreter services are free for all MDwise Hoosier Healthwise and Healthy Indiana Plan members.

In-person Interpreter Requests

A member or provider may ask for in-person interpretation services for an appointment by calling 1-800-356-1204. MDwise provides these services free to our members. Requests for in-person interpretation should be made at least three business days in advance. MDwise will do its best to provide in-person interpretation for requests made less than three business days in advance. 

Follow the steps below to complete a request.

This information is required:

  • Member name and ID number
  • Language required
  • Appointment date and time (estimated duration, if known)
  • Complete address and phone number of on-site appointment
  • Purpose of appointment
  • Member’s phone number

MDwise will schedule the in-person interpretation. Follow up will be done within two business days to confirm.

Telephone Interpreter Services

During business hours only, members and providers have the option to use oral interpreter services by calling 1-800-356-1204. The member or provider would explain the need for an interpreter and the preferred language. MDwise will connect the call for oral interpretation for any covered service. MDwise does not require advanced notice for oral interpreter services during business hours.

Quick Contact Guide

View our comprehensive quick contact guide includes contact information for Hoosier Healthwise and Healthy Indiana Plan.

Quick Contact Guide (PDF)

Prior Authorization Reference Guide

View our comprehensive Prior Authorization Reference Guide that includes PA contact information for Hoosier Healthwise and Healthy Indiana Plan

Prior Authorization Reference Guide (PDF)