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  1. www.in.gov › medicaid › providersIndiana Medicaid: Providers: Provider Enrollment - IN.gov

    Complete an IHCP Provider Enrollment Application. Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information.

  2. portal.indianamedicaid.com › hcp › providerProvider Enrollment - portal.indianamedicaid.com

    Initiate a new provider enrollment application (includes optional Electronic Fund Transfer (EFT) enrollment).

  3. portal.indianamedicaid.com › hcp › providerProvider Enrollment

    Initiate a new provider enrollment application (includes optional Electronic Fund Transfer (EFT) enrollment).

  4. portal.indianamedicaid.com › hcp › providerWelcome to the Online Provider Enrollment Process

    You will need the following information to complete your enrollment request: National Provider Identifier (NPI) unless you are an atypical (for instance, transportation or waiver) provider type; Address including ZIP Code/postal code + 4; Provider taxonomy unless you are an atypical (for instance, transportation or waiver) provider type

  5. provider.indianamedicaid.com › TR351_ProviderEnrollmentQuickReference_V1Quick Reference - provider.indianamedicaid.com

    Providers may also request Provider Enrollment Applications or update forms by calling the Provider Enrollment Help Desk at 1-877-707-5750.

  6. www.in.gov › medicaid › providersIndiana Medicaid: Providers: Forms - IN.gov

    Complete an IHCP Provider Enrollment Application. Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information.

  7. www.in.gov › medicaid › providersComplete an IHCP Provider Enrollment Application - IN.gov

    Complete an IHCP Provider Enrollment Application. Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information.

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