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Indiana Professional Licensing Agency

PLA > Professions > INDIANA BOARD OF PHARMACY > Home Medical Equipment Services Providers ("HME") Information > Opening a New In-State HME Facility Opening a New In-State HME Facility

Application for Licensure as a Home Medical Equipment Service Provider
Home Medical Equipment Service Provider Inspection Questions

IC 25-26-21; 856 IAC 1-39:  Home Medical Equipment Service Providers

License Issuance
The Board shall issue a Home Medical Equipment Service Provider ("HME") license to a facility that submits: 

  1. a completed HME application;
  2. $150.00 initial application fee;
  3. verification letters as indicated on the application, if applicable (if provider numbers or accreditations are pending, indicate this on the application);  
  4. proof of insurance, location specific;
  5. to an inspection by a Board of Pharmacy Compliance Officer.

Upon receipt of all requested information, the Board office will contact the individual listed on the application to schedule an inspection.   

Fee Information
Applicants must submit a $150 application fee in the form of a check or money order made payable to the "Professional Licensing Agency".  The fee(s) must be submitted with the application to the following:

Professional Licensing Agency
402 W Washington Street, Room W072
Indianapolis, IN  46204.

Additional Information
For questions regarding the Indiana HME license, please contact our office by e-mail at
pla4@pla.IN.gov.