The Centers for Medicare & Medicaid Services (CMS) requires state Medicaid programs to revalidate provider enrollments at intervals not to exceed every five years. The CMS revalidation requirement for durable medical equipment (DME) and home medical equipment (HME) providers, including pharmacy providers with DME or HME specialty enrollments, is more frequent, at intervals not to exceed every three years.

Indiana Health Coverage Programs (IHCP) providers will receive notification letters when it is time to revalidate their enrollments. Notifications with instructions for revalidating are sent 60 and 30 days in advance of the revalidation due date. Notices are mailed to the mail-to address indicated on the provider's service location profile. Providers will also see a reminder on the homepage of their Provider Account in the IHCP Provider Healthcare Portal (IHCP Portal). Providers with multiple service locations must revalidate the enrollment of each service location and will receive notification for each separately. Providers should not attempt to revalidate until they receive their notification letter.

Providers that fail to revalidate in a timely manner will be disenrolled from participation in the IHCP. After disenrollment, the provider will need to reenroll with the IHCP. Disenrollment with subsequent reenrollment may result in a gap in the provider's eligibility.

• Download Provider Enrollment Revalidation Due Dates Through December 2025 to see a list of providers with upcoming revalidation due dates.
• Download Waiver Provider Enrollment Revalidation Due Dates Through December 2025 to see a list of waiver providers with upcoming revalidation due dates.

How to Revalidate an Enrollment

Before beginning the revalidation process, providers should:

• Review the IHCP Provider Enrollment Type and Specialty Matrix to determine supporting documentation requirements based on provider type.
• Review the IHCP Provider Enrollment Risk Category and Application Fee Matrix to determine the screening criteria that apply to their provider specialty during revalidation and to determine whether an application fee is required.
  • Providers classified as “high risk” are subject to Medicaid fingerprint background check requirements and must follow the instructions provided on the Provider Enrollment Risk Levels and Screening page at revalidation.
  • Providers subject to an application fee are required to pay the fee at the time of revalidation. See the Provider Enrollment Application Fee page for more information, including the current year's fee.

Revalidate on the IHCP Portal

The IHCP encourages providers to use the IHCP Provider Healthcare Portal to revalidate enrollment. The IHCP Portal process is faster because much of the provider's information prepopulates. Online help walks providers through the revalidation process, and required documentation can be uploaded and submitted electronically.

For group providers revalidating via the IHCP Portal, documentation must include a current, signed copy of the IHCP Rendering Provider Agreement and Attestation Form for each rendering provider actively linked to the group's service location at the time of revalidation. A PDF of this form can be accessed from the Update Your Provider Profile page.

Revalidate By Mail

Providers that choose to revalidate by mail must use the appropriate IHCP provider packet – the same as is used for initial enrollment. There is not a separate revalidation form.

To revalidate by mail, follow these steps:

1. Use the IHCP Provider Enrollment Packet Finder to access the correct packet for your provider type, specialty and classification. The packets are in PDF format and may be completed electronically, downloaded, and printed for signatures and submission.


2. Carefully review the instructions and complete the provider packet as directed:
   • Indicate "Revalidate Enrollment" in field 1 on Schedule A, under Type of Request, and complete all other fields in the packet.
   • Revalidation requires providers to complete all applicable information fields. It is not an update for which only additions, deletions or changes are required.
   • Group providers do not need to complete new rendering provider packets during revalidation. Instead, the group must submit a list of all rendering providers currently linked to the revalidating service location, including all information outlined in the instructions, as an attachment to the group packet. In addition, a current, signed IHCP Rendering Provider Agreement for each rendering provider actively linked to the group must be included with the group's revalidation packet. (The IHCP Rendering Provider Agreement can be found in the IHCP Rendering Provider Enrollment and Profile Maintenance Packet that is included at the end of the group provider packet, or it can be accessed from the Update Your Provider Profile page. A separate copy of the agreement is required for each rendering provider. All other pages of the IHCP Rendering Provider Enrollment and Profile Maintenance Packet should be disregarded for revalidation.)
3. Print and sign the completed packet, including all applicable addenda. Be sure to save a copy of the completed packet and all supporting documentation for your records.


4. Mail the printed, signed packet and all required supporting documentation to the following address:

IHCP Provider Enrollment
PO Box 50443
Indianapolis, IN 46250-0418

More Information

Revalidation requirements also apply to providers enrolled under the ordering, prescribing, referring (OPR) classification. See the Ordering, Prescribing or Referring Providers page on this site for more details about OPR providers.

Revalidation of enrollment is not the same as recertification of enrollment credentials. See the Recertify Provider Enrollment Licenses and Other Certifications page for details about the recertification process.

For more information about provider enrollment revalidation, see the Provider Enrollment provider reference module.