Indiana
Provider Communications
Prior authorization changes
PA requirements are being added to the following:
- Lower extremity prosthesis – shank foot system with vertical loading pylon (L5987)
- Gait trainer, pediatric size – anterior support, includes all accessories and components (E8002)
- Wheelchair, pediatric size – tilt-in-space, folding, adjustable, without seating system (E1234)
- Wheelchair, pediatric size – tilt-in-space, rigid, adjustable, without seating system (E1233)
- Transport chair, pediatric size (E1037)
- Multi-positional patient transfer system with integrated seat, operated by care giver (E1035)
- Wheelchair accessory – ventilator tray, gimbaled (E1030)
- Water circulating heat pad with pump (E0217)
To request PA, you may use one of the following methods:
- Web: availity.com
- Fax:
- o 1-866-406-2803 (inpatient – new emergent)
- o 1-844-765-5156 (inpatient – concurrent emergent/new urgent)
- o 1-844-765-5157 (outpatient)
- Phone:
- o Hoosier Healthwise: 1-866-408-6132
- o Healthy Indiana Plan: 1-844-533-1995
- o Hoosier Care Connect: 1-844-284-1798
Not all PA requirements are listed here. Detailed PA requirements are available to contracted providers by accessing the Precertification Lookup Tool at availity.com via anthem.com/inmedicaiddoc. Contracted and non-contracted providers who are unable to access the Availity Portal can call Provider Services for:
- Hoosier Healthwise: 1‑866‑408‑6132
- Healthy Indiana Plan: 1‑844‑533‑1995
- Hoosier Care Connect: 1‑844‑284‑1798
Featured In:
September 2019 Anthem Provider News - Indiana