Medicaid Indiana Provider Phone Number


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Medicare Help in Southbend, Indiana from a Local UnitedHealthcare Agent

Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. 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.

Unitedhealthcare Dual Complete Plans

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.

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.

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How To Contact Us

If you have questions about your health plan, please call us. Our toll-free Member Services number is , TTY 711. We are open Monday through Friday, 8 am to 8 pm EST. You can call us at this number 24/7 to get urgent assistance.

The quarterly newsletter is a great way to learn about our health plan and important health topics. Our HealthTalk newsletter is available online allowing you to read it whenever and wherever you want.

Level Of Care Eligibility Criteria: Bureau Of Developmental Disabilities Services

Anthem Blue Cross Insurance Id Number

To be eligible for BDDS programs, an individual must be found to have substantial functional limitations in three or more of six major life activities AND meet all of the following four basic conditions. They include:1. physical or intellectual disability, cerebral palsy, epilepsy, autism, or condition similar to an intellectual disability 2. the condition is expected to continue indefinitely 3. the condition had an age of onset prior to age 22 and4. the individual needs a combination services.The six major life activity categories are:1. self-care 4. capacity for independent living 5. receptive and expressive language and6. mobility.

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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.

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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Ihcp Quick Reference Guide

The best way to find the correct Indiana Health Coverage Programs contact information is to check the . Whether your question or need relates to members or providers managed care or fee-for-service coverage medical, pharmacy or other service type, the IHCP Quick Reference Guide can help with resources for enrollment, claims, prior authorization and more. The guide also provides the telephone number for IHCP Customer Assistance.

Indianas Family Supports Medicaid Waiver

Medicare Help in Indianapolis, Indiana from a Local UnitedHealthcare Agent

The Family Supports Waiver is the basic entry point to receive waiver services for a child or adult with a developmental disability . Applications for the Family Supports Waiver are accepted through the Bureau of Developmental Disabilities Field Services Office .The Family Supports Waiver- Fast Facts: Limit of an individuals budget at $17,300 Provides a newer service called Participant Assistance and Care which provides another level of support for the individual in their own home or in the family home Provides Case Management as a distinct activity to waiver participants and Allows eligible individuals ages 18 through 24, who have aged out, graduated, or permanently exited from their school setting, to enter waiver services without waiting, if funded slots are available. The local BDDS office will determine who qualifies.Below are all services that are approved under Indianas Family Supports Waiver as of August 1, 2020: Adult Day Services Case Management Day Habilitation Environmental Modifications Extended Services Facility Based Support Psychological Therapy Recreational Therapy Remote Supports Respite Specialized Medical Equipment and Supplies Speech/Language Therapy Transportation Services: Level 1, 2, and 3 Workplace Assistance

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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.

Lead Screening In Children

Lead poisoning is dangerous. If it is not treated in small children, it can cause long term problems. Lead can be found in:

  • Paint
  • Air
  • Pottery

A special blood test is ordered by your doctor to check for lead poisoning. The test is usually given between the ages of 6 months and 2 years. If your child has not been tested, your doctor might want to test up to the age of 6 years. More testing may be necessary if your child has tested positive for lead. For more information, contact your Member Services Advocate. You can also talk to your childs doctor at their next well visit.

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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.

Community Integration And Habilitation Medicaid Waiver

Anthem Blue Cross Ky Phone Number

The Community Integration and Habilitation waiver is to be used as a “needs based” waiver ONLY for people who meet specific criteria. To move from the Family Supports waiver onto the CIH waiver, an individual must meet specific eligibility/priority criteria which may include:

Death of primary caregiver and no other caregiver available Caregiver over 80 years of age and no other caregiver available Evidence of abuse or neglect in the current placement Extraordinary health and safety risk Eligible individuals transitioning to the community from a nursing facility, extensive support needs homes or state operated facilities Eligible individuals determined to no longer need active treatment in a group home Eligible individuals transitioning from 100% state funded services Eligible individuals aging out of Department of Education, Department of Child Services or supported group living and Eligible individuals requesting to leave a Large Private Intermediate Care Facility for Individuals with Intellectual Disabilities .

In addition to the same services approved for the FS waiver , the CIH waiver allows for a larger budget for eligible services and may provide the following additional approved services : Community Transition Rent and Food for Unrelated Live-In Caregiver Residential Habilitation and Support

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Asthma And Copd Support

We can help you control your asthma or COPD.

If you need help getting the services or supplies you need, contact your Member Services Advocate. We can assist with the process of getting supplies or medications, make an appointment with your doctor, or connect you with a care manager for personal support.

Contact Us Faqs Login Home

. Your Gainwell provider relations consultant. If you are on Traditional Medicaid you may go to any Indiana Medicaid-enrolled pharmacy and request up to two. The phone number to call the Indiana Medicaid office is 800-403-0864 or in state call 317-233-4454.

However many applications are reviewed in less time. Medicaid Pre-Auth Ambetter Pre-Auth. Division of Family resources.

Centers for Medicare Medicaid Services. State of Indianas. Indiana Medicaid Member Services.

Medicaid recipient information 800-457-4584. A federal government website managed and paid for by the US. Indiana Health Coverage Programs PROVIDER BULLETIN BT200254 OCTOBER 11 2002 To.

Even after you apply for Medicaid benefits in Indiana you may need to go to the office to speak with program workers. Fraud hotline for Medicaid SNAP food assistance and TANF cash assistance 800-403-0864 option 1 then option 6 Child Support Bureau 800-840-8757. Learn about the many ways to contact the Indiana Health Coverage Programs IHCP.

7500 Security Boulevard Baltimore MD 21244. Healthy Indiana Plan HIP 1-877-647-4848 TTY 1. Check on the status of their claims.

Important state numbers. Welcome to Indiana Medicaid. CareSource strives to make it easy for you to work with us whether online or over the phone.

Member Services Healthy Indiana Plan 866-408-6131. 877-347-5678 General Information and Further assistance. Once you submit your complete application it will take up to 90 days to determine if you are eligible.

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Indianas Medicaid Waiver Programs: Home And Community

Marci Wheeler, MSW

Indianas Medicaid Home and Community-Based Services Waiver program provides individualized supports to assist people, of all ages, to live successfully in home and community settings. In the past, Medicaid only paid for long-term care services in an institutional setting, such as nursing facilities and group homes. The waiver program “waives” the necessity of admission into an institution in order for Medicaid to pay for needed home and community-based services.Waivers fund therapeutic and other needed supports and services. HCBS Medicaid waivers make Medicaid funds available as an alternative to institutional care if supporting the individual, in the home and/or a community setting is no more than the cost of care within an institutional setting.

Currently there are five statewide Medicaid waiver options for an individual in Indiana. One of those Waivers, however, is closed and no longer accepting new applicants. The Psychiatric Residential Treatment Facility Transition waiver is for children and youth with serious emotional disturbances or serious mental illness who transitioned from the prior Community Alternative to the PRTF Grant. As of October 1, 2012, no additional children can apply for or receive waiver services through the PRTF Transition waiver. The other four Medicaid waiver programs are accepting applications and new individuals.

1. Meet Medicaid eligibility requirements.

What Information Do I Need

Medicare Help in Fort Wayne, Indiana from a Local UnitedHealthcare Agent
  • National Provider Identifier unless you are an atypical provider type.
  • Address including ZIP Code/postal code + 4
  • Provider taxonomy unless you are an atypical provider type
  • Provider federal Tax Identification Number or Employer Identification Number
  • Provider license number if applicable to your provider type
  • Provider Social Security number and date of birth for renderings and disclosed individuals

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For Traditional Medicaid Members:

If you are new to Indiana Medicaid, use our provider search to determine whether your current provider participates in the Medicaid program. If your provider is listed, you should contact him or her ahead of time to see if he or she is accepting new patients. If you don’t have a provider, you can search by zip code to find a provider near you.

Some doctors no longer participate in the Medicaid program. If you cannot find your doctor, you can check the list of terminated Medicaid providers.

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
  • Call
  • 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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Phone Numbers And Websites For Organizations In Your State

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

How Long Does It Take To Hear Back From Enrollment

Appeal Form For Medicaid

Please allow at least 15 business days for mailing and processing before checking the status of your submission. To track the status of your enrollment, you may go to check the Indiana Medicaid for Providers site and enter your Tracking Number and Federal Tax Identification Number that you used for your enrollment.

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Sanvello Support For Well

We offer a free mobile app that is free to all members. It offers cool tools like:

  • Mood tracker
  • Coping Tools
  • Community support

To get the app, download it on the App Store or get it on Google Play.

You can also get a free upgrade to the premium version of this app in 3 easy steps:

  • Create an account and choose upgrade through insurance
  • Search for and select UnitedHealthcare, then enter the information available on your UnitedHealthcare member ID card

Routine shots help protect you from illness.

Our plan covers:

  • Shots and vaccines recommended by your PMP
  • Flu shots

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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Individuals With Special Needs

We have many services that support individuals with special needs. We are here to make sure you have:

  • A Member Services Advocate to be your personal guide and help you navigate the health care system
  • Help to get all your needed services
  • Support with social needs, such as housing, job opportunities and healthy food
  • Help getting a ride to and from health care appointments
  • Materials available in the formats you need

We also offer specialized dental care for our members with sensory issues. Please contact your Member Services Advocate to learn more.

American Disabilities Act Notice

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In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

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Preventive Care Wellness And Health Conditions Guides

Getting to the doctor when you are healthy is important. We have guides to help you know what to expect at each well visit. You can also talk to your Member Services Advocate for support and information.

We also have helpful guides for most health problems and conditions. You can also talk to your Member Services Advocate for support and information.

Our educational materials can be found on

You will find condition-specific and general health topics, including:

Physical Health

Caring for others can be rewarding. But being a caregiver can also be difficult, can cause stress and burnout. We have a program to help you cope. We offer monthly calls. Topics include:

  • Understanding care options
  • Living with grieving and loss

Feel free to join us on a monthly caregiver call:

When: Third Tuesday of each monthTime: 3:00 pm EST

Our Healthy First Steps program makes sure that both mom and baby get good medical attention.

We will help you:

  • Get good advice on nutrition, fitness and safety
  • Choose a doctor or nurse midwife
  • Schedule visits and exams
  • Arrange rides to doctors visits
  • Connect with community resources such as Women, Infants and Children services
  • Get care after your baby is born
  • Choose a pediatrician
  • Get family planning information


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