FSSA/OMPP wants to make Medicaid better for members and they need your help. Apply to join Indiana Medicaid’s NEW Beneficiary Advisory Council (BAC) to share your experience. The BAC, composed of current and former Medicaid members and caretakers, will discuss policy and program changes. To apply, complete the BAC application and submit it via email or mail. Additionally, here is the website link for the FSSA BAC page: https://www.in.gov/fssa/ompp/advisory-committees/beneficiary-advisory-council
How do I join MDwise Provider Network?
To join the MDwise Provider Network, all eligible provider types and specialties must be actively enrolled with Indiana Health Coverage Programs (IHCP) and linked to their requested service location prior to submitting a network participation request to MDwise. They must then Complete the appropriate MDwise Provider Network Participation Request Forms. Please determine the form appropriate for the provider type and specialty:
IHCP MCE Practitioner Enrollment Form (PDF)
IHCP MCE Hospital/Ancillary Provider Enrollment Form (PDF)
Which Provider Network Participation Request Forms should I select?
What will the Provider Network Participation Enrollment process include?
The enrollment process includes:
What are the provider classification types and specialties?
As an MDwise provider, you may fall into one (1) of the following three (3) classifications for claim submission and reimbursement purposes:
What documents are required and included in the Provider Network Participation process?
Refer to below for documentation requirements. Each document is required as applicable per provider type and specialty.
Does the enrollment and credentialing timeline continue if I need to re-sign or resubmit a document?
No, all documentation must be sent with initial provider enrollment request. If any required documents are missing to process a provider network request, the submitter will be notified within five (5) business days of their submission. This notification will outline which documents are missing and allow the requestor to submit all missing documents within 24 hours. If all documents are not received within the allotted time, the case will be closed, and provider will be required to submit a new case.
How long does provider credentialing take?
The credentialing process can take up to 30 days from submission for a clean file. To ensure the process is not delayed, please verify that MDwise is listed as an ‘authorized’ health plan to access CAQH applications during the credentialing process. Credentialing may take longer if additional information is needed to complete a credentialing file review following State, Federal, MDwise and NCQA guidelines.