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MedicaidAdministrativeMedium impact

BT202564: IHCP requires providers to submit most recent version of W-9 form with enrollment transactions

Indiana Medicaid (IHCP)·IN·Enrollment
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Beginning July 1, 2025, IHCP (Indiana Medicaid) requires all providers to use the most recent version of the W-9 form dated March 2024 for provider enrollment transactions. Any older versions (October 2018 or earlier) will be returned to providers for corrections.

Action Required

Action needed
By July 1, 2025: Billing team and credentialing staff must update all provider enrollment processes to use only the March 2024 version of the W-9 form. Download the current form from the IRS website and replace any older versions in enrollment packets. Ensure all pending enrollments use the updated form to avoid delays from returned submissions.