New Medicare Enrollment Mandate for Indiana Home Health Agencies

Starting July 1, 2026, both new and existing Indiana home health agencies enrolled in IHCP (provider type 05) will be required to also be enrolled and recognized as Medicare providers.

Legislative Update (March 13, 2026)

Indiana legislation now provides additional flexibility for home health agencies working through the Medicare enrollment process.

Under IC 12-15-13-10, a home health agency may continue providing services to Medicaid recipients and receive reimbursement while its Medicare enrollment application is pending, provided the agency takes action before April 1, 2026 by either:

• Submitting a Medicare enrollment application to CMS, or
• Initiating the enrollment process with a CMS-approved accrediting organization

Agencies that initiate the process before April 1 may continue serving Medicaid patients while their application is under review.

The July 1, 2026 requirement for Medicare enrollment remains in effect.

Why It Matters

This new mandate elevates standards and helps ensure uniform quality and compliance across the state. For home health agencies, meeting this requirement will be essential to continue providing services under IHCP.

By staying ahead of this change, your organization can:

• Avoid potential disruption in reimbursement
• Ensure compliance and maintain operational continuity
• Demonstrate credibility through recognized accreditation

Don’t wait to start the process. Medicare enrollment and accreditation can take six to nine months to complete.

Beginning early helps ensure your organization is certified and ready before the July 2026 deadline. Indiana law now allows agencies that begin the enrollment or accreditation process before April 1, 2026 to continue receiving Medicaid reimbursement while their Medicare enrollment application is pending.