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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