Find a Provider
Doctors, hospitals and other health care facilities have the
option to participate in and provide services under many different
insurance programs. Many doctors will accept only certain
types of private insurance; they may decide to provide or not to
provide services for those who have Medicare or Medicaid.
If you are new to Medicaid, use our provider search to
determine whether your current doctor or hospital participates in
the Medicaid program you are enrolled in. If your doctor is
not available under your program, you will need to choose a new
one.
Please remember that if you are enrolled in Hoosier Healthwise,
Care Select or the Healthy Indiana Plan (HIP), you will need to
choose a Primary Medical Provider (PMP) within your health
plan.
If you are looking for a specialist and are in a managed health
plan, you may need a referral from your PMP before Medicaid will
pay for certain services. Please check with your PMP or your health
plan before seeking additional services.
Ordering, Prescribing, and Referring Providers
The law requires that services, supplies, and medications
received by a Medicaid member be ordered or prescribed by a
provider who is enrolled in Medicaid in order for Medicaid to pay.
This means if you go to a doctor who is not
enrolled in Medicaid and that doctor:
- writes you a prescription,
- refers you for lab work,
- gives you an order for medical supplies or equipment, or
- refers you to another provider for services,
Medicaid cannot pay for that prescription, lab work, supply, or
other service. Your pharmacy, lab, supplier, or other provider may
not be willing to provide those services without payment from you
first.
If your doctor is not enrolled, you can tell them Medicaid will
not pay for the services they are requesting for you. Explain that
Indiana Medicaid has made it simple for doctors who may see only a
few Medicaid patients to enroll. Suggest they go to the Ordering,
Prescribing, or Referring Provider website or call
1-800-577-1278 for more information.