Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. Hoosier Healthwise. MDwise is Here to Help. Chat with a live person or send us a secure message. Anthem requires that Home Health providers call us with the notification of the delivery code of 50 services to begin the care coordination process. If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. It is one of the Medicaid programs available to Hoosiers that qualify or are eligible. Submission of clinical documentation as requested by the Anthem Blue Cross and Blue Shield outpatient Utilization Management department to complete medical necessity reviews for outpatient services such as DME, Home Health care, wound care, orthotics . The RFP was released on June 7, 2021, by the Indiana Department of Administration on behalf of the Family and Social Services . The Anthem Rewards program is designed to reward Anthem Medicaid members for participating in healthy activities, such as having an annual preventive care visit with their primary care provider or participating in a tobacco cessation program. As a result of the procurement process, the FSSA has begun negotiation with four selected MCEs: Anthem, Managed . Traditional Quarterly pharmacy formulary change notice View Communications and Updates Featured resources Pharmacy information Members ages 20 and younger: One routine vision exam every year $22.00. Anthem Blue Cross and Blue Shield (Anthem) is expanding their partnership with AIM Specialty Health® (AIM) for outpatient rehabilitative and habilitative services. Enroll Renew Am I eligible? That's why Anthem uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. Based on family income, children up to age 19 may be eligible for coverage. How do I change my health plan? Learn more about the information that you see on the Find a Provider results (PDF) We encourage anyone who is currently in one of Indiana Medicaid's health coverage programs, including the Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect or traditional Medicaid, to take action . Fax clinical information for all members to: MDwise is your local, Indiana-based nonprofit health care company. Hoosier Healthwise (HHW) and Healthy Indiana Plan (HIP) 866-408-6131 (TTY 711) from Monday through Friday, 8 a.m. to 8 p.m. Eastern time Hoosier Care Connect (HCC) 844-284-1797 (TTY 711) from Monday through Friday, 8 a.m. to 8 p.m. Eastern time Need to speak with a nurse? After you are directed to the member prompt, say "transportation.". Our goal is to help you live healthy and independently in your community. Most Commonly Accepted Insurance (s) Patients should not consider this list a binding agreement or guarantee of coverage. Providers may call Anthem to request PA for medical and behavioral health (BH) services using the following phone numbers. You will need . Hoosier Healthwise is the name of the State of Indiana's health insurance program. Use the comments field at the bottom of the PMF for any additional information that will help us enter your provider file information Date of Birth Required. improve your health and the health of our communities. anthem has been selected by the state of indiana as one of the managed care entities to provide access to health care services for the following programs: hoosier healthwise- the state of indiana's medicaid program, separated into package a for children and pregnant women and package c for children under age 19. healthy indiana plan (hip)- an … Anthem, to provide health services to Hoosier Healthwise enrollees.1 Previously, the Hoosier Healthwise program used five MCOs to deliver care. Many Anthem plans have extra benefits, called value-added benefits. First Name Required. Anthem BlueCross BlueShield works with the state of Indiana to offer the Hoosier Healthwise and Healthy Indiana Plan (HIP) health insurance programs for 372,000 Medicaid beneficiaries. Hoosier Care Connect: . Feb 1, 2019 • State & Federal / Medicaid. Ambetter from MHS. MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. This and other improvements made to the Hoosier Healthwise . Over 150 to 175 percent. Anthem PPO/HMO. This week, our In Focus section reviews the Indiana Medicaid managed care request for proposals (RFP) for health plans serving beneficiaries enrolled in Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Hoosier Healthwise Package A - Children Anthem and MDWise Exhibit F: Group Number: 6003432014, 6001422070 Old . Choose MHS Health Services - Indiana (Medicaid) as your Plan. Anthem Medicaid "Offers benefit plans for three Indiana Medicaid programs: Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect." Avondale Meadows YMCA "Committed to helping people to enhance personal growth and improve health of spirit, mind, and body." The Plan is sponsored by the state of Indiana and administered by the Indiana . You can use Availity to submit and check the status of all your claims and much more. MDwise customer service can provide language services or an interpreter. Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) Contacts by Health Plan: Anthem. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost. Call MHS Member Services at 1-877-647-4848, and tell us who you want as your doctor. Dental Services by Anthem under Hoosier Healthwise consists of Exams, Cleanings, X-rays, Fillings, Fluoride treatment (age 20 and under), Crowns . Medications. Package C is for preventive, primary and acute care services for children under 19 years of age who don't qualify for Package A. The Healthy Indiana Plan (HIP) is a health plan for uninsured adults ages 19-64. improve your health and the health of our communities. If you have any questions related to the process of portal login for hoosier healthwise, you can report it directly to . All existing stat e/plan contracts and Member Services (Hoosier Care Connect) 844-284-1797. Hamilton Center, Indianapolis, Indiana. First 4 Digits of the RID (State Medicaid ID) Number: (See example location on the ID card above) No matches. Indiana HIP and HHW. Living in the community. Anthem Managed Medicaid - Hoosier Care Connect (HCC), Hoosier Healthwise (HHW) & Healthy Indiana Plan. Hoosier Healthwise (HHW), which began in 1994 and was implementedstatewide in 1997, is a . MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). Manage your IngenioRx Pharmacy prescriptions, if applicable. Hoosier Healthwise (HHW) is the State of Indiana's health care program . Anthem is a registered trademark of Anthem Insurance Companies, Inc. Covered Routine Care. Now that you're a part of the Anthem family, we want to make sure you make the most of your benefits. Anthem is a health insurance plan that serves people who get Medicaid. You can choose your PMP (Primary Medical Provider) in one of these ways: Choose your doctor through the Secure Member Portal. Hoosier Healthwise provides health and medical coverage to children and pregnant women in Indiana. Our mission is to provide high quality health care. Under Hoosier Healthwise Health care is provided at little or no cost to Indiana families enrolled in the program. Filing your claims should be simple. that could help them stay covered. Checkups and immunizations for children. Not enrolled in Medicare. Inside, you will find: See the Anthem Provider Operations Manual for a list of Hoosier Healthwise benefits and services. Hoosier Healthwise is a special program within the state's Medicaid office that provides . Hoosier Healthwise HHW. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. Effective November 1, 2021, the preferred formulary changes detailed in the table below will apply to Anthem Blue Cross and Blue Shield members enrolled in Hoosier Healthwise, Hoosier Care Connect, and Healthy Indiana Plan (HIP). Learn More. If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. Questions? Rehab centers were selected based on rehab program excellence, accreditation of the facility, and positive reviews from participants. Children up to age 19 may be eligible for coverage based on family income. The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. and Traditional Medicaid Coverage of Emergency Room Services . How do I use the formulary? Hoosier Healthwise: 1‑866‑408‑6132; Healthy Indiana Plan: 1‑844‑533‑1995 ; Hoosier Care Connect: 1‑844‑284 . Now that you're a part of the Anthem family, we want to make sure you make the most of your benefits. Hoosier Healthwise members have 90 days from the date that they start with MDwise to change their health plan. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. . hoosier healthwise portal pages are updated regularly by the billerdirectexpress. Hoosier Healthwise, Anthem, Managed Health Services, MHS, MDwise, CareSource, provider, credentialing Created Date: 3/10/2022 7:57:16 AM . MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. How do I use the formulary? . Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. We'll coordinate your care between all of your doctors and specialists. Over 175 to 200 percent. Care Select. Is Hoosier Healthwise and Medicaid the same thing? Inside, you will . 5 5 Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect The online PMF has all the fields needed to submit your Medicaid information. A health plan is a health insurance company. • Anthem Hoosier Healthwise: 1-866-408-6132 • MDwise Hoosier Healthwise: 1-800-356-1204 • Managed Health Services: 1-877-MHS-4U4U or 1-877-647-4848 . health care industry time to ramp up operations to ensure systems and business processes are ready to go on October 1, 2015. . We've been honored to serve Hoosier Medicaid members since 2007. The Healthy Indiana Plan (HIP) is a health-insurance program for low income Hoosiers ages 19 to 64, with benefits that include hospital care, mental and behavioral health services, substance abuse treatment, maternity care, doctor visits and . For providers already enrolled as Medicaid providers: • Contract with Anthem, MHS, and/or MDwise now. Anthem works with the state of Indiana to bring you the Hoosier Healthwise (HHW) health care program. Indiana Medicaid Provider List for Anthem BSBC Members Only Return to General Information: Referrals: Not required Return to General Information: Special Circumstances: Do not place callers on hold, MUTE only. Hoosier Healthwise (HHW) Hoosier Healthwise (HHW) is Indiana's Medicaid plan for pregnant women and children. Hoosier Healthwise (HHW) HHW members must use MDwise network pharmacies to access their prescription drug benefit. Most Commonly Accepted Insurances. All of the related Hoosier Healthwise pages and login addresses can be found along with the hoosier healthwise's addresses, phone numbers. All of the related Hoosier Healthwise pages and login addresses can be found along with the hoosier healthwise's addresses, phone numbers. Hoosier Healthwise programs beginning Jan. 1, 2023. HHW provides health care, including doctor visits, prescription drugs, mental health care, dental care, hospitalizations, surgeries and family planning at little or no cost to the member or the member's family. Hoosier Healthwise (HHW) is Indiana's health care program for children, pregnant women, and families with low income. Hoosier Healthwise - MDwise Inc. We've been honored to serve Hoosier Medicaid members since 2007. alisa.phillips@anthem.com (Anthem and Managed Health Services, owned by Centene) and one locally-based, non-profit plan (MDwise) for both Hoosier Healthwise Health Indiana Planand The state selects . MHS' plan is called Ambetter from MHS. Serving the Medicaid population through Hoosier Healthwise, Healthy Indiana Plan (HIP) and Hoosier Care Connect, Anthem has been delivering quality products and services since 2007 to help our members get the right health care, at the right time, in the right place. Hoosier Healthwise, Anthem, Managed Health Services, MHS, MDwise, CareSource, provider, credentialing Created Date: 3/10/2022 7:57:16 AM . Hoosier Healthwise (HHW) options for this program include: • Package A: Standard (children, transitional low-income parents/caretakers and . The Hamilton Center is accredited by the Joint . Member Services (Hoosier Healthwise) 866-408-6131. Medicaid benefits include: Doctor visits. You can reach MHS' transportation vendor through MHS Member Services at 1-877-647-4848 ( TTY: 1-800-743-3333 ). Guidelines for referrals to specialists will remain the same. There are two ways to find your drug within the formulary: Medical Condition Drugs in this formulary are grouped into categories depending on the type of medical conditions that they are used to treat. Anthem Blue Cross and Blue Shield. Hoosier Healthwise Hoosier Care Connect Find a DentaQuest dentist For more information and to search for providers, call DentaQuest toll free at 888-291-3762 (TTY 800-466-7566). 1. Take your health screener. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are Last Name Required. Aetna. Transportation Information. 