Website www.CareSource.com Co-pays Package C: Ambulance – $10 Drugs $3 generic/$10 brand-name Package P: No copays Case Management Services We help you get the right health care services at the right time. Flu shots, pneumonia shots, FluMistTM and antiviral medications are approved benefits under most health plans. A referral is when your primary medical provider (PMP) sends you to another provider for care. You can also visit the Indiana State Health Department for more information. Currently, Hoosier Healthwise members can change their health plans at any time. •    No-cost pregnancy tests  during and after your pregnancy. And with Anthem, you get even more! See your member handbook for a list of these services. SafeLink Wireless® is a LifeLine supported services, a government benefit program. We’re proud to offer these benefits so you get and stay healthy. For a current list of PMPs, specialists and pharmacies, visit . Hoosier Care Connect: Anthem Blue Cross and Blue Shield and the Indianapolis Colts are teaming up to help you stay healthy through the Blue Ticket to Health program. o    Call Anthem Transportation Services at 1-844-772-6632 (TTY 1-866-288-3133) to set up your ride. The IHCP will provide more information about the open enrollment period at a later date. For more help, please call Member Services at 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711. 1-844-284-1797; TTY 711, Get the mobile app *Administered by Vision Service Plan (VSP), an independent company that does not provide Blue Cross and/or Blue Shield products. MDwise is your local, Indiana-based nonprofit health care company. PDL. Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let’s make healthy happen. Benefits may change. Once you are approved, apply for Safelink Wireless® at www.safelinkwireless.com or call 1-877-631-2550. *Administered by DentaQuest, an independent company that does not provide Blue Cross and/or Blue Shield products. CareSource will be a new option for members. Vision Services Plan (VSP) For members who have vision benefits, please call one of the eye doctors listed in this directory. If you’re pregnant or thinking about becoming pregnant, Use this chart to help you keep track of your health care . Hoosier Healthwise (HHW) is Indiana’s Medicaid plan for pregnant women and children. There are multiple health care programs including Healthy Indiana Plan, Hoosier Care Connect, Hoosier Healthwise, Hoosier Rx, Medicare Savings Program, Pharmacy Benefits, Traditional Medicaid and Indiana Medicaid Covered Services. Hoosier Healthwise members will have an open enrollment period later this year to switch plans, if desired. Limitations and restrictions apply. IngenioRx* is the pharmacy benefits manager. You can reach Member Services at 1-866-408-6131 (TTY 711) for (Hoosier Healthwise [HHW] and Healthy Indiana Plan [HIP]) or 1-844-284-1797 (TTY 711) for (Hoosier Care Connect [HCC]). ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. You can also search for providers online at MDwise is your local, Indiana-based nonprofit health care company. www.anthem.com/inmedicaid and click on . Quick Start Guide . Serving Hoosier Healthwise, Healthy Indiana Plan Earn $10 and Hoosier Care Connect in Walmart purchases on your Anthem Rewards Card! SSB is known as Anthem Blue Cross and Blue Shield in Indiana. Your benefits include a wide range of prescription and many over-the-counter (OTC) drugs. •    One-year magazine subscriptions to Diabetic Living, Parents and EatingWell o    For members recently discharged from the hospital  Learn more. little or no cost Frequently Asked Questions Always have your member ID card with you. •    Home-delivered meals for up to five days after your hospital visit Hoosier Healthwise Preferred Drug List (PDL) lists medications available under the pharmacy benefit. HHW provides health care, including doctor visits, prescription drugs, mental health care, dental care, hospitalizations, surgeries and family planning at Anthem Blue Cross and Blue Shield will administer pharmacy benefits for members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Legend . Details: Anthem, MDwise, and MHS are the current MCEs serving the HIP and Hoosier Healthwise programs. We may not approve payment for a service you or your doctor asks for. Anthem Blue Cross and Blue Shield Participation in the VFC Program is Mandatory for Hoosier Healthwise PMPs and OBs April 9, 2009 Page 3 of 3 information on the VFC program. Log in to get started today! Our mission is to provide high quality health care. Your PMP will ask Anthem to make sure they’re offered. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. This program for children and pregnant women includes three different benefit packages: Package A is for children and pregnant women. Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Provider eligibility and credentialing 101 2020 Indiana Health Care Programs annual seminar. We’re here to help you with the latest information about your benefits, getting care and finding local help and resources. Your PMP knows when to ask for a preapproval. Pregnant women and children up to age 19 are also eligible for benefits. Call Vision Service Plan (VSP) toll free at 1-866-866-5641 (TTY 1-866-428-4833) or visit, Health needs screening: Get your $10 gift card. Learn more from Indiana’s Office of Medicaid Policy & Planning (OMPP). o Anthem assigns the YRH prefix along with the member’s RID number. is Hoosier Healthwise . MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). We’ll help you with your Hoosier Healthwise (HHW) benefits to get the care you need. o    And more o    One meal per day for five days  o    Contact your case manager to request this benefit The state determines if you are eligible by household size and income. For specific information, check your Member Handbook or call the number on your ID card. Effective December 1, 2020. You can see any Indiana Health Coverage Programs (IHCP) doctor for many of these services. Learn more. Or call Member Services at 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711 Monday through Friday, 8 a.m. to 8 p.m. Eastern time. planning now can help you have a healthy baby. The IHCP will provide more information about the open enrollment period at a later date. Find information in your language here. Families with income up to 250% of the federal poverty level can qualify for the Childrens Health Insurance Program through HHW. Introduction . Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. Read 1-866-408-6131; TTY 711 •    Hypoallergenic bedding or air filters — with a referral from your provider or case manager You could qualify for Hoosier Healthwise if: • You are under the age of 19 living in a low-income household. GR: Gender Restriction . To earn your rewards, you must complete the HNS within 90 days of joining Anthem. Effective January 1, 2020, the agreement between Anthem and the Franciscan Alliance is ending. to learn more. Please refer to the preferred drug list (PDL) when prescribing for these members. Hoosier Healthwise is a Medicaid health care program that serves Hoosier children under the age of 19. 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. You can get a copy of the latest POM by following the steps below: Go to www.anthem.com. Hoosier Healthwise and Health Indiana Plan: ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Getting Supplemental Security Income (SSI). Help you set the day and time for the office visit with a specialist. We also work side-by-side by your doctor, so the care meets your physical, behavioral and social needs. Your PMP may send you to a specialist for special care or treatment. • You qualify for food stamps. You can redeem some benefits online through your secure account. o    Deodorant ). HIP It shows the number of When you take good care of your body, you take good . Anthem Blue Cross and Blue Shield Hoosier Healthwise Provider Directory Directorio de proveedores de Hoosier Healthwise St. Francis Health Network 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. For each doctor listed, you’ll find: 1. Click Providers. The preventive care benefit includes screenings, immunizations, and other services to detect medical conditions in advance and keep you/your View the extra benefits you are eligible for on the Benefit Reward Hub or call the Member Services number on the back of your member ID card. Complete the Health Needs Screening (HNS), and Anthem Blue Cross and Blue Shield will give you $10 on your Anthem Rewards Card! } } } }} } } } } }} }} } Welcome to Anthem, your health care company! Anthem is a registered trademark of Anthem Insurance Companies, Inc. In each class, drugs are listed alphabetically by either brand name or generic name. Call Vision Service Plan (VSP) toll free at 1-866-866-5641 (TTY 1-866-428-4833) or visit Vision Service Plan (VSP). 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711. Hoosier Healthwise members will have an open enrollment period later this year to switch plans, if desired. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. o When filing claims and inquiries, alwaysinclude the YRH prefix before the member’s recipient identification (RID) number. MDwise works with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise, Healthy Indiana Plan and MDwise Marketplace health insurance programs. Call your doctor to schedule a wellness checkup today and enter to win! Anthem Blue Cross and Blue Shield Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Provider Directory Directorio de proveedores de Hoosier Healthwise, Healthy Indiana Plan y Hoosier Care Connect Central region . •    Youth and adult hygiene kits include:  Pregnant women and children up to age 19 are also eligible for benefits. MDwise customer service can provide language services or an interpreter. Your PMP can: Some types of services are known as self-referral services. On top of your regular HHW benefits, you can get these free extras just for being our member: Hoosier Healthwise Medicaid-Approved Preferred Drug List. Hoosier Healthwise. •   Rides to your doctor’s office, Women, Infants, and Children (WIC), and renewal appointments. Anthem BlueCross BlueShield works with the state of Indiana to offer the Hoosier Healthwise and Healthy Indiana Plan (HIP) health insurance programs for 372,000 Medicaid beneficiaries. •    Free cellphone with monthly minutes, data and texts Visit the pharmacy page to find a pharmacy near