Managed Care Organization

How to Get Credentialed with Anthem HealthKeepers / Hoosier Healthwise in Indiana

Network: Open
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Indiana-Specific Requirements

Anthem Hoosier Healthwise participates in the Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Providers must first enroll with Indiana Medicaid through IHCP, then apply to Anthem via CAQH ProView. Active Indiana medical license and NPI are required. Service areas cover all 92 Indiana counties statewide. The plan covers Hoosier Healthwise (children and pregnant women), HIP (adults), and Hoosier Care Connect populations.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Indiana.

2

Complete Your CAQH ProView Profile

Anthem HealthKeepers / Hoosier Healthwise requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Anthem HealthKeepers / Hoosier Healthwise.

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

Contact Information

Credentialing

National

Network Enrollment

National

Quick Links

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