Transcription of Provider Manual - MDwise
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Provider Manual - MDwise
HCCP0036 (4/15) Provider Manual Blank Intentionally TABLE OF CONTENTS Introduction .. 1 chapter 1 - Welcome to MDwise .. 2 MDwise Mission .. 3 MDwise Focus and Goals .. 3 chapter 2 - Overview of MDwise Programs .. 4 Hoosier Care Connect Program Overview .. 5 Members Covered by the Hoosier Care Connect Program .. 5 Member Eligibility .. 5 Provider Enrollment .. 5 chapter 3 - Hoosier Care Connect Benefits Overview .. 9 Self-Referral Services .. 14 Emergency Services .. 15 Prior Authorization for Emergency Services .. 16 Non-Emergency Services .. 16 Excluded Services .. 17 chapter 4 - Member Eligibility .. 19 How Members Become Eligible for Hoosier Care Connect .. 19 The MDwise ID Card .. 19 How to Verify Eligibility .. 20 You can use the HP Web Interchange ( ) to check eligibility.. 20 Hoosier Care Connect Eligibility Redetermination.
TABLE OF CONTENTS Introduction ..... 1 Chapter 1 - Welcome to MDwise ..... 2
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