Ordering, Prescribing, or Referring Providers

For Medicaid to reimburse for services or medical supplies resulting from a practitioner's order, prescription, or referral, the ordering, prescribing, or referring (OPR) provider must be enrolled in Medicaid. OPR providers do not bill the Indiana Health Coverage Programs (IHCP) for services rendered but may order, prescribe, or refer services and supplies for IHCP members. Enrolling as an OPR provider is appropriate for providers who:

  • May occasionally see an individual who is an IHCP member who needs additional services or supplies that will be covered by the Medicaid program
  • Do not want to be enrolled as another IHCP provider type
  • Do not plan to submit claims to the IHCP for payment of services rendered

Participate in the IHCP as an OPR Provider

Interested providers and existing OPR providers should see Participating as an OPR Provider on this site for detailed information about enrollment and other transactions.

Directory of OPR Providers

IHCP providers that render services or supplies should use the Ordering, Prescribing, and Referring (OPR) Provider Search to verify IHCP enrollment of the ordering, prescribing, or referring provider before services or supplies are rendered.