The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...

...easier for you to help our beneficiaries access the care they need. Coordinating Integrated Care Coordinated care is key to ensuring optimal outcomes for our beneficiaries. We ensure our providers...

...is the best care for your needs. The UM department performs activities such as: prior authorization (PA), pre-service review, expedited review, post-service review, discharge planning and other utilization activities. If...

...to purchase health and wellness items, redeemed for gift cards and used for online shopping (activities and redemption options vary by age, gender and health condition of member). Our providers...

...health plans, health care clearinghouses, and health care providers who conduct the standard health care transactions electronically. Compliance with the Privacy Rule was required as of April 14, 2003 (April...

...at fssabenefits.in.gov to complete your renewal online. By Mail. Fill out the renewal forms. Please include any additional information the state has asked for. In Person. Visit your local Division...