Guides
AB & CHIP Member Handbook (PDF)
Please read this handbook – this Member Handbook tells you how to get medical care. It explains your healthcare benefits and tells you when to call your doctor if you need medical care. Your Rights and Responsibilities are found on the back cover of this book. These are important for you to read. MHS staff and doctors all follow these guidelines.

Member Quick Reference Guide (PDF)
Use this tool as a quick reference for your benefits.

Preferred Drug List (PDL) (Listed under “Pharmacy Services”)
The PDL shows some of the drugs covered under your pharmacy benefit. A team of doctors and pharmacists update this list four times a year. Updating this list ensures that the drugs are safe and useful for you, and cost effective for the Indiana Medicaid program.

Advance Directives brochure (PDF)
The purpose of this brochure is to inform you of ways that you can direct your medical care and treatment in the event that you are unable to communicate for yourself.

Forms
Pre-Birth Selection Form (PDF)
Choose your baby’s doctor before he or she is born! Fill out the Pre-Birth Selection Form and fax or mail it to:

Medical Management Fax Number: (866) 912-1629

Managed Health Services
1099 N Meridian St Suite 400
Indianapolis, IN 46204

Behavioral/Physical Health Coordination Form (PDF)
It’s important for both your behavioral and physical healthcare providers to know what kind of care you are getting. Keep your doctors connected by taking the Behavioral/Physical Health Coordination Form to your next visit.

If you would like a printed copy of this information, please call Member Services at (877) 647-4848.