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Join our network and find credentialing information.

Log in to Availity Essentials™ to access patient benefits, claims information and more.

Find tools and materials to support doing business with us.

Learn more about research and trends that impact your practice.

Find self-service info and phone numbers and update your provider data.

Review prior authorization lists for services, medications and submission guidance.

Prior authorization submission information

Professionally administered drugs prior authorization

Find appeals guidelines and payment policy information.

Learn how to submit claims and find coding guidance.

Find policies for procedures, devices and medications.

Review guidelines and health programs to support your patients and practice.

Find dental benefits, tools and resources.

Prior authorization for professionally administered drugs 

Locate state-specific resources for Humana Healthy Horizons® (Medicaid).

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Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Indiana Medicaid Provider Resources

IN.CLI.001 Molecular Diagnostic Assays and Breath
IN.CLI.002 Cosmetic and Reconstructive Surgery
IN.CLI.004 Breast Reconstruction

Humana Healthy Horizons in Indiana dispute process
Provider Manual
Provider Network Resource Guide
How to access Relias
Cultural Humility and Implicit Bias Training
Long-Term Services and Supports/Home and Community-Based Services County Breakdown by Region
Long-Term Services and Supports/Home and Community-Based Services Provider Representatives Map
Physical and Behavioral Health Provider Representative Map
2024 Preferred Drug List (English)
2024 Preferred Drug List (Spanish)
Indiana Medicaid Statewide Preferred Drug List

Antiviral Monoclonal Antibodies Form
Benzo-Opioid Duplicate Therapy PA Form
Bone Formation Stimulating Agents PA Form
Buprenorphine-Opioid Concurrent PA Form
Cardiac Agents PA Form
Carisoprodol PA Form
Dificid PA Form
Growth Hormone Adult PA Form
Growth Hormone Children PA Form
Hetlioz PA Form
Narcolepsy Agents PA Form
Opioid MME Limit Exceed PA
PCSK9 and Select Lipotropics PA Form
Pulmonary Antihypertensives PA Form
Testosterones PA Form
Uterine Disorder Agents PA Form
Vaginal Antimicrobials PA Form

Prior Authorization Request Forms

Indiana Medicaid