IHCP Personal Representative Authorization Form Indiana Medicaid
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People also ask
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What is the number for prior authorization for Medicaid in Indiana?
All in-patient services require prior authorization. Please call 1-844-607-2831 to obtain prior authorization for emergency admissions. Outpatient emergency services do not require prior authorization.
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Where do I send my Indiana FSSA authorized representative form?
Establishing an Authorized Representative with the state The form needs to be signed by you and the person you authorize as your representative. It should then be filed with the state by fax to 888-436-9199 or delivered by mail or in person to your local county office.
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Is Hoosier Care Connect the same as Medicaid?
Hoosier Care Connect members will receive all Indiana Medicaid-covered benefits in addition to care coordination services. Care coordination services will be individualized based on a member's assessed level of need determined through a health screening. Get the health coverage you need.
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What is the prior Authorisation number?
The PA number consists of 10 digits, containing valuable information about the PA (for example, the date the PA request was received by ForwardHealth, the medium used to submit the PA request). Each PA request is assigned a unique PA number. This number identifies valuable information about the PA.
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How do I contact Medicaid in Indiana?
If there are questions about this information, contact EDS Customer Assistance at (317) 655-3240 in the Indianapolis local area or 1-800-577-1278. The quick reference is also available on the IHCP Web site at .indianamedicaid.com.
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What does IHCP stand for in Indiana?
The programs and services offered are incorporated under the umbrella of the Indiana Health Coverage Programs (IHCP).
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What is a prior authorization form?
Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.
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What is the phone number for Medicaid provider services in Indiana?
Provider Enrollment Inquiries If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information.
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