Navigator Page

This page is intended for UHS Navigator use only.


FOR Indiana FSSA

Application          Interchange         Agency Portal 

State Eligibility Program Listings     FSSA Income Chart October 2018

Eligibility Calculator       HIP Income Guidelines       HIP Helpful Tools Page   

Fast Track Payment Calculator

HHW v CHIP income guide   CHIP & HHW costs (no matter the MCE) 
CHIP Payments made to 855-765-8672 - no matter the MCE
OR they can pay by mail OR online  -

Anthem - 1-866-408-6131  
CareSource - 1-844-607-2829 

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


Maximus - Enrollment Brokers 

877-438-4479 - HIP

800-889-9949 - Hoosier Healthwise

866-963-7383 - Hoosier Health Care Connect


Find A Doctor STATE (PCP)
Anthem              CareSource  
MDWise             MHS

Preferred Drug List
Anthem    CareSource  
MDWise   MHS


HIP Card Information
Anthem                   CareSource
ID : your RID #       ID : your RID #

GRP - WKXA          GRP - RX6421

PCN - MA               PCN - MCAIDADV

BIN - 003858          BIN - 004336   

MDWise                   MHS
ID : your RID #         ID : your RID #

GRP - MDW             GRP - Rx5440

PCN - ASPROD1     PCN - mcaidadv

BIN - 003585            BIN - 004336


FULL Medicaid Transportation - 855-325-7586

Client FSSA Sheets / Forms
Employer Wages                 Self-Employment
Voluntary Withdrawal          SNAP app

United Health Services Forms

Case Status 
Generic UHS AR 

Client Intake

Privacy Form - UHS

Household Comp

Client Attestation

Employer Authorization Income Letter

Information Release 

UHS Navigator - Reporting Sheet

Website - Federal Poverty Guidelines 


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