Transcription of MHS - Provider Manual 2021
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MHS - Provider Manual 2021
Provider 7/212 | MHS Provider Manual 2021 | OF CONTENTSC hapter 1: Managed Health Services (MHS) 6 Chapter 2: Guidelines for Providers 7 The Medical Home7 Covered Services 7 Provider Assistance with Public Health Services7 HealthWatch (EPSDT)7 Notification of Pregnancy (NOP) 8 Service Carve-outs8 Pharmacy 8 Excluded Benefits - Hoosier Care Connect 8 Availability and Accessibility 9 Appointment Availability 9 After-Hours Telephone Accessibility Arrangement10 Out-of-Office Coverage10 Provider Disenrollment from IHCP10 Interpreter/Translation Services 10 Advance Directives 11 Provider -Member Communication 11 Member Panel Capacity 11 Quality Improvement (QI) Activities11 Chapter 3: Compliance 12 Health Insurance Portability a
Healthy Indiana Plan (HIP) ... is a managed care entity (MCE) that has contracted with the state of Indiana to serve Medicaid recipients enrolled in: • Healthy Indiana Plan (HIP) • Hoosier Healthwise (HHW), including children in the Children’s Health Insurance Program (CHIP) ... Provider groups shall arrange for all participating ...
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