Prior Authorization
MDwise Medicaid prior authorization requirements are applicable to the following services:
- Behavioral Health Services
- Medical Services
- Medications (‘Buy and Bill’ HCPCS Codes) billed under the medical benefit
Resources
Prior Authorization Lists
Behavioral Health Services
Medical Services
Medications (‘Buy and Bill’ HCPCS Codes) under the medical benefit
Contact Information for PA Submissions*
PA Inquiry Phone Numbers
MDwise Excel Hoosier Healthwise (HHW): 888-961-3100
MDwise Excel Healthy Indiana Plan (HIP): 888-961-3100
PA Fax Submissions
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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*Please visit Pharmacy Resources | MDwise for contact information and PA requirements related to medications billed under the pharmacy benefit.