IHCP Provider Enrollment Transactions
In compliance with the Affordable Care Act
(ACA) requirements (42 CFR 455), the Indiana Health
Coverage Programs (IHCP) has made significant changes to provider
enrollment policies and procedures effective January 1, 2012.
Provider forms, instructions, and processes have been updated to
reflect ACA requirements. Please familiarize yourself with the
information on these web pages before proceeding with any
enrollment-related transaction. Additional information can be found
in Chapter 4 -
Provider Enrollment, Eligibility, and Responsibilities of
the IHCP Provider Manual.
IHCP Providers - Select the Transaction That Applies
- If you are interested in participating as an IHCP provider only
to be able to order, prescribe, or refer covered services and/or
medical supplies for your Medicaid-eligible patients, go directly
to the Ordering,
Prescribing, or Referring Providers page.
- If you are a physician with a specialty designation of family
medicine, general internal medicine, or pediatric medicine, or a
subspecialty thereof, you may qualify for the temporary rate
increase in Medicaid payments for qualifying primary care services,
as authorized under the Affordable Care Act (ACA). Find
additional information on how to qualify on the
Qualifying for Increased Physician Reimbursement for Primary
Care Services page.
If a provider's enrollment is involuntarily terminated or the
IHCP denies a provider's enrollment or revalidation, the provider
has the right to appeal the decision. See Chapter 4 of the IHCP
Provider Manual for details about the appeals process.
For information about regularly scheduled training sessions on
completing provider enrollment paperwork, visit the Provider Education
page of this website.
The following links provide useful information you may need
after you have enrolled.
- Subscribe to email notifications -
The Email Notification System is used to send notices to
subscribers on behalf of the IHCP. Notices are sent when new
documents, such as bulletins or chapters of the IHCP Provider
Manual, are published to the website. You may change your
subscription profile or unsubscribe at any time. Email addresses
are never sold or used for any purpose other than IHCP
- Set up additional users to
access Web interChange - Web interChange is a secure website
that enables you to submit claims, check member eligibility, update
your provider profile, and much more. The person listed on the IHCP
Provider Packet will be set up to access Web interChange. See the
Web interChange site for information about setting up additional
users to access Web interChange.