MDwise

Important Medical Billing Information

• Medical Code Exclusion List
• Self-Administered Codes for Medical

Prior Authorization Lists Hoosier Healthwise Archives

• 2019 Medical Prior Authorization and Exclusion Lists for Hoosier Healthwise and HIP

• 2018 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• 2018 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise
• *Effective 4/1/2018 – 2018 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• *Effective 4/1/2018 – 2018 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise
• *Effective 6/1/2018 – 2018 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• *Effective 6/1/2018 – 2018 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise
• *Effective 7/1/2018 - 2018 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• *Effective 7/1/2018 - 2018 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise
• MDwise St. Catherine Referral/PA Form for Hoosier Healthwise, Family Planning
• MDwise Eskenazi Health Prior Authorization Quick Reference Guide for Hoosier Healthwise
• Behavioral Health Services that Require Prior Authorization for Hoosier Healthwise
• Searchable List of Behavioral Health Services that Require Prior Authorization for Hoosier Healthwise
• MDwise Indiana University Health Prior Authorization Quick Reference Guide for Hoosier Healthwise
• MDwise Select Health Network Prior Authorization List for Hoosier Healthwise
• MDwise St. Catherine Prior Authorization Quick Reference Guide for Hoosier Healthwise
• MDwise St. Vincent Prior Authorization List for Hoosier Healthwise
• MDwise Total Health Prior Authorization List for Hoosier Healthwise
• MDwise Community Health Network Prior Authorization List for Hoosier Healthwise

• 2017 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• 2017 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise

• 2016 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• 2016 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise
• For dates prior to 8/28/17: 2017 MDwise Excel Network Prior Authorization List for Hoosier Healthwise
• For dates prior to 8/28/17: ​2017 MDwise Excel Network Searchable Prior Authorization List for Hoosier Healthwise

Prior Authorization Lists HIP Archives

• 2018 HIP Medical Services that Require Prior Authorization
• 2018 Searchable List of HIP Medical Services that Require Prior Authorization
• *Effective 4/1/2018 – 2018 HIP Medical Services that require Prior Authorization
• *Effective 4/1/2018 – 2018 Searchable List of HIP Medical Services that Require Prior Authorization
• *Effective 6/1/2018 – 2018 HIP Medical Services that Require Prior Authorization
• *Effective 6/1/2018 – ​2018 Searchable List of HIP Medical Services that Require Prior Authorization
• *Effective 7/1/2018 - 2018 HIP Medical Services that Require Prior Authorization
• *Effective 7/1/2018 - 2018 Searchable List of HIP Medical Services that Require Prior Authorization
• HIP Behavioral Health Services that Require Prior Authorization
• Searchable List of Behavioral Health Services that Require Prior Authorization for HIP
• Universal PA Form for Hoosier Healthwise and HIP

• 2017 HIP Medical Services that Require Prior Authorization
• 2017 Searchable List of HIP Medical Services that Require Prior Authorization

• 2016 HIP Medical Services that Require Prior Authorization
• 2016 Searchable List of HIP Medical Services that Require Prior Authorization
• For dates prior to 8/28/17: 2017 HIP Medical Services that Require Prior Authorization
• For dates prior to 8/28/17: Searchable List of 2017 HIP Medical Services that Require Prior Authorization