Provider Network Participation & Enrollment Process
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.
If you are a provider who is part of an existing contracted medical or behavioral health entity, use this online contracted enrollment form to enroll a new provider.
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.
If you are already a contracted provider with MHS and would like to update existing information, please use our online provider update forms.
Once a New Contract or Add Provider To Existing Contract submissions is made, a Request ID will be assigned in your confirmation email. Be sure to keep this email. If you have questions, you can respond to the confirmation email or call Provider Services at 1-877-647-4848 and reference your Request ID.