requesting MRO PA via Web interChange

When requesting prior authorization (PA) for Medicaid Rehabilitation Option (MRO) service(s) on Web interChange, the requesting provider's National Provider Identifier (NPI) information with taxonomy and postal code is required. Submission of a request must be authorized by a medical doctor (MD) or health service provider in psychology (HSPP). The provider must also be enrolled with the Indiana Health Coverage Programs (IHCP) as a billing or dual provider (see the IHCP Provider Manual, Chapter 3, "Electronic Solutions," Section 3, "Web interChange," pages 15-16).

A provider enrolled with the IHCP as a rendering provider does not have access to submit PA on Web interChange. In addition, Community Mental Health Centers (CMHCs) enrolled as provider type 11 (Mental Health) and provider specialty 111 (CMHC) do not have access to submit PA requests through the Web interChange site.