Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Managed Health Services (MHS) Indiana before sending sensitive documents. FaxFlow is not affiliated with this organization.
Managed Health Services (MHS) Indiana fax number
(866) 912-4245
Provider Fax
Used for: Provider prior authorization submissions (fax) for DME, home health, therapy; PA requests for emergent services
Fax destination details
- Department
- Provider Fax
- Purpose
- Provider prior authorization submissions (fax) for DME, home health, therapy; PA requests for emergent services
- Form
- Prior Authorization form — Indiana Medicaid Prior Authorization Form
- Voice phone
- 1-877-647-4848
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit physician orders, member information, diagnoses, CPT/HCPCS codes; include member ID; fax to 1-866-912-4245 as part of Indiana Medicaid PA process
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.