you and check if your medicine is covered. ANTHEM is a registered trademark of Anthem Insurance … Contact Information Member Services: 800-356-1204 or 317-630-2831 Help choose a specialist to give you the care you need. HIP Click Anthem State-Sponsored Programs. Región central Effective May 2015 . Hoosier Healthwise Preferred Drug List . You will need: •A Hoosier Healthwise or a Hoosier Care Connect ID card. AL: Age Limit Restrictions . If you have been receiving your Hoosier Healthwise health care benefits through the Franciscan network of doctors, starting January 1, you will receive the same benefits through the Anthem network. Learn more, Hoosier Healthwise and Health Indiana Plan: The letter will also let you know how to appeal our decision if you disagree with it. Lab tests and X-rays. } DO: Dose Optimization Program . Anthem Medicaid Indiana Hoosier Healthwise.   Let’s make healthy happen. (See below. This work is a derivative of Are You in Treatment or Recovery? Find a Doctor. Flu shots, pneumonia shots, FluMistTM and antiviral medications are approved benefits under most health plans. The letter will tell you we could not approve the service and why. These are types of services, if offered in your health plan, that need preapproval: Your PMP will know which services need preapproval. That means you can get these services without a referral from your PMP. See how we're helping members move forward. o    Toothbrush kit  Hoosier Healthwise covers 20 one-way rides to doctor visits each year. These preferred medications are commonly prescribed drugs Anthem Blue Cross and Blue Shield (Anthem) chooses for their quality and effectiveness. Ask Anthem is if you can get services from a specialist.  to the member or the member's family. Some services require a preapproval or OK from Anthem. Indiana Hoosier Healthwise - Medicaid and State Children’s Health Insurance Program (SCHIP) State Sponsored Business (SSB) is a managed care plan that covers the benefits for Hoosier Healthwise members. Families with income up to 250% of the federal poverty level can qualify for the Children’s Health Insurance Program through HHW. Preferred Drug List & Formulary Search This care is often from a specialist. o    Members can also receive bonus minutes. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect AIN-MEM-2162-20 . If your case doesn’t meet the rules for medically needed, we’ll send you a letter. 1-844-284-1797; TTY 711, Get the mobile app The Hoosier Healthwise plan was designed to help you/your child get the medical care you/they need to stay healthy. Use our Community Resource Link for local help finding food, housing and other things you might need. Use it to make check-in easier at your doctor visits or to fill your prescriptions. Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let’s make healthy happen. We work with IngenioRx to provide these pharmacy benefits. Hoosier Care Connect: Generic drug: Lowercase in plain type . Log in. 1-866-408-6131; TTY 711 Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. Hoosier Healthwise Formulary The medications included in the Anthem Blue Cross and Blue Shield (Anthem) formulary are reviewed and approved by the Pharmacy and Therapeutics Committee, which includes Practitioners and Pharmacists from the Provider community. Anthem, MDwise, and MHS are the current MCEs serving the HIP and Hoosier Healthwise programs. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. •    Boys & Girls Club membership for positive development for your kids ages 5-18 — call Member Services to request a letter o    Shampoo Call DentaQuest toll free at 1-888-291-3762 or visit DentaQuest. Effective May 1, 2017 . The doctor’s specialty. The . Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. Indiana’s Hoosier Healthwise is a managed care program for low-income families and individuals. Getting a preapproval will take no more than seven calendar days or, if urgent, no more than three calendar days. For women who are, or may become, pregnant, and children, Our transportation vendor is changing on December 1, 2020, but your benefits are staying the same. The . Vigente desde mayo de 2015 . by the Ohio If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. They work with Anthem. Anthem has been selected by the state of Indiana as one of the managed care entities to provide access to health care services for the following programs: Hoosier Healthwise – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant women and Package C … You can complete the HNS and earn your … o    Visit www.checklifeline.org to apply. Hoosier Healthwise (HHW) is Indiana’s health care program for children, pregnant women and low-income families. We know everyone’s health is different, so we offer services that keep you in mind. For specific information, check your Member Handbook or call the number on your ID card. o    Hair brush or comb Through our Integrated Medical Management Model approach, we analyze information you give us, claims data, as well as an ongoing review of your health to find a care plan to fit you and your family. Anthem Hoosier Healthwise / Healthy Indiana Plan Behavioral Health Provider Training . 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