Indiana Medicaid Provider Phone Number

Date:

Unitedhealthcare Dual Complete Plans

Medicaid

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

About Blue Cross Blue Shield Association

The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Indexsm. For more information on BCBSA and its member companies, please visit BCBS.com. We also encourage you to connect with us on , check out our videos on and follow us on .

The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.

Applying For Services Offline

If you prefer to apply for waivers offline, you can also contact the Bureau of Developmental Disabilities Services regional office for the region where you live. Call 800-545-7763 and youll be directed to the correct local office to begin the application process.

Bartholomew County is in District 8. The District 8 regional office contact information is found below:

1452 Vaxter AvenueToll Free: 877-218-3529 Toll Free Fax: 855-525-9376

For people who don’t reside in Bartholomew County, an online map, showing the district for each county, is available.

When you contact the regional office, you’ll receive an application packet with the forms and information you’ll need to complete to apply for Medicaid Waivers. The Developmental Disability Rehabilitation Services Forms page contains links to the relevant forms. There are direct links in the Forms included in the Medicaid Waiver Application Packet section below to specific forms as well.

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Ihcp Trading Partner Profile

For Providers Please go to and click on the link for the IHCP Trading Partner Profile. This is an online form that you will need to complete.Section 1

  • Choose Provider or Billing Service

  • Complete the Trading Partner Contact Information with your information

Section 2

  • Select 2 password reset questions and fill in your answers for the questions

Section 3

  • There is no need for you to press the Companion Guides Button

  • Fill in your Medicaid Provider Number

  • New Applicants may skip the Sender ID box

Section 4 Transaction Sets To IHCP

  • Place a check mark on either the 837I or the 837P option

  • If you are using ClaimShuttle to send your claims please mark the box for Software Vendor and enter the information for the software or vendor that creates your 837 files you need ClaimShuttle to transfer for you. If you have paid for our billing software please call our support line for our software information.

Section 5 Transaction Sets From IHCP

  • Please skip all the options in this section

Section 6 Transaction Sets From IHCP/IPDP

  • Place a check mark on 835 and enter the information for the software or vendor that creates your 837 files you need ClaimShuttle to transfer for you. If you have paid for our billing software please call our support line for our software information.

Press Submit and then complete the IHP Trading Partner Agreement

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Glasses & Eye Care With In Medicaid

PPT

Vision coverage is a bit more comprehensive for kids than it is for adults with Indiana state Medicaid. Kids can receive one yearly exam each year, as well as new glasses if necessary. Adults can receive vision exams every two years, as well as new glasses if necessary. If new glasses are not medically necessary, adults can only get a new pair once every five years. Generally, contact lenses are only covered if they are medically required as opposed to glasses. Medically necessary tests and treatments for eye diseases are always covered.

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Caresource24 Nurse Advice Line

Members can call any time to talk with a caring, skilled nurse. This is a free call. You can call 1-844-206-5947 24/7, 365 days a year .

  • Get help when you are sick
  • Find out how to care for an injury
  • Find out more about drugs or other medicines
  • Get information about medical tests or surgery
  • Get help when you have after-hour non-traumatic dental concerns
  • Learn about healthy eating or wellness

Get The Health Care You Deserve

Hoosier Care Connect is a program that serves members who are aged, blind or disabled, including foster children and wards of the State.

This plan is available in all Indiana counties.

To see if you qualify, you can:

  • Visit the State of Indianas website at in.gov/Medicaid/members
  • Visit a local FSSA office. A list of office locations can be found here:

We can also assist with interpreter services, including American Sign Language. To ask for help, please call , TTY 711, Monday through Friday, 8 am to 8 pm EST.

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Indiana Medicaid Transportation Benefit

Indiana Medicaid works with Southeastrans for non-emergency transportation. This may be slightly different for those in Hoosier Healthwise, Hoosier Care Connect, and Healthy Indiana. Traditional Indiana Medicaid allows for 20 one-way non-emergency trips per year. Southeastrans can take you to doctors appointments, pharmacies, and other medical services. If a family or friend drives you instead, your driver can ask Indiana Medicaid for a gas mileage reimbursement.

Unless it is not possible for you to do so, you must schedule your ride at least two business days before your appointment. When you schedule your ride, you will need your member ID and both your pick-up and drop-off location addresses.

