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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

Prior Authorization

MDwise Medicaid Prior Authorization Process

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

Resources

Prior Authorization Lists

Contact

PA Inquiry Phone Number

MDwise Excel Hoosier Healthwise (HHW):  888-961-3100
MDwise Excel Healthy Indiana Plan (HIP):  888-961-3100

PA Fax Submission

HHW: 888-465-5581
HIP Fax for Inpatient: 866-613-1631
HIP Fax for Outpatient: 866-613-1642

Email: padept@mdwise.org

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