Guides and Manuals
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We are proud to offer free materials and resources that can be used to help educate your staff, patients and partners about MHS and the programs we support.
Provider Manuals and Quick Reference Guides
- MHS Provider Manual (PDF), updated October 5, 2020
- Indiana Medicaid Provider Manual (PDF)
- MHS Provider Quick Reference Guide (PDF), effective August 1, 2020
- MHS Dental Provider Manual (PDF)
- MHS Plan Overview (PDF)
- MHS Provider Orientation (PDF)
- MemberConnections Territory Map and Contact Information (PDF)
- Provider Relations and Contracting Territories Map and Contact Information (PDF)
- 2020 HEDIS Quick Reference Guide (PDF)
Ambetter from MHS
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)
- HIP Third Party Payer Reference Guide (PDF)
- MHS Denial Codes (PDF) updated November 2017
- MHS Provider Claims Issue Resolution Webinar (PDF)
- Reject Reason Codes and Descriptions (PDF), updated January 2017
Other
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.
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
Member Management, Member Benefits and Services
Pregnancy Member Management
- Notification of Pregnancy (PDF)
- Notification of Pregnancy Information and FAQ on indianamedicaid.com
- Prenatal Vitamin Ordering Form (PDF)
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
- Medically Frail FAQ (PDF)
- Medical Record Documentation Audit Tool (PDF)
- School-Based Health Partnership Survey Report (PDF)
- Well-Child Documentation Tips (PDF)
Posters & Brochures
Pay for Performance and Scorecards
Prior Authorization
- Physical Medicine Prior Authorization (PDF)
- Physical Medicine Prior Authorization Refresher Flyer (PDF)
- Physical Medicine Provider FAQ (PDF)
- Physical Medicine QRG (PDF)
- Physical Medicine Tip Sheet (PDF)