PAYER READY CREDENTIALING & COMPLIANCE
Medicaid

How to Get Credentialed with Indiana Medicaid in Indiana

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Who Runs Indiana Medicaid Provider Enrollment

50-state research

Enrollment Portal

IHCP provider portal

Operated By

Gainwell Technologies

Platform

CoreMMIS

Gainwell and its predecessor companies have held Indiana's fiscal agent contract since 1991, one of the longest running MMIS relationships in the country.

Go to the official Indiana enrollment portal

From PayerReady's 50-state Medicaid enrollment platform research, verified July 2026. Portal contracts change; where an operator is in transition or not publicly confirmed, we say so rather than guess.

Indiana-Specific Requirements

Indiana Medicaid (Healthy Indiana Plan / Hoosier Healthwise) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the FSSA (Family and Social Services Administration) IHCP (Indiana Health Coverage Programs) Portal. (3) Submit application with IN state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Indiana operates managed care through 4 MCOs covering HIP and Hoosier Healthwise populations. Behavioral health providers accepted include LMHC, LCSW, LMFT, and HSPP (Health Service Provider in Psychology) with active Indiana licensure. Revalidation is required every 5 years.

Medicaid Information: Indiana

Agency: Indiana Family and Social Services Administration

Program: Healthy Indiana Plan (HIP)

Portal: https://portal.indianamedicaid.com

Phone: 1-800-577-1278

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

Prepare Your Application

Complete Indiana Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Indiana Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with Indiana Medicaid?

Our specialists handle the entire Indiana Medicaid enrollment process: applications, follow-ups, and approvals in Indiana.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Indiana Medicaid Provider Enrollment (IHCP)

Required
Online Open →

Key Credentialing Terms

Capitation
A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
CAQH
The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
Credentialing
The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
Effective Date
The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
Managed Care
A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
Network Adequacy
The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
NPI
The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
Primary Source Verification
The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...

Credentialing Checklist

Make sure you have everything ready before applying to Indiana Medicaid.

View Physician Credentialing Checklist →

Contact Information

Provider Credentialing

National

1-800-577-1278

Mon-Fri 8am-5pm

Provider Services

National

1-800-577-1278

Claims & Billing

National

1-800-577-1278

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Reviewed by the PayerReady Credentialing Team

Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.

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