24/7 NurseLine Fast advice from a nurse anytime, day or night Please . Hoosier Healthwise For women who are, or may become, pregnant, and children See HHW benefits Healthy Indiana Plan For low-income adults ages 19 to 64 See HIP benefits Hoosier Care Connect For individuals who are: Blind or have a disability. The Health Insurance Marketplace is an online shopping mall of healthcare plans. $33.00. Hoosier Healthwise (HHW) HHW members must use MDwise network pharmacies to access their prescription drug benefit. The Hoosier Healthwise/HIP provider manual contains important information about Hoosier Healthwise, HIP and MDwise guidelines, requirements and policies and procedures. MDwise is your local, Indiana-based nonprofit health care company. Members can take these steps to ensure we have their current information: •Go to . Start your eye doctor search; Click on Provider Search at the top of the page. The Indiana Health Coverage Programs (IHCP) covers services for a member presenting to an Hoosiers enrolled in Healthy Indiana Plan (HIP) and Hoosier Healthwise (HHW) can choose CareSource for health care coverage. Hoosier Healthwise: 866-408-6132. Hoosier Care Connect HCC. Hoosier Healthwise is a health plan for pregnant women and children up to age 18. You can find out more online or by calling 800-889-9949. •Hoosier Healthwise Package A Anthem 2022 -Newborns $924.07 -Preschoolers $138.10 -Children $141.25 -Adolescents/Adults $195.16 With access to your secure account, you can: Change your primary medical provider (PMP). Hoosier Healthwise programs beginning Jan. 1, 2023. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east . Claims Submission. You can speak to a live transportation representative between 8 a.m. - 8 p.m. Monday through Friday. For more information refer to Chapter 14 in the Anthem Provider Manual at https://mediproviders.anthem.com/Documents/ININ_CAID_ProviderManual.pdf Behavioral Health contact information Michele Weaver Network Relations Consultant, Sr. michele.weaver@anthem.com 1-317-601-3031 Alisa Phillips Network Relations Consultant Mgr. To ease the selection process, the following list contains the top 5 rehab centers that accept Indiana Medicaid plans. Hoosier Healthwise. MDwise customer service can provide language services or an interpreter. Request a call back from Member Services. Medicaid Eligiblity • Hoosier Care Connect (HCC) -142,583 members -Adults and children who are blind, have a disability, are over age 65 but not on Medicare, or DCS . Healthy Indiana Plan Member Website. • Anthem Hoosier Healthwise • Anthem Healthy Indiana Plan (HIP) • Anthem Hoosier Care Connect • Anthem commercial All provider file updates use our PMF. Contracts will be worth over $6 billion annually. Need Help with the Find a Provider Tool? Hospital stays. Package A is for children and pregnant women. Our mission is to provide high quality health care. Age 65 and over. $33.00. Basically, it is a health care program for children up to age 19, pregnant women, and low-income parents/caretakers residents of the state of Indiana. hoosier healthwise portal pages are updated regularly by the billerdirectexpress. View or print your member ID card. The amount you are required to pay is based on your family income and number of children on the CHIP program in your family: Income (As a percent of FPL) One Child. Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect . Anthem BlueCross BlueShield works with the state of Indiana to offer the Hoosier Healthwise (HHW . MDwise is Here to Help. Update your contact info. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. . There are two ways to find your drug within the formulary: Medical Condition Drugs in this formulary are grouped into categories depending on the type of medical conditions that they are used to treat. Program Phone number HIP1-844-533-1995 Hoosier Care Connect1-844-284-1798 Hoosier Healthwise1-866-408-6132 How to obtain prior authorization (cont.) Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Vision services We help our members get the care and services needed to get and stay healthy. If you have any questions related to the process of portal login for hoosier healthwise, you can report it directly to . I am an Anthem representative completing the screening on behalf of a child member (ages 0 through 20) . Vision benefits for Hoosier Healthwise and CHIP are provided as part of your MHS benefits. DentaQuest, an independent company that does not provide Blue Cross and Blue Shield products, administers dental benefits for Anthem. Call us! Find an Eye Doctor. Healthy Indiana Plan: 844-533-1995. Indiana Medicaid for Members Programs Hoosier Healthwise Working with Your Health Plan Working with your health plan If you are a member of the Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect, you will need to choose a health plan. Similarly, what is Hoosier Healthwise? Aetna Medicare Advantage HMO/POS/PPO.