Status: Draft for review

Indiana practices entering 2026 need a focused provider enrollment strategy and disciplined payer enrollment workflow. The strongest payer targets depend on your specialty, patient mix, counties served, and participation in Indiana Medicaid programs.

1. Anthem Blue Cross and Blue Shield

Anthem, operated by Elevance Health, remains the leading commercial priority for many Indiana practices. Its Medicaid footprint also makes it the first payer many organizations evaluate.

Anthem participates in Indiana’s four major managed care programs:

• Healthy Indiana Plan (HIP)
• Hoosier Healthwise
• Hoosier Care Connect
• Indiana PathWays for Aging

That reach matters. A primary care group, behavioral health organization, therapy practice, or aging-services provider may serve different member populations through separate Anthem program networks.

Anthem directs providers to use Availity Essentials for network applications, provider additions, demographic updates, and electronic transactions. Program-specific Provider Services numbers include:

• HIP: 844-533-1995
• Hoosier Healthwise: 866-408-6132
• Hoosier Care Connect: 844-284-1798
• PathWays: 833-569-4739

Review Anthem’s Indiana provider resources before submitting an application.

2. CareSource

CareSource is a high-value target for practices serving children, families, and adults enrolled in Indiana Medicaid. In 2026, CareSource participates in:

• Healthy Indiana Plan
• Hoosier Healthwise

Pediatricians, family medicine groups, OB/GYN practices, maternal health providers, and behavioral health organizations should assess CareSource based on local demand and referral patterns.

A CareSource application should align the provider’s Indiana license, NPI, taxonomy, service locations, group affiliations, and public-facing directory information. Inconsistent data creates avoidable follow-up and delays.

3. Managed Health Services

Managed Health Services (MHS) participates in:

• Healthy Indiana Plan
• Hoosier Healthwise
• Hoosier Care Connect

MHS deserves attention from practices serving children, low-income adults, and members with complex support needs. Practices should confirm whether their specialty and county are open for network participation before investing time in an application.

4. UnitedHealthcare and Humana

UnitedHealthcare participates in Hoosier Care Connect and PathWays for Aging. It is particularly relevant for organizations serving aged, blind, or disabled Medicaid members.

Humana participates in PathWays for Aging, making it an important consideration for geriatric practices, home-based providers, long-term services and supports organizations, and other aging-focused services.

Indiana’s official managed care health plan table provides the current program-by-program lineup. MDwise is no longer listed as an active plan option for the 2026 Medicaid cycle.

Indiana Enrollment Workflow for 2026

Start with IHCP provider enrollment through the Indiana Health Coverage Programs. Then apply directly to the managed care organizations that serve your target programs. Indiana’s IHCP provider enrollment page outlines applications, provider classifications, screening, maintenance, and revalidation.

For commercial payer applications, keep your CAQH ProView profile current. Your legal name, TIN, NPI, addresses, taxonomy, licenses, and ownership information should match across every system.

For broader operational guidance, visit the Veracity blog.

Veracity Take

The strongest Indiana payer strategy is not “apply everywhere.” It is prioritize the plans that match your patients, specialty, and expansion markets, then submit clean, synchronized data.

A missing IHCP approval, outdated CAQH profile, or incorrect service address can delay network activation and disrupt claims. In Indiana, payer selection is the map. Accurate enrollment is the route to reimbursement.

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