Member Notice of External Independent Review Appeal Rights
Date: 09/05/22
The timeframe to file an external independent review (IRO) is 120 calendar days from the date of Managed Health Services (MHS) appeal denial.
MHS is your partner in health through Hoosier Healthwise (HHW), Healthy Indiana Plan (HIP) and Hoosier Care Connect (HCC).
This notice is to inform you that you, your provider or authorized representative (with your signed consent) may file an IRO within 120 calendar days from the date of the appeal denial letter.
You may submit an IRO request to MHS in the following ways:
Fax | Medicaid: 1-866-714-7993 |
MHS Grievance & Appeals PO Box 441567 Indianapolis, IN 46244 | |
Call | Medicaid: 1-877-647-4848 |
In Person | 550 N. Meridian St. Suite 101 Indianapolis, IN 46204 |
Please accept this correspondence as formal notice that the filing time to file an IRO request has changed from 33 calendar days to 120 calendar days from the date of appeal denial letter.
Thank you for being our partner in care.
MHS Grievance & Appeals