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What Does Indiana State Medicaid Cover

IN Medicaid has two packages, A and C. Package A applies to Hoosier Healthwise, Hoosier Care Connect, and the Traditional Medicaid option. Package C applies to some people with Hoosier Healthwise, depending on income.

*Those in the Hoosier Healthwise Package C program will have some benefit limits, but most other beneficiaries will have access to the whole list above.

**May require a small copay

Unitedhealthcare Connected For Mycare Ohio

UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .

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Annual Hcpcs Update Delayed

The IHCP has experienced a delay in obtaining the 2021 list of Healthcare Common Procedure Coding System and Current Procedural Terminology code updates from the Centers for Medicare & Medicaid Services . As a result of the delay, the IHCP was unable to publish coverage, prior authorization, and reimbursement information for newly released codes by January 1, 2021.

The IHCP intends to publish all information by February 1, 2021, and will prioritize any coronavirus disease 2019 -related codes for publication in advance of any other determinations. Any covered codes published after the national effective date will be retroactively covered to their national effective date.

For more information about the delay, check out the IHCP Bulletin BT2020125.

What Happens If I Dont Make A Fast Track Payment

Member ID Card

If you do not make a Fast Track payment, you may face a delay in the start of your coverage. For example, if you apply June 5 and receive a $10 Fast Track invoice on June 12, your HIP Plus coverage could be effective beginning June 1 if you make your $10 payment in June. From the date the invoice is issued, you have 60 days to make either a Fast Track payment or your first POWER account contribution to be able to begin HIP Plus coverage . If you make your Fast Track payment or first POWER account contribution in July then your HIP Plus coverage will begin July 1. If you make the contribution in August, you will begin HIP Plus August 1. If your 60 days to pay expires in August without you making either a Fast Track payment or POWER account contribution, then you would default to HIP Basic coverage effective August 1 if your income is below the federal poverty level.

Unlike HIP Plus, HIP Basic does not cover dental, vision or chiropractic services. Since you do not make a monthly contribution for HIP Basic services there will be a payment required for most health services including seeing a doctor, filling a prescription or staying at the hospital. If your income is more than this amount, you will need to reapply for coverage to begin HIP.

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Indiana Medicaid Mental Health Coverage

IHCPs can cover behavioral health services offered by physicians, psychiatric hospitals, and licensed psychologists. This includes mental health disease evaluations and treatment as well as addiction counseling, peer recovery services, crisis intervention, and medication training and support. This is one of the most comprehensive Medicaid-covered mental health programs in the country.

Welcome To Indiana Medicaid

Welcome to Indiana Medicaid. On this site, you can learn about the different Medicaid programs and how to apply. Check out our Eligibility Guide to learn about eligibility for certain programs and see if you may qualify.

If you use assistive technology and the format of any material on this website interferes with your ability to access information, please . If you have a complaint about web accessibility or print communications in accessible formats, you may also . To enable us to respond in a manner most helpful to you, please indicate the nature of your accessibility issue, the preferred format in which to receive the material, the web address of the requested material, and your contact information.

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Unitedhealthcare Senior Care Options Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Anthem Blue Cross And Blue Shield Indianapolis Colts Kendall Langford Join Forces To Encourage Child Wellness Exams In Indiana Through Blue Ticket To Health

Medicare & Medicaid 101

INDIANAPOLIS Indianapolis Colts Defensive End Kendall Langford has accumulated many tackles throughout his career as a professional football player. Now, he and the Colts are teaming up with Anthem Blue Cross and Blue Shield in Indiana to help tackle pediatric wellness through the Blue Ticket to Health campaign, which encourages children, teens and adults throughout the state to get an annual wellness exams.

Annual exams are crucial for this age group because of how rapidly they are developing and the subsequent changes to their bodies, explained Kristen Metzger, plan president for Anthem in Indiana.

Langford, an iron man at his position recently held a streak of 135 consecutive games played, added, As an NFL player, its critical for me to see my doctor to stay healthy. As a parent with young children, I know preventive health is important for them, too. So I encourage parents to take their kids to get their exams.

Thousands of eligible Anthem members ages three through 21 in the Hoosier Healthwise, Healthy Indiana and Hoosier Care Connect plans have been contacted by letter and invited to participate in the program. The letters included the Blue Ticket to Health. Many have already visited their physician and returned the ticket.

