MDwise

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 MDwise Prior Authorization Reference and Contact Guide.

UPDATE on MDwise Medicaid Prior Authorizations

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

Forms

• Universal PA Form for Hoosier Healthwise and HIP

• Prior Authorization Reference Guide for Hoosier Healthwise and Healthy Indiana Plan

• Behavioral Health Forms

Prior Authorization Lists

• 2020 Maternity Code Exemption List - NEW!
• 2020 Medical Prior Authorization and Exclusion Lists for Hoosier Healthwise and HIP - NEW!
• 2019 Searchable Behavioral Health Services that Require Prior Authorization for Hoosier Healthwise and HIP

For pharmacy prior authorization forms, please visit our pharmacy forms page.