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CoreMMIS and the new Provider Healthcare Portal coming soon!

In early 2016, the Indiana Health Coverage Programs (IHCP) 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

  • IHCP requests providers participate in brief HIT survey

    05/17/2016 - To help inform Indiana’s efforts in supporting the adoption of health information technology (HIT), the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) is seeking feedback from providers and hospitals. By completing a brief survey, you will help identify challenges and opportunities in HIT adoption.

  • FSSA announces proposed amendment to the Aged and Disabled Waiver

    01/29/2016 - On March 7, 2016, the Indiana Family and Social Services Administration (FSSA) Division of Aging (DA) intends to submit a proposed amendment to the Aged and Disabled (A&D) waiver to the Centers for Medicare & Medicaid Services (CMS) for consideration. For details of the proposed amendment, see the full news article.

  • New CMS rule modifies EHR meaningful use for 2015

    11/19/2015 - In October, the CMS released a final rule (with comment period), specifying the criteria that eligible professionals (EPs) and eligible hospitals and critical access hospitals (EH/CAHs) must meet to demonstrate meaningful use of EHR. These changes encompass modifications to the program for 2015-2017 (Modified Stage 2), as well as Stage 3 in 2018 and beyond. Updates to the MAPIR will be required, which will affect submission of all meaningful use applications.

  • IHCP reminds all providers about default ICD indicator on Web interChange

    10/02/2015 - Providers must use the appropriate ICD Indicator and the appropriate ICD diagnosis codes when submitting claims via Web interChange. The ICD-9 indicator and ICD-9 diagnosis codes must be used for DOS before October 1, 2015. The ICD-10 indicator and the ICD-10 diagnosis codes must be used for DOS on or after October 1, 2015.

  • 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.

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CoreMMIS

The new CoreMMIS claims processing system will more accurately and efficiently adjudicate claims. More information

Doc in a BoxWeb interChange

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