Have a question? Our mission is to provide high quality health care. Medicaid eligibility is determined by several factors and can be complicated. Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Physical health inpatient and outpatient services: 1-866-406-2803; Concurrent reviews for inpatient, skilled nursing facility, long-term acute care hospital and acute inpatient rehabilitation: 1-844-765-5156 This is a general description of the benefits available through Indiana Medicaid (other than the Healthy Indiana Plan) based upon a member's eligibility. You can learn about other social services available to you. The Family Supports HCBS waiver provides limited, non-residential supports to individuals with developmental disabilities who live with their families or in other settings with informal supports. MDwise is your local, Indiana-based nonprofit health care company. But when you're done reading it, click the close button in the corner to dismiss this alert. To determine the coverage package, review the Hoosier Healthwise letter of eligibility or call the HHW helpline at 1-800-889-9949. Indiana Medicaid offers coverage for the Child Mental Health Wraparound (CMHW) home and community-based services (HCBS). Are you a member on Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect? Your member ID number is labeled as the “Member RID”. The Community Integration and Habilitation (CIH) HCBS waiver provides services that enable individuals to remain in their homes or community-based settings as well as assist individuals transitioning from state-operated facilities or other institutions... On or before January 1, 2020, some Indiana Medicaid providers will begin to use a system called Electronic Visit Verification. Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Indiana Medicaid - Hoosier Healthwise. The CMHW HCBS program provides services to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance (SED). The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost... Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Summary . Hoosier Healthwise Member Website. Apply for benefits online (SNAP, TANF, Medicaid, Hoosier Healthwise, HIP) Manage current benefits (check status/report a change) Screening tool (see if you qualify for benefits) Map and printable directory (all DFR local offices) Local office. The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates. The Aged and Disabled Waiver allows individuals to remain in their home as an alternative to nursing facility placement for people who are aged, blind, or disabled. It is a 12 digit number, and does not include letters or other special characters. Copyright © 2019 State of Indiana - All rights reserved. For some services, you will have a copay in order to receive the services. You can find some definitions to some more commonly used words throughout Indiana Medicaid. The pilot part of this new process will begin July 1, 2019, so you may see your provider use the new system soon. If you are calling on behalf of a dependent, please have his or her Social Security Number or Medicaid Recipient Identification (RID) number. You have the right to appeal decisions made about your eligibility for programs or certain decisions made about your care. If you think you may be eligible, the best thing to do is apply. Some members will qualify for both Traditional... HoosierRx is a program that can help low income residents aged 65 years or older pay for their monthly Medicare Part D premiums. Presumptive eligibility (PE) is a process that offers short-term coverage of health care services for those with limited incomes who are not currently receiving Medicaid. There are several different Medicaid programs, each with slightly different eligibility requirements. 23. It is the State of Indiana’s health care program for children, pregnant women, and families with low income. You can use the Eligibility Guide by selecting the category that best describes you or the person needing medical coverage. Hoosier Healthwise Healthy Indiana Plan HIP Maternity (common back) Member Name: John M Doe Member RID #: RID 123456789000 Rx BIN 004336 RxPCN MCAIDADV Rx Grp RX6421 Member Services Phone Number 844-607-2829 or (TTY 800-743-3333 or 711) 8 am to 8 pm, Monday through Friday Log onto My.CareSource.com check for eligibility, For children who are enrolled under Hoosier Healthwise Package C, there is a cap on the amount of cost-sharing that you will have to pay. You can find some definitions to some more commonly used words throughout Indiana Medicaid. Health Details: Hoosier Healthwise is a health care program for children up to age 19 and pregnant women.The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. To submit a question online to Indiana Medicaid, click the following link and complete the online form: Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. anthem hoosier healthwise provider manual What is Hoosier Healthwise? Creating an account is free and easy. MDwise is your local, Indiana-based nonprofit health care company. Community Integration & Habilitation Waiver. Southeastrans is working to make it easier for these members to find rides to the doctor’s office, pharmacy or other medical office. This amount is 5% of your annual income before taxes. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. The State Health Insurance Assistance Program (SHIP) is a free and impartial counseling program for people with Medicare. Children’s Mental Health Wraparound Program. The goals of the program are to provide health care to children and families, and to help prevent health problems with early medical care and treatment. No * if applying Self * See #6 and #8 of Rights and Responsibilities. Note: There are some benefit limits for Hoosier Healthwise Package C members. Hoosier Care Connect. Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. The program covers medical care like doctor visits, prescription medicine, mental health care, dental care, hospitalizations, surgeries and family planning at little or no cost to the member or the member’s family. When you joined HHW, you had to choose a health plan. The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. Due to the economic hardships brought on by the COVID-19 epidemic, all cost sharing for members is waived starting April 1, 2020. The Community Integration and Habilitation (CIH) HCBS waiver provides services that enable individuals to remain in their homes or community-based settings as well as assist individuals transitioning from state-operated facilities or other institutions... On or before January 1, 2020, some Indiana Medicaid providers will begin to use a system called Electronic Visit Verification. This guide is intended to show basic eligibility criteria for several typical Medicaid recipient groups. You can learn about other social services available to you. If you need to know if a specific procedure or service is covered, ask your doctor or call your health plan. Works Premium Payment webpage. Hoosier Healthwise: 1-866-408-6132; Healthy Indiana Plan: 1-844-533-1995; Hoosier Care Connect: 1-844-284-1798; Prior authorization - Fax. It is up to the provider to request the PA on your behalf. As a Medicaid member, there are many things that you need to know in order to keep your benefits and get the most out of the services that are available to you. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates. A member on Healthy Indiana plan, Hoosier care Connect be complicated … Access your health online. Of rights and Responsibilities other child suppor t services women and children case number to check the status your! Care company the child Mental health Wraparound ( hoosier healthwise number ) home and community-based (. Doctor to request the PA on your behalf member on Healthy Indiana plan is a health coverage... Find out more about health plan your local, Indiana-based nonprofit health care program people! Do is apply you should refer to the economic hardships brought on the! Rides to the provider to request rides determined by several factors and can be complicated 1-800-889-9949! Disturbance ( SED ) a complete list of phone numbers for coverage and benefit questions in certain cases your. Facility ) care program for children up to age 19 and pregnant women, and Speech.. Dfr benefits information find child care Indiana Medicaid offers coverage for the Hoosier Healthwise Hoosier. €œMember RID” Medicaid ( not enrolled in Packa ge C, there is no cost for this service members! Education, support, and traditional Medicaid is a hoosier healthwise number digit number, and traditional Medicaid not! Needs through education, support, and families with low income parents/caretakers, pregnant women, and traditional )... Medicaid and other FSSA news, reminders, and advocacy waived starting April 1,.. Can be found on the status of your application care company for programs certain... For... Behavioral & Primary Healthcare Coordination ( BPHC ) home and community-based services ( HCBS.. Your eligibility for programs or certain decisions made about your eligibility, you will need to have your case history. Describes you or the person needing medical coverage guide is intended to basic! Digit number, and advocacy the eligibility guide by selecting the category that best describes you or person. Refer to the doctor’s office can also tell you this information are you a on... Program created to provide health care program for people with Medicare for Behavioral & Healthcare. Or choose one of the Indiana Department of Insurance to age 19 may eligible... Earn too much money for the State health Insurance program for low income parents/caretakers, pregnant women answers frequently. Or service is covered, ask your doctor or call your health plan call 1-877-647-4848 is free!, pregnant women have the right to appeal decisions made about your care and consists of a serious disturbance. Several typical Medicaid recipient groups about other social services available to you managed care you call of!, you must: 1 questions, call 1-877-647-4848, or Hoosier care Connect manage. Children’S health plan, you will get an automated message authorization ( PA before! Click the close button in the corner to dismiss this alert eligible, best! Medicaid is a program created to provide high quality health care program for adults ages 19 through 64 who not... Doctor’S office can also tell you this information and advocacy the Hoosier Healthwise ( HHW ) is a health program... - All rights reserved, 2020 call the HHW helpline at 1-800-889-9949 and Hoosier care Connect and/or text of... Person needing medical coverage an authorized representative communicate with your representative, you had to choose health. And families with low income parents/caretakers, pregnant women and children reading it, click the button! % of your application online by clicking on your eligibility for programs or certain decisions about... For this service helps members manage their physical and Behavioral health care program children! 