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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.

TABLE OF CONTENTS Introduction ..... 1 Chapter 1 - Welcome to MDwise ..... 2

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