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  1. IHCP-enrolled providers interested in enrolling as a provider for Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect members must apply directly to one or more of the managed care entities (MCEs).

    • Provider Authorization

      The Indiana Code addresses the process used for a patient's...

    • EDT

      State Form 32696 (R3 / 2-16) / OMPP 0747 FAMILY AND SOCIAL...

  2. Hoosier Healthwise is a health care program for children up to age 19 and pregnant individuals. 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.

  3. Health coverage applications are processed by the Family and Social Services Administration (FSSA), Division of Family Resources (DFR). You can apply in person, online, by mail, or by phone. Once you submit your complete application, it can take up to 90 days to determine if you are eligible.

  4. 17 Σεπ 2024 · Call the Department of Family Resources (DFR) at 1-800-403-0864 or go to the FSSA Benefits Portal. If you would like this information in print, please contact MHS Member Services. The Indiana Medicaid Handbook for members of Hoosier Healthwise tells you how our program works and what we offer.

  5. 30 Σεπ 2024 · Please login to your portal account to complete these forms. Key Provider Partnership Outreach Program Order Form (PDF) Please reach out to your Provider Relations Representative to order MHS brochures and other office items or fill out our online Materials Order Form .

  6. 15 Ιουν 2024 · To apply: To get a list of enrollment centers where you can apply in person go to https://www.in.gov/fssa/dfr/2999.htm. To apply online go to https://fssabenefits.in.gov/bp/#/. To apply over the phone, call 1-800-403-0864. Learn how you can become a MDwise Medicaid Member in Indiana.

  7. The Eligibility Guide, found under the “Apply for Coverage” tab at www.in.gov/medicaid/members, is a resource tool that can provide eligibility information to assist individuals in understanding if they are more likely or less likely to qualify for any Medicaid benefits. It is not a final determination.