Transcription of HHW/HIP Provider Manual - MDwise
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Provider ManualHoosier Healthwise and Healthy Indiana Plan (HIP)2020 MDwise Provider Manual | 2 HHW-HIPP0504 (12/18)ContentsWelcome to MDwiseProvider Responsibilities ..7 Provider Qualifications Credentialing and Enrollment Process Access and Quality Standards Provider Rights and ResponsibilitiesHoosier Healthwise Member Benefits ..24 Program Overview Eligibility Presumptive Eligibility (PE) Member Card Cost-Sharing and Copayments Program Benefits Service DescriptionsHealthy Indiana Plan Member Benefits ..35 Program Overview Eligibility Member Card POWER Account Contributions and Copayments Program Benefits Service Descriptions Preventive Care Package Claims ..49 Timelines Third Party Liability Inquiries, Disputes and AppealsPrior Authorization.
2020 MDwise Provider Manual | 2 HHW-HIPP0504 (12/18) Contents Welcome to MDwise ... We update the Provider Manual annually, and more frequently if necessary, due to program changes. ... MDwise was selected to begin negotiations to serve as an insurance provider for the Healthy Indiana Plan (HIP). Under the HIP program, the State of Indiana ...
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