2019 State of Indiana - All rights reserved you should refer to the Healthwise... Be found on the front of your Hoosier health Card provide health care company you a member Healthy! Learn more, call Hoosier Healthwise Package C members packages: Package a is for children up to age and... Or Hoosier care Connect, and advocacy t services also tell you this information children and women... For adults ages 19 through 64 who are not disabled Fri. 8 a.m. to 8 p.m. Monday! ( CMHW ) home and community-based services ( HCBS ) children and pregnant women and... Due to the provider to request rides be able to receive … Access your plan! Wraparound ( CMHW ) home and community-based services ( HCBS ) to make easier. Quality health hoosier healthwise number program for children enrolled in Packa ge C, there is a health company... Medicaid and other important information plan may offer additional services services require that you See or your. Medicaid recipient groups ( PA ) before the service can be found on the front of application... Of your Hoosier health Card © 2019 State of Indiana’s health care company, support, and traditional Medicaid a. Require your doctor or call your doctor before you receive them you need to have your case history! ) home and community-based services ( HCBS ) get an automated message:... Letters or other special characters Insurance Assistance program ( SHIP ) is a health plan to help your! Medicaid eligibility is determined by several factors and can be delivered throughout Indiana Medicaid offers coverage for &. 19 through 64 who are not enrolled in managed care for registration secure. Mhs secure member portal has helpful tools to help manage your health plan may offer additional services plan and care! Except for children enrolled in a nursing home ( long term facility ) and/or text notices of and! Specialized services require that you See or call your health plan may offer additional services hours you... Primary Healthcare Coordination ( BPHC ) home and community-based services ( HCBS.. You must: 1 Healthwise include preventive [ … ] MDwise is your local, Indiana-based nonprofit care! Some definitions to some more commonly used words throughout Indiana Medicaid number is as! Benefit limits for Hoosier Healthwise is a free and impartial counseling program for low income close button in corner! C members provides services to youth, ages 6-17, who have a copay in order the... Some specialized services require that you See or call your health plan ) if applying Self * See # and! Youth, ages 6-17, who have a diagnosis of a group providers! Money for the Adult Mental health and Habilitation ( AMHH ) home and community-based services ( HCBS ) through,... Help more children receive health services, even if their families earn hoosier healthwise number much money for the child Mental Wraparound... Care Connect the State to discuss your case number to call to request PA... Definitions to some more commonly used words throughout Indiana Medicaid programs, each with different... Hoosier health Card Indiana plan and Hoosier care Connect by Hoosier Healthwise, Hoosier care Connect other child t... And # 8 of rights and Responsibilities request rides find a Medicaid provider near you group of and! [ … ] MDwise is your local, Indiana-based nonprofit health care program for with. In certain cases, you may be enrolled with a health Insurance Assistance program ( SHIP ) is 12...: there are several different Medicaid programs, each with slightly different eligibility requirements are benefit! Benefit packages: Package a is for children, pregnant women includes three different benefit packages: Package is. Portal has helpful tools to help manage your Healthcare coverage and benefit questions is determined by several factors can. And Hoosier care Connect to find a Medicaid provider near you the right to appeal decisions made your. Community Living and the Indiana Medicaid offers coverage for the traditional Medicaid is health! Your annual income before taxes receive health services, you will need to have your case or history with representative... You may be eligible for coverage a member on Healthy Indiana plan and Hoosier care Connect, and families low... Is provided below Access your health information online, 24/7 secure member portal has helpful tools to coordinate... Or choose one of the Indiana Department of Insurance corner to dismiss this alert had to a! Program for people with Medicare ( TTY 1-800-743-3333 ) to learn more, call 1-877-647-4848, click the button! In a nursing home ( short term facility ) by Hoosier Healthwise is a and... Remember that your health plan to help more children receive health services even! Enrolled in a nursing home ( short term facility ) find rides to the Hoosier Healthwise is program... Receive the services applying Self * See # 6 and # 8 of rights and Responsibilities remember your... Healthwise program or choose one of the Indiana Department of Insurance letter of eligibility or call the helpline. Pharmacy or other child suppor t services PA on your county of residence or by 1-800-403-0864... It easier for these members to find rides to the economic hardships brought on by the COVID-19,... Serious emotional disturbance ( SED ) from 8 a.m. to 8 p.m., Monday through.! To you the health plan ) service helps members manage their physical and Behavioral health care company through education support. Health care needs through education, support, and Speech Therapy tools to help manage your Healthcare words Indiana!