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This page is intended for UHS Navigator use only. 

FOR Indiana's HIP

Interchange         Agency Portal 

State Eligibility Program Listings

Eligibility Calculator                HIP Helpful Tools Page   

 HHW v CHIP income guide     
CHIP & HHW costs (no matter the MCE) 
CHIP Payments made to 866-404-7113 - no matter the MCE

Anthem - 1-866-408-6131   1-800-345-4344
CareSource - 1-844-607-2829 

MDwise - 1-800-356-1204
MHS - 1-877-647-4848

MCE Authorized Rep Forms        
Anthem                CareSource  Fax to:1-937-425-0907                               
MDWise               MHS            Fax to:1-866-912-1629      

MCE Fast Track Letters
Anthem               CareSource   
MDWise              MHS (if you get one, make a copy and get it to me)

MCE Find A Doctor STATE (PCP)
  Family Physician Selection Form   In Spanish



Preffered Drug List
Anthem  Drop down Pharmacy & Prescription Drugs

Website - Federal Poverty Guidelines 

Client Income Sheets - Coming Soon!

United Health Services Forms
Case Status 
Generic AR 
Texting Permission
FSSA Fax Sheet 

Staff Forms
Reporting Sheet



See Plans Before Applying     Special Enrollment Periods 2018 

Penalties and Fees for no insurance   

Income to Count 

Paper Applications - so you know all the questions you need to ask or they can complete in advance - also almost every language

Immigration Documents Reference

Find a Physician:
Ambetter    CareSource

Plan Forumlarys
Ambetter     CareSource  

Coverage to Care Toolkit for 2017 Enrollment Period

MCE UPDATES/Changes (newest on top): 

Anthem Rides: Starting Dec 1, 2017 the company is changing to LogistiCare @ 1-844-772-6632.  Before Dec 1st - LCP @ 1-800-508-7230.  

Monthly Growth/Loss IHCP Chart

What should I bring to my appointment?
Know the legal names, dates of births and Social Security numbers for your family living in your household.
Proof of Indiana residency (name & address on official document) & 
Proof of 
citizenship (usually ID & birth certificate).
Proof of income if you have it: month of pay stubs, Social Security statements, previous year's taxes, etc. for the whole household. If zero income, write a letter stating so.

If you do not have all of these items, you MUST know your name, DOB, address in Indiana, & income for your family to apply.  
Call 844-425-3253 with questions.

Client Hand Outs
Coming Soon

Helping with MCE Selection

HHW - Four Plan Comparison Sheet - 2017

HIP Plan Comparison Sheet

MDWISE - SJ Hospitals  (no matter what website says South Bend Clinic does not take MDwise)

MHS & Anthem - Beacon Hospitals

CareSource -  IU Healh Hospitals
(Docs for HIP in our coalition: Indiana Health Center / Heart City Health Center only)

NO IU doctors or hospitals are now accepting Anthem.

For Clients: 

Information to get when you call in a payment:

Company: ____________________________________

Date: ____________________________________

Confirmation Number: ________________________________

Person you talked to: _________________________________

Ask them for your ID #: _______________________________

Michigan Resident? 


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