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Indiana Has Accepted Federal Medicaid Expansion

  • 1,939,436 Number of Indianans covered by Medicaid/CHIP as of October 2021
  • 818,762 Increase in the number of Indianans covered by Medicaid/CHIP fall 2013 to October 2021
  • 41% Reduction in the uninsured rate from 2010 to 2019
  • 65% Increase in total Medicaid/CHIP enrollment in Indiana since late 2013

Required Documents For Those Applying For New Submitter Ids

The following documents are required enrollment documents that must be completed, signed and returned to the Medicaid office prior to initiation of electronic claims submission or inquiry.2. IHP Trading Partner Agreement If the above links do not work properly, please download the forms here:If you have any questions regarding any of the documents in this package, please call the Medicaid EDI Technology Support Center at 1-877-877-5182.

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For Healthy Indiana Plan Hoosier Healthwise Or Hoosier Care Connect Members:

Please remember that if you are enrolled in the Healthy Indiana Plan , Hoosier Healthwise, or Hoosier Care Connect, you will need to choose a Primary Medical Provider within your health plan.

If you are looking for a specialist and are in a managed health plan, you may need a referral from your PMP before Medicaid will pay for certain services. Please check with your PMP or your health plan before seeking additional services.

If you have questions, you should contact your health plan directly. You can find the phone numbers for each health plan on the Contact Us page.

Use the links on the right hand side of the screen to locate providers based upon your health plan.

Phone Numbers And Websites For Organizations In Your State

Your Medicaid ID Card

To apply for help with your Medicare Part A and Part B costs, select your state from the drop-down, then choose Other insurance programs to find your state Medicaid office.

Topics include:

  • Complaints about my care or services
  • General health & health conditions
  • Health care facilities & services in my area
  • Help with my Medicare options & issues
  • Medicare Diabetes Prevention Program

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Reach Real Person In Indiana Medicaid By Phone Live Chat Social Network

Make sure that you tried multiple options when reaching customer service. If live customer service agent is not available by phone, try live chat as a shortcut. Frequently direct message via Indiana Medicaid Facebook account or Indiana Medicaid Twitter account may get you a customer representative quicker and sometimes even 24/7, so try it too. If you want to file a complaint or submit a positive feedback you may leave your comment or complaint under Instagram or Youtube post and in many cases the business will respond to it. For your convenience all of these customer service contact options for Indiana Medicaid are provided above.

Quit Using Tobacco Or Vaping Products

Quitting is hard, but we can help. Did you know that 20 minutes after you quit, your heart rate drops to a normal level? And within 24 hours after quitting the carbon monoxide level in your blood drops to normal.

Talk to your doctor about quitting. Or call 1-800-QUIT-NOW to get free coaching, counseling and supplies to help you quit.

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Indianas Alternative To Medicaid Expansion

Under the Affordable Care Act, Medicaid expansion is a vital strategy to make health care accessible to more people and to reduce the nations uninsured rate. Through the ACA, the federal government paid 100% of the cost of covering low-income adults, up to 138% of FPL, through the Medicaid program until 2016. The federal portion gradually dropped to 90% by 2020, where it will remain.

Although Indiana expressed willingness to consider a modified version of Medicaid expansion, both Governor Pence and the head of the Indiana Family and Social Services Administration took the position that Medicaid must be reformed, not just expanded. But there was significant federal money available to states that expand Medicaid. If Indiana had not expanded coverage at all, the state would have missed out on $17.3 billion in federal funding in the decade from 2013 to 2022.

Indiana did not adopt straight Medicaid expansion as structured under the ACA. However, the state did receive a federal waiver to continue its then seven-year-old Healthy Indiana Plan, a health insurance program for uninsured adults with income at or below the federal poverty level, in which participants helped pay the first $1,100 of care. However, the program didnt cover as much as Medicaid does, and there was a limit on the number of people that could be covered. As of late August 2014, the Healthy Indiana Plan was closed to new enrollment.

Indiana Health Insurance Consumer Help

An Introduction to Indiana’s Medicaid Waiver Program

Indiana does not operate a Consumer Assistance Program under the Affordable Care Act. The new consumer protections and benefits of the law still apply to you, however.

The agencies listed below can help you take advantage of some of these protections and benefits. They can answer your questions about different types of coverage.

If you need health insurance, be sure to check out HealthCare.govs Plan Finder. It will help you find and compare health care coverage options in your area.

If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Indiana, contact:

Indiana Department of Insurance

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