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  • (mce) Provider Enrollment Form - Indiana Medicaid

Get (mce) Provider Enrollment Form - Indiana Medicaid

INSTRUCTIONS FOR ENROLLMENT AND CREDENTIALING WITH HOOSIER HEALTHWISE (HHW), HEALTHY INDIANA PLAN (HIP) AND CARE SELECT MANAGED CARE ENTITIES To reduce the need for practitioners to complete multiple.

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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.

To qualify for the Community Integration and Habilitation Waiver, you must have been diagnosed with an intellectual disability, developmental disability or related condition with an onset prior to the age of 22 years and the condition must be expected to continue indefinitely. You must meet Level of Care.

If you are a member of the Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect, you will need to choose a health plan, also known as a managed care entity (MCE). A health plan, or MCE, is a health insurance company.

To enroll a new waiver rendering provider with an existing waiver group or clinic, use the IHCP Waiver Rendering Provider Enrollment and Profile Maintenance Packet. To enroll, add a service location, report a change of ownership, or revalidate a current IHCP enrollment, you must complete and submit the entire packet.

Indiana Aged & Disabled Medicaid Waiver While Medicaid doesn't directly pay for assisted living in Indiana, there is a waiver program which does. The Indiana Aged & Disabled Medicaid Waiver is designed to help the elderly and disabled who require care services similar to that of nursing homes.

You can expect to wait at least five years before getting Medicaid waiver services in Indiana. What assistance is available while you wait? Utilize Medicaid State Plan Services, if eligible. Apply for caregiver supports (respite), as they are available.

Enrollment Status. Enter your assigned Tracking number and Federal Tax Indentification Number (TIN or EIN) that you used for your enrollment to verify the current status of your enrollment application. For any further queries, please contact Provider enrollment at 1-800-457-4584.

The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232