Benefits and Services
You can also view more information about MHS in our Member Handbook (PDF).
All services must be medically necessary. Your Primary Care Provider will work with you to make sure you get the services you need. These services must be given by your Primary Care Provider or by another provider that your Primary Care Provider refers you to.
Some services may:
- Have coverage limits.
- Need a doctor’s order.
- Need prior approval.
*Some Medicaid members may not have all the benefits listed.
In this section, you can learn about the health benefits and services MHS offers.
You can find all of your covered services in your MHS Member Handbook (PDF). The MHS Member Handbook is available in both English and Spanish. The member handbook is available in paper form at no cost to you. We will send it to you in 5 business days after we receive your request.
A covered service is a service paid for under your health benefits through Hoosier Care Connect. Some services may not be covered under your plan. If a service is not covered, your provider/doctor must tell you if you have to pay for the service.
Your MHS Member Handbook can tell you about:
- How to get medical care
- Transportation / ride services
- MHS 24/7 Nurse Advice Line – ask a nurse your health questions
- Language Assistance, such as translation or interpreter services and TDD/TTY
- Behavioral Health / Mental Health
- Specialists and services needing a referral from your doctor
- Pharmacy / Drug Formulary
- Your rights and responsibilities
Emergency Room Know When to Go
MHS cares about you and your family. You need to go to the emergency room (ER) if you think your life is in danger. For most health problems, your MHS doctor knows about your health and is the best person to call.
If you are not sure whether you should go to the ER, please call your MHS doctor or the MHS 24-Hour Nurse advice line at 1-877 647-4848. For more information about when to go to the ER, check out the Emergency Room: Know When to Go flyer on our Brochures and Guides page.
MHS allows for some self-referral specialists visits. A self-referral means that you do not have to get a referral from your doctor. For a list of self-referral services, please read your MHS Member Handbook (PDF) or visit the self-referrals page.