Did you know? Effective Jan. 1, 2025, Delta Dental of Indiana became the official administrator for dental benefits for MDwise.
MDwise is a Medicaid Managed Care Entity (MCE) in Indiana serving more than 300,000 Hoosiers through the Healthy Indiana Plan and Hoosier Healthwise programs.
What this means for you:
If you are currently part of the Delta Dental PPO™ or Delta Dental’s Premier® networks, please note that you are not automatically enrolled in Delta Dental’s Medicaid network. If you wish to participate, please download the enrollment package at deltadental.pub/INMedicaidenroll. Send the completed documents to providerrequests@deltadentalmi.com.
Additional steps to participate:
Prior to participation in the Delta Dental Indiana Medicaid network, the following are required:
- Obtain a National Provider Identifier (NPI) number, as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. You must have an individual NPI number and a billing NPI number. Please visit our helpful guide at www.deltadentalin.com/NPI that includes the type of NPIs and how to apply if one doesn’t already exist.
- Before providing services to members, the Indiana Family and Social Services Administration (FSSA) requires providers to be enrolled with the Indiana Health Coverage Program (IHCP). Providers who are not already enrolled with the IHCP must apply and obtain an IHCP identification (ID) number. Further information for completing the IHCP enrollment can be found at www.in.gov/medicaid/providershttps://www.in.gov/medicaid/providers/465.htm.
- To apply to be an IHCP provider, see the IHCP MCE Practitioner Enrollment Form found at: https://deltadental.pub/IHCPenroll.
- Providers must report the assigned NPI numbers to Delta Dental as soon as they are obtained. Please submit the number to providerrequests@deltadentalmi.com.
Once your enrollment is processed and you receive approval from Delta Dental that you have been added to the network, you can begin to serve any MDwise members. Please contact your Delta Dental Professional Relations Representative for more information or log into the Dental Office Toolkit (DOT) to view the Provider Manual under the Admin and Forms section. To find out who your representative is and to obtain their contact information, please visit deltadental.pub/INmap.
Thank you again for your efforts,
Delta Dental of Indiana
DR-03-2025-16120/HHW-HIPP0923 (3/25)