Indiana Medicaid to Accelerate Provider Revalidation: What Senior Service Providers Need to Know

Indiana Medicaid providers should be prepared for increased scrutiny of enrollment records over the next two years.

In a recent provider bulletin, Indiana Family and Social Services Administration (FSSA) announced that the Indiana Health Coverage Programs (IHCP) will be accelerating its provider revalidation efforts in response to a request from the Centers for Medicare & Medicaid Services (CMS). According to IHCP Bulletin BT202694, published June 4, 2026, the state will conduct an accelerated revalidation process for certain providers to ensure enrollment information remains accurate and compliant with federal requirements.

For home care agencies, Area Agencies on Aging, adult day centers, case management organizations, transportation providers, assisted living communities participating in Medicaid waiver programs, and other organizations serving Indiana seniors, the announcement is a reminder that provider enrollment is not a "one and done" process. Maintaining an active Medicaid enrollment requires ongoing attention to ownership information, licensing, credentials, addresses, disclosures, and other enrollment data.

What Is Revalidation?

Revalidation is the process by which Medicaid providers periodically confirm and update their enrollment information with the state.

Federal regulations require state Medicaid programs to revalidate provider enrollments at least every five years. Certain provider types, including some durable medical equipment providers, may be subject to more frequent revalidation requirements.

During revalidation, providers may be asked to review and verify information such as:

• Ownership and controlling interests

• Service locations

• Tax identification information

• Licensure and certifications

• National Provider Identifier (NPI) information

• Contact information

• Disclosure requirements

• Program-specific enrollment requirements

The goal is to ensure that Medicaid is paying only properly enrolled and qualified providers. For more information on Indiana Medicaid Revalidation, click here.

Why Is Indiana Accelerating Revalidation?

According to BT202694, the accelerated effort is being undertaken in response to a request from CMS. The bulletin notes that IHCP will conduct an accelerated revalidation plan over the next two years while continuing to meet federal enrollment oversight requirements.

The initiative aligns with a broader national effort by CMS to strengthen provider oversight and verify that Medicaid providers continue to meet enrollment requirements.

For providers, this means revalidation notices may arrive sooner than expected based on

historical schedules.

Why Senior Service Providers Should Pay Attention

Many organizations serving older adults have experienced significant operational changes in recent years. Agencies have expanded service areas, opened new offices, changed ownership structures, added waiver services, or updated leadership teams.

Any of these changes may affect information on file with Indiana Medicaid.

Organizations participating in programs such as:

• Indiana PathWays for Aging

• Home and Community-Based Services (HCBS) waiver programs

• Structured Family Caregiving

• Adult Day Services

• Attendant Care

• Homemaker Services

• Transportation Services

• Case Management Services

should ensure that enrollment records accurately reflect their current operations.

Even providers with strong compliance programs can encounter issues if enrollment information has not been updated following organizational changes.

What Happens If You Ignore a Revalidation Request?

This is perhaps the most important question for providers.

Indiana Medicaid's provider enrollment guidance states that providers who fail to complete required revalidation or recertification activities risk losing their enrollment status. If enrollment lapses, providers may be required to complete a new enrollment process before billing Medicaid again.

Potential consequences can include:

• Interruption of Medicaid billing privileges

• Delayed reimbursement

• Administrative burden associated with reenrollment

• Disruption of managed care participation

• Additional compliance review requirements

For organizations serving vulnerable older adults, even a temporary interruption in Medicaid participation can create significant operational and financial challenges.

Practical Steps Providers Should Take Now

While not every provider will receive a revalidation notice immediately, providers can prepare now by conducting an internal enrollment review. Providers should consider verifying certain areas including:

Ownership Information

Ensure all ownership disclosures, managing employees, and controlling interests are current.

Service Locations

Confirm all service addresses and mailing addresses are accurate.

Licenses and Certifications

Review expiration dates and confirm all required licenses remain active.

Contact Information

Many providers miss important notices because enrollment contact information is outdated.

Supporting Documentation

Gather organizational records that may be requested during revalidation, including corporate documents, licenses, and ownership disclosures.

Portal Access

Verify that staff responsible for provider enrollment and compliance have access to the appropriate IHCP systems and understand the revalidation process.

This Is Not a New Rule—But It Is a New Priority

It is important to understand that revalidation itself is not a new requirement.

Federal regulations have long required Medicaid providers to periodically revalidate enrollment information, generally at least every five years. Indiana Medicaid has been conducting revalidations for years.

What is changing is the pace and intensity of the process.

BT202694 signals that Indiana will be accelerating revalidation efforts in response to CMS direction. Providers who may have expected revalidation years in the future could receive notices sooner as the state works through its accelerated review plan.

The Bottom Line

For Indiana's senior-serving agencies, the message is straightforward: make sure your Medicaid enrollment information is accurate, complete, and ready for review.

Most providers that maintain current records and respond promptly to revalidation requests should experience a relatively straightforward process. However, agencies that have not reviewed their enrollment information in several years may want to begin that process now.

As Indiana accelerates its revalidation efforts, proactive preparation can help providers avoid disruptions and continue delivering critical services to older adults and individuals with disabilities across the state.

For upcoming revalidation due dates (for nonwaiver and waiver providers) through September 2026, click here.

If you have questions regarding IHCP revalidation, you can contact your Gainwell provider representative for assistance.

When you are due for revalidation, there will be a notification in your IHCP portal dashboard. Be sure to check your IHCP account often to ensure you don't miss any important notifications. To access the IHCP portal, click here.

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