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IHCP Ordering, Prescribing, Referring Provider Enrollment And Profile Maintenance Packet
Get IHCP Ordering, Prescribing, Referring Provider Enrollment And Profile Maintenance Packet
Bing, or referring (OPR) practioner AND are not otherwise enrolled as a provider with the Indiana Health Coverage Programs (IHCP). OPR providers do not bill the IHCP for services rendered to members; they only order, prescribe and/or refer services/supplies for their IHCP-eligible patients. If you are already enrolled as another type of provider in the IHCP you do not need to complete this form. This form should not be used to enroll as a billing, group, or rendering provider with the intent to.
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30d FAQ
ORDERING, PRESCRIBING AND REFERRING (OPR) PROVIDERS.
If there are questions about this information, contact EDS Customer Assistance at (317) 655-3240 in the Indianapolis local area or 1-800-577-1278. The quick reference is also available on the IHCP Web site at .indianamedicaid.com.
Change of Ownership The following must be submitted along with the enrollment application: Appropriate licensure or other supporting documentation. A copy of a purchase agreement, bill of sale, or other documentation to verify the CHOW.
Anyone covered by Indiana Medicaid should make sure the Indiana Family and Social Service Administration (FSSA) has their correct address. They can update their information on the benefits portal (https://fssabenefits.in.gov) or by calling 800-403-0864.
Provider Enrollment Inquiries If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information.
Log into your Member Portal Account or create a New Account. ... Once on the Member Homepage, click on Change Primary Provider. Once you click on Change Primary Provider, select your network from Hoosier Healthwise, Healthy Indiana Plan (HIP) or Hoosier Care Connect. Review your choice of PMP by clicking Select.
You can update your information on the benefits portal (https://fssabenefits.in.gov) or by calling 800-403-0864. It is also important to open and respond to all mail from FSSA and your health plan (Anthem, CareSource, MDwise, MHS, or United Healthcare).
No. Indiana and another state must have reciprocity with each other at the time of Medicaid application. States can opt in and out of the reciprocity agreement with 60 days notice. If a state opts out of Reciprocity, individuals who have already accessed Medicaid would be grandfathered.
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