Indiana Medicaid Enrollment for Therapists: Type 11 and HSPP

Last updated: October 9, 2026.

Match the license to the type 11 specialty

IHCP lists behavioral health providers under type 11. As of October 9, 2026, the relevant specialties are listed below. HSPP and licensed psychologist are separate specialties; choose the one supported by the clinician’s license and endorsement.

• 114: Health Service Provider in Psychology (HSPP).

• 616: Licensed Psychologist.

• 618: Licensed Clinical Social Worker (LCSW).

• 619: Licensed Marriage and Family Therapist (LMFT).

• 620: Licensed Mental Health Counselor (LMHC).

IHCP provider classification, type, and specialty

Choose billing, group, or rendering enrollment

IHCP distinguishes an individual or organization billing provider without linked renderers from a group billing entity with linked rendering providers. A rendering provider is the individual linked to the group. Our recommendation is to map the actual payment arrangement before starting the application.

IHCP provider classification, type, and specialty

Check the specialty-specific license requirements

The enrollment module allows billing, group, and rendering classifications for these specialties. HSPP requires a current license with the HSPP endorsement; licensed psychologist, LCSW, LMFT, and LMHC specialties require the corresponding current license documentation. Use the specialty’s current requirements for the selected classification.

Provider Enrollment reference module, September 2026

Use the enrollment matrix to prepare documents

The matrix identifies application, agreement, W-9, and license requirements by specialty and classification, with Medicare or other supporting documentation where applicable. Work from the relevant row rather than a generic therapist checklist. Our suggested preparation sheet records each required item and its owner.

IHCP Provider Enrollment Type and Specialty Matrix, March 2026

Distinguish HSPP authority from specialty 616

The behavioral health module permits HSPPs, LCSWs, LMHCs, and LMFTs to certify diagnoses, supervise treatment plans, and sign prior authorization requests within scope. Specialty 616 psychologists may enroll and render covered services, but do not have the same diagnosis-certification or treatment-plan-supervision authority; their PA request requires a qualifying professional’s signed order.

Behavioral Health Services reference module, September 2026

Start the appropriate enrollment action in PHP

For a new application, open the public PHP homepage, choose Provider Enrollment, then Provider Enrollment Application. Read the Welcome page and select Continue. This public application does not require a registered portal login. Use the action matching a new enrollment or an existing record’s change. Our recommendation is to retain the application reference and confirmation and resolve requests for missing documentation through the official process.

IHCP Provider Enrollment module: online application steps

Screenshot source: Provider Enrollment reference module v7.1 (September 8, 2026), PDF page 48 (printed page 38).

Screenshot source: Provider Enrollment reference module v7.1 (September 8, 2026), PDF page 49 (printed page 39).

Confirm managed care participation separately

IHCP enrollment comes before managed care network enrollment. Contact the relevant MCE after state enrollment; a portal account or state provider number does not by itself establish the MCE’s participation decision.

FSSA: enrolling as a managed care program provider

Related Indiana Medicaid guides

• IHCP Provider Healthcare Portal Login and Biller Access

• Indiana Medicaid MCEs vs FFS: HIP, HHW, HCC and PathWays

• Verify Indiana Medicaid Eligibility in the IHCP PHP

• Indiana Medicaid Behavioral Health Claims: PHP, MCEs and Modifiers

• Indiana Medicaid Mental Health Telehealth Billing: POS and Modifiers

• Counseling Compact in Indiana and insurance billing

Frequently Asked Questions

Is every psychologist specialty 114?

No. Specialty 114 is HSPP; 616 is licensed psychologist. The HSPP endorsement and clinical authority differ.

Can LMHCs, LCSWs, and LMFTs enroll under their own specialty?

Yes. IHCP lists specialties 620, 618, and 619 respectively; select the classification matching the billing arrangement.

Does IHCP enrollment automatically credential me with an MCE?

No. Apply to the relevant managed care network separately after IHCP enrollment.