Ordering, Prescribing, or Referring Providers
For Medicaid to reimburse for services or medical supplies
resulting from a practitioner's order, prescription, or referral,
the ordering, prescribing, or referring (OPR) provider must be
enrolled in Medicaid. OPR providers do not bill the Indiana Health
Coverage Programs (IHCP) for services rendered but may order,
prescribe, or refer services and supplies for IHCP members.
Enrolling as an OPR provider is appropriate for providers who:
- May occasionally see an individual who is an IHCP member who
needs additional services or supplies that will be covered by the
- Do not want to be enrolled as another IHCP provider type
- Do not plan to submit claims to the IHCP for payment of
Participate in the IHCP as an OPR Provider
Interested providers and existing OPR providers should see Participating as an
OPR Provider on this site for detailed information about
enrollment and other transactions.
Directory of OPR Providers
IHCP providers that render services or supplies should use the
Prescribing, and Referring (OPR) Provider Search to verify IHCP
enrollment of the ordering, prescribing, or referring provider
before services or supplies are rendered.