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Box 24J rendering provider NPI Box 32A service facility NPI Box 33A billing provider NPI Note Remember to attest all of your NPI numbers with the state of Indiana at www. HEDIS is a registered trademark of the National Committee for Quality Assurance NCQA. Managed care model assigned PMP All members must see the PMP they are assigned to in our system. Please view Availity PMP assignment. Billing type 2 providers Health care providers that are organizations including physician groups...

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Step 1: Gather all necessary documentation such as proof of income, proof of residency, and identification.

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What is serving hoosier healthwise healthy?

Serving Hoosier Healthwise Healthy provides nutritious meals to individuals in need who are enrolled in the Hoosier Healthwise program.

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Food service providers participating in the Hoosier Healthwise program are required to file serving Hoosier Healthwise Healthy.

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To fill out Serving Hoosier Healthwise Healthy, providers must document the nutritional content of each meal served to program participants.

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The purpose of Serving Hoosier Healthwise Healthy is to ensure that individuals enrolled in the Hoosier Healthwise program receive nutritious meals that meet their dietary needs.

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Providers must report the type of meal served, nutritional content, date and time of service, and the participant who received the meal on Serving Hoosier Healthwise Healthy forms.

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