...health plan reporting, annual Healthcare Effectiveness Data and Information Set (HEDIS®). In addition, Marketplace members complete the annual Quality Health Plan (QHP) Enrollee Survey to capture member perspectives on health...

...in.gov/medicaid/members/member-resources/managed-care-health-plans/. Please call us at 1-844-607-2829 (TTY: 1-800-743-3333 or 711) if you have questions about changing health care plans for an approved reason. For Healthy Indiana Plan (HIP) Members You...

...our Marketplace plan pages to learn more about our plans. To easily find benefit details on the plans we offer, visit the plan documents page for the plan type about...

...You can use the Consent for Provider to File an Appeal on Patient/Member’s Behalf form to record this consent. Now Available: Provider Fair Hearing Plan The Provider Fair Hearing Plan...

...coverage needed to live healthy lives. For details on all HIP Plans visit our Healthy Indiana Plan page. For details on all HHW plans please visit our Hoosier Healthwise Plan...

...is not on the plan’s formulary. Asking us to waive restriction on the plan’s coverage for a drug such as limits on the amount of the drug you can get...

Review these important documents for your plan. Questions? Call us! Evidence of Coverage (EOC) The EOC gives the details for your plan including what the plan covers, how much you...

...to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource PASSE plan. You will find key...

...business Corrective action of any identified fraud, waste and/or abuse are available in the provider manual. For provider terminations/suspensions information, see the CareSource Fair Hearing Plan (coming soon). Prohibited Affiliations...

...decision. There are 5 levels of appeals. Details of these levels can be found in Chapter 9 in sections 8 and 9 of the Evidence of Coverage on our Plan...