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IHCP Prior Authorization Request Form ...
IHCP Quick Reference Guide Version 6.3 2 June 2017 Managed Care Enrollment Broker Helplines Hoosier Healthwise 1-800-889-9949
Medicaid Expansion ACA Supreme Court Decision – can’t force states to expand Medicaid Allow states to be “incubators: • Chart own path
X12 270/271 Companion Guide and Payer List Refers to the Implementation Guides Based on ASC X12N version: 005010X279A1 December 30, 2013 Version 1.8
Facility/Provider Name: _____ Date: _____ Telephone Number: _____ Email: _____
MDwise Delivery System Prior Authorization Contact Guide MDwise.org HHW-HIPP0470 (10/16) Revised 6/17 Delivery System PA Phone Number PA Fax Number
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