Guides and Manuals

Provider Manuals and Quick Reference Guides

• MHS Provider Manual (PDF), updated January 4, 2019
• Indiana Medicaid Provider Manual (PDF)
• MHS Provider Quick Reference Guide (PDF), effective June 1, 2018
• MHS Dental Provider Manual (PDF)
• MHS Plan Overview (PDF)
• MHS Provider Orientation (PDF)
• 2019 HEDIS Quick Reference Guide (PDF)

Ambetter from MHS

• Exclusive Provider Network Flyer (PDF)
• Home Health Filing Guidelines (PDF)

Pay for Performance and Scorecards

• NCQA HEDIS 2019 Changes to Well Child Measures (PDF)
• What We Look for in a Medical Record (PDF)

Quality Improvement Program

• QI Program Description (PDF)
• Quality Report Cards (PDF)

Claims/Billing

EDI

• New! Top 10 Rejection Codes Help Aid (PDF)
• 5010 837P/I Companion Guide and Addendum B (PDF)
• 276-277-Companion-Guide (PDF)
• 270-271 Companion Guide (PDF)
• EDI COB Mapping Guide (PDF)
• Edifecs Ramp Manager Tutorial – EDI X12 Testing Center (PDF)
• MHS Denial Codes (PDF) updated November 2017
• Reject Reason Codes and Descriptions (PDF), updated January 2017

Other

• CMS 1500 Quick Tips (PDF)

Member Management, Member Benefits and Services

Pregnancy Member Management

• 40 Weeks Provider Toolkit (PDF)
• Enhanced Services for Pregnant Members (PDF)
• IHCP Bulletin – Pregnancy Related Services (PDF)
• Notification of Pregnancy Information and FAQ on indianamedicaid.com

Program Descriptions, Tools, and other Reference Guides

• CAHPS Provider Tip Sheet (PDF)
• Care Management Programs (PDF)
• HIP Plus Tip Sheet (PDF)
• HIP Provider Newsletter (PDF), January 28th, 2015
• Medical Record Documentation Audit Tool (PDF)
• MemberConnections Territory Map and Contact Information (PDF)
• Provider Relations and Contracting Territories Map and Contact Information (PDF)
• School-Based Health Partnership Survey Report (PDF)
• Well-Child Documentation Tips (PDF)

Posters & Brochures

• Adopt A School Program (PDF)
• Culturally & Linguistically Appropriate Services (CLAS) Brochure (PDF)

Medicaid Navigators

• For Navigators: Next Steps (PDF) – Helpful sheet to provide to potential members who chose MHS on their application
• For Navigators: Quick Tips (PDF) – Important information and common questions to help you assist applicants

Indiana Medicaid Bulletins and FAQs

• Review all IHCP News, Banners and Bulletins

Having trouble finding what you need in a PDF? Hit Ctrl+F or go to Edit > Find, type in the term you are looking for, and press enter. Find will take you to the first use of that term. Each time you press enter, find will take you to the next occurrence of the term until you reach the end of the document.

If you would like any of these guides in print, please contact Provider Services at 1-877-647-4848.