Enrollment and Updates

Request a New Contract

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We appreciate your interest in MHS and are excited to set up your office as a participating provider. If you would like more information, please fill out the online information request form. An MHS representative will reach out to you shortly to discuss contracting options for your office.

 

Enroll Existing Contracted Medical Provider

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If you are a provider who is part of an existing contracted entity, use this online contracted enrollment form to enroll a new provider. All submissions must include a completed IHCP application.

Enroll Existing Contracted Behavioral Health Provider

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If you are a provider who is part of an existing contracted behavioral health entity, use this online contracted enrollment form to enroll a new provider.

Non-Contracted Provider

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If you are not contracted with MHS, complete the non-contracted enrollment form. All submissions must include a completed W9. Set-up may take 45 – 60 days after we receive your submission. You must be enrolled with Indiana Medicaid and have an Indiana Medicaid provider number. You can enroll online at indianamedicaid.com.

Demographic Updates

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If you are already a contracted provider with MHS and would like to update existing information, please use our online provider update forms.

Contact Us

Login to your provider portal account to send a secure message. Our Contact Us page is always available for general questions or you can call MHS at 1-877-647-4848.