Skip to content
alert

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

ProTips

Provider type is based on the provider’s registration with the IHCP according to the IHCP Specialty Matrix (PDF).

Out-of-State Provider

MDwise requires out-of-state providers to be certified, licensed, registered or authorized as required by the state where the provider is located and must fulfill the same conditions as an in-state provider. Please refer to the IHCP Provider Enrollment Type and Specialty Matrix at https://www.in.gov/medicaid/providers/files/matrix.pdf (PDF), which lists out-of-state provider document requirements, the provider types and specialties that are ineligible for out-of-state enrollment. For more information, see the Out-of-State Providers module (https://www.in.gov/medicaid/providers/files/out-of-state-providers.pdf (PDF)).

Common Issues Associated with Network Participation:

  • Not registering the providers location with IHCP prior to sending enrollment forms
  • Not completing required forms
  • Not completing all required fields on the forms
  • Unsigned forms
  • W-9 not signed and dated within the last 12 months
  • Invalid state medical license or inappropriate professional license
  • Missing explanation for work history gaps greater than six months
  • Omission to disclose sanctions information on the CAQH enrollment form

Providers should visit our website for additional resource materials and regular updates, including the following in particular: