Home_Photo_Providers

CoreMMIS and the new Provider Healthcare Portal coming soon!

At the end of 2015, the Indiana Health Coverage Programs (IHCPs) information processing system, IndianaAIM, will be replaced with a new system called CoreMMIS, which stands for Core Medicaid Management Information System. Along with CoreMMIS, a new provider interface called the Provider Healthcare Portal will replace Web interChange. The IHCP has established an Indiana CoreMMIS web page as a reference point for posting information about the new system and the provider portal. Special CoreMMIS bulletins will be published and posted to this web page to communicate important system details and transition plans.


News and Announcements

  • Reserve your guest room for the IHCP 2015 Annual Provider Seminar by September 12

    08/20/2015 - The IHCP 2015 Annual Provider Seminar, scheduled for October 13-15, 2015, at the Marriott Indianapolis East Hotel in Indianapolis, is fast approaching. Guest room reservations made on or before September 12, 2015, are available at a special rate of $122 plus tax per night – call (317) 352-1231 or 1-800-991-3346 to make your reservation now. When making reservations, indicate you are attending the “Medicaid Seminar” to secure the special rate.

  • Pharmacy Benefit Manager, Catamaran, joins with OptumRx

    08/06/2015 - On July 23, 2015, the Indiana Health Coverage Program’s (IHCP’s) fee-for-service (FFS) Pharmacy Benefit Manager (PBM), Catamaran, combined with Optum’s pharmacy care services business, OptumRx. The combination of Catamaran and OptumRx will operate as OptumRx. Providers will begin to see communications and related PBM material referring to OptumRx as the IHCP FFS Pharmacy Benefit Manager.

  • Nursing facility rates to be published by October 1, 2015

    08/04/2015 - Contrary to earlier Indiana Health Coverage Programs (IHCP) publications, nursing facility (NF) rates for the quarter beginning July 1, 2015, are still being determined. These rates will be finalized and posted on the Public Notices page of the Myers and Stauffer LC website at in.mslc.com by October 1, 2015.

  • Mark your calendar for the IHCP 2015 Annual Provider Seminar

    08/04/2015 - The IHCP 2015 Annual Provider Seminar is scheduled for October 13-15 in Indianapolis. This year's seminar will highlight how the IHCP's new claims processing system, CoreMMIS, will enhance claims submission, provider enrollment, and prior authorization. Watch IHCP publications and this website for more information.

  • PE approval letters serve as proof of temporary coverage

    03/24/2015 - The State is aware that some members are presenting for pharmacy and other services before their PE status is visible to providers in the IHCP Eligibility Verification System or in the MCEs’ pharmacy benefits manager (PBM) systems. Please be aware that an original PE approval letter is sufficient to validate temporary coverage even if the member is not listed in the appropriate eligibility system.

  • IHCP Makes Changes to Hoosier Healthwise Member Cards

    12/24/2014 - The Indiana Health Coverage Programs (IHCP) is changing how member cards for individuals enrolled in Hoosier Healthwise are issued. Each managed care entity (MCE) will assume responsibility for issuing Hoosier Healthwise member ID cards for newly eligible Hoosier Healthwise members enrolled under their health plan. This change will be implemented in phases and may result in some minor differences in the look of Hoosier Healthwise member cards printed after January 1, 2015.

  • Indiana Core MMIS under development

    10/23/2014 - The Indiana Health Coverage Programs (IHCP) is in the design phase of developing an enhanced Medicaid Management Information System (MMIS) to replace its current IndianaAIM system. The new system will include state-of-the-art technology intended to make doing business with the IHCP easier and more efficient.

Home page green light

The transition to ICD-10 is on target for October 1, 2015. Visit the ICD-10 Information page on this site for more information.

 

Doc in a BoxWeb interChange

Submit claims, check member eligibility, update your provider profile and much more. More Information