Become a Provider
MDwise invites you to join our network of talented providers. Please see the specific contracting information for our insurance products below. To find out who your dedicated Provider Relations Representative is, see our
Territory Map.
MDwise Hoosier Healthwise and Healthy Indiana Plan
If you are interested in joining the MDwise Hoosier Healthwise, MDwise Healthy Indiana Plan or Behavioral Health provider network, please fill out the
Provider Contract Inquiry Form to begin the enrollment and credentialing process.
A provider must be enrolled as an Indiana Health Coverage Program (IHCP) provider prior to enrolling in MDwise Hoosier Healthwise or MDwise Healthy Indiana Plan. For more information on becoming an IHCP provider please visit
www.indianamedicaid.gov.
Providers planning to enroll as a primary medical provider should review the
Provider Requirements to learn the duties and responsibilities required of primary care providers.
Wanting to get a head start on your forms? Providers can fill out the
IHCP MCE Hospital/Ancillary Provider Enrollment and Credentialing Form and the
Provider Enrollment and Credentialing with IHCP Managed Care Entities Form as well as the
Disclosure Ownership and Interest Form.