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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