MHS Provider enrollment, demographic updates and address limitation
Date: 09/15/21
MHS offers most provider enrollment processes via the MHS website mhsindiana.com including:
- Request for a new contract
- Enrolling a practitioner to an existing contract
- Demographic updates, including address changes, panel updates, terminations, etc.
- Non-contracted enrollments
Required information and documents are outlined for each type of action being requested.
Directory Display
MHS follows NCQA guidelines, displaying only those practitioner types that have been credentialed and offer scheduled appointments in their office. Practitioners who provide services as the result of seeing a patient in a facility setting and midlevels who do not hold a panel are not credentialed and not displayed on the directory: Practitioners specialties include but are not limited to:
- Emergency Medicine
- Radiology
- Anesthesiology (excluding Pain Management)
- Pathology
- Mid-levels not acting as a PCP holding a panel
- Practitioners who practice exclusively in a facility setting
- CRNA
- Midwives
- Occupational Therapist
Address Limitations
MHS requests that only addresses where practitioners actively accept patients for appointments be submitted for enrollment. MHS will limit addresses for directory display to no more than 5 addresses per practitioner, but must have at least one address for each group NPI which the practitioner bills under.
For any practitioners listed above that do not display on the MHS directory, we will only enroll the practitioner at the primary address submitted. It is not necessary to submit additional addresses for non-directory display practitioners, unless there is an additional group NPI.
Updating Provider Information
MHS provides an easy to use demographic update tool to allow providers and practitioners to easily update demographic information. Please let MHS know when there are changes to any information regarding individual practitioners or your group to ensure that members can easily access services with your organization.
MHS would also like to remind providers and practitioners that any updates submitted to MHS should also be reported to the Indiana Health Coverage Programs.