How to become a Medicaid provider in Indiana
To bill Indiana Medicaid, enroll through IHCP Provider Healthcare Portal (IHCP Portal), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
- Enrollment portal
- IHCP Provider Healthcare Portal (IHCP Portal)
- Steps
- 5
- Documents
- 5
- Plans listed
- 5
On this page
Indiana Medicaid enrollment at a glance
To bill Indiana Medicaid, enroll through IHCP Provider Healthcare Portal (IHCP Portal), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
- Program
- Indiana Health Coverage Programs (IHCP) — Indiana Medicaid
- Enrollment portal
- IHCP Provider Healthcare Portal (IHCP Portal)
- Fiscal agent
- Gainwell Technologies (IHCP fiscal agent for provider enrollment and revalidation)
- Application fee
- IHCP's Risk Category and Application Fee Matrix shows which specialties owe the fee. Proof of electronic payment (or of payment to Medicare or another state) must come with the application, and a separate fee is due for each service location at initial enrollment, revalidation and change of ownership. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- In Indiana, every individual with 5%+ ownership or control of a high-risk enrolling entity must finish Medicaid fingerprinting before the application is submitted, and the fingerprint confirmation number goes on the application. IHCP may assign a higher risk level than its matrix shows. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- IHCP has said DME and home medical equipment providers (including pharmacies with DME/HME specialties) revalidate every three years and other specialties every five years. Due-date lists are published through December 2026, and revalidation is done in the IHCP Portal or by mail packet. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Get an NPI (not needed for atypical providers such as waiver or transportation specialties)
- Gather the documents listed for the specialty in the IHCP Provider Enrollment Type and Specialty Matrix
- Check the risk level and fee in the Risk Category and Application Fee Matrix; complete fingerprinting (high risk) and pay the fee per service location if required
- Apply online through the IHCP Provider Healthcare Portal (recommended) or mail the interactive PDF enrollment packet
- After IHCP enrollment, apply directly to each managed care organization using the IHCP MCO enrollment and credentialing forms
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- After enrolling with IHCP, providers who want to serve Healthy Indiana Plan, Hoosier Care Connect, Hoosier Healthwise or Indiana PathWays for Aging members must apply directly to one or more MCOs. IHCP publishes standard MCO enrollment and credentialing forms (practitioner, HCBS waiver for PathWays, hospital/ancillary) used across plans, but each MCO credentials and re-credentials on its own. Centralized credentialing: no (common forms, credentialing done by each MCO).
- Plans (state list)
- Anthem
- CareSource
- Humana
- Managed Health Services (MHS)
- UnitedHealthcare
Frequently asked questions
How do I become a Medicaid provider in Indiana?
To bill Indiana Medicaid, enroll through IHCP Provider Healthcare Portal (IHCP Portal), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Indiana Medicaid?
IHCP's Risk Category and Application Fee Matrix shows which specialties owe the fee. Proof of electronic payment (or of payment to Medicare or another state) must come with the application, and a separate fee is due for each service location at initial enrollment, revalidation and change of ownership. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Indiana Medicaid providers revalidate?
IHCP has said DME and home medical equipment providers (including pharmacies with DME/HME specialties) revalidate every three years and other specialties every five years. Due-date lists are published through December 2026, and revalidation is done in the IHCP Portal or by mail packet. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.