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Important Links & Resources

Below are important links to information for providers.

Atrezzo PA Portal

Important Links | Appeals | IHCP Forms | IHCP Reference Modules

Important Links

  • IHCP Bulletins, Banner Pages, and Reference Modules
  • IHCP Fee Schedules
  • IHCP Provider Code Tables
  • IN Medicaid Forms
  • IHCP Companion Guide: 278 Health Care Services Review Information - Request

Appeals

An appeal is a request for a state fair hearing before an Administrative Law Judge with the Indiana Office of Administrative Law Proceedings (OALP). You may request a state fair hearing with OALP by mail, fax, or e-mail:

 

Mail:
Indiana Family and Social Service Administration
Office of Administrative Law Proceedings
100 N. Senate Ave., Room N802
Indianapolis, IN 46204

Fax: 317-232-4412
Email: FSSA.appeals@oalp.in.gov

Contact Us
INPriorAuthIssues@acentra.com
P: (866) 725-9991
F: 1-800-261-2774

6802 Paragon
Place, Suite 440
Richmond, VA 23230

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