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Indiana Hoosier Healthwise (Medicaid and SCHIP)

PW_AD089430

Provider Resources

Quality Improvement Program

Date

Format

Summary of Provider Credentialing Program

04/10

PDF

QIP Summary

01/10

PDF

HEDIS Descriptions

09/09

PDF

HEDIS Measure Physician Documentation Guidelines and Administrative Codes

11/09

PDF

Clinical Practice Guidelines

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-

Preventive Health Care Guidelines

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-

 

Prior Authorization and Preservice Review

Date

Format

Services Requiring Prior Authorization

08/09

PDF

Request for Preservice Review Form

08/08

DOC

Prior Authorization Toolkit

-

-

Utilization Management Clinical Guidelines

02/10

PDF

 

Health Education

Date

Format

Caring for Diverse Populations

04/10

PDF

EPSDT HealthWatch Information

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-

VFC Program Update

04/09

PDF

Health Education Programs

-

-

Interpreter Services

-

-

Indiana Medicaid Smoking Cessation Program

06/07

PDF

 

Provider Communications

Date

Format

Provider Operations Manual and Important Updates

-

-

Provider Newsletters

-

-

 

Additional Programs and Services

Date

Format

Pharmacy Information

-

-

 

Forms and Tools

Date

Format

Forms Library

-

-

How to Find Preventive Care Forms Online

01/10

PDF

Desktop IVR Reference Guide

02/09

PDF

Notification of Pregnancy Process

07/09

PDF

Hoosier Healthwise Provider Directory

01/10

PDF

Member Handbook / Evidence of Coverage – Medicaid

01/10

PDF

Member Handbook / Evidence of Coverage – SCHIP

01/10

PDF

Important Phone Numbers

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-

 

Standards and Policies

Date

Format

Advance Directives

07/09

PDF

Member Rights and Responsibilities

11/06

PDF

National Provider Identifier (NPI)

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-

Notice of Privacy Practices (NOPP)

07/07

PDF

Privacy and Security Statement

05/09

PDF

Anthem Medical Policies

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-

 

How to Contract with Anthem

Date

Format

Changes Lives Together

06/10

PDF

Recontracting for 2011

03/10

PDF

About Anthem

11/06

PDF

You are an Essential Part of our Network

-

-

Request for Professional Provider Practice Information Form

07/08

DOC

Adding a New Provider to Your Group or Joining a Group

-

PDF

Performance Bonus Program For Hoosier Healthwise Services

06/09

PDF

CMS Disclosure of Ownership Form

-

DOC

Indiana Professional Fee Schedule for Medicaid Services
After entering the IHCP website, click the link “Fee Schedule” link on the right side bar, accept the terms and follow the instructions to see Medicaid reimbursement rates.

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If you have any questions, please call 1-866-408-6132.
If your patients have questions about Anthem, please ask them to call
1-888-232-9613 (TTY 866-408-7188).
 
Last Update: 03/24/10 Version: 29  
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use