Get the free IHCP DME Provider Enrollment and Maintenance Form - IN.gov

ICP Rendering Provider Enrollment and Profile Maintenance Packet Version 8.2, April 26, 2021Page 1 of 17 Overview ICP Rendering Provider Enrollment and Profile Maintenance Packetin.gov/medicaid/providersBefore

How to fill out ihcp dme provider enrollment

How to fill out ihcp dme provider enrollment

1. To fill out IHCP DME provider enrollment, follow these steps:
2. Visit the IHCP website at www.indianamedicaid.com.
3. Click on the 'Providers' tab.
4. Select 'Provider Enrollment' from the drop-down menu.
5. Scroll down and click on 'IHCP Provider Enrollment Application' to download the form.
6. Fill out the application form with accurate information.
7. Attach any required supporting documents, such as copies of licenses or certifications.
8. Submit the completed application and supporting documents by mail or fax to the address provided on the form.
9. Wait for the IHCP to review and process your enrollment application.
10. Once approved, you will receive a confirmation and be eligible to provide DME services through IHCP.

Who needs ihcp dme provider enrollment?

1. Anyone who intends to provide durable medical equipment (DME) services through the Indiana Health Coverage Programs (IHCP) needs to complete the IHCP DME provider enrollment. This includes healthcare providers, suppliers, and organizations involved in the provision of DME to IHCP members.

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What is ihcp dme provider enrollment?

IHCP DME provider enrollment is the process of registering durable medical equipment providers with the Indiana Health Coverage Programs (IHCP) to allow them to bill for services provided to Medicaid beneficiaries.

Who is required to file ihcp dme provider enrollment?

Any provider of durable medical equipment (DME) services who wishes to bill for services provided to Medicaid beneficiaries in Indiana is required to file IHCP DME provider enrollment.

How to fill out ihcp dme provider enrollment?

To fill out IHCP DME provider enrollment, providers must complete the required forms, submit supporting documentation, and meet all eligibility criteria set by IHCP.

What is the purpose of ihcp dme provider enrollment?

The purpose of IHCP DME provider enrollment is to ensure that durable medical equipment providers are properly registered and meet the necessary qualifications to bill for services provided to Medicaid beneficiaries.

What information must be reported on ihcp dme provider enrollment?

On IHCP DME provider enrollment, providers must report their practice information, contact details, services offered, billing information, and other relevant information as required by IHCP.