Welcome to the Indiana Health Coverage Programs (IHCP) provider
Web site. On this site, you will find complete program information
and requirements, as well as online access to enroll as a
provider, submit and check
claims, verify member
eligibility, register for provider training, and
much more. If you have questions, comments, or suggestions, please
take a few minutes to provide us with Web Site Feedback (Contact
Us > Web Site Feedback) - or talk to
your IHCP Provider Relations representative.
News and Announcements
- Time frame for enrolling in HIP dental provider network extended to June 30, 2015
In Indiana Health Coverage Programs (IHCP) Provider Bulletin BT201508, dated February 5, 2015, currently enrolled IHCP dental providers were given until April 30, 2015, to complete the provider enrollment and credentialing process with DentaQuest in order to participate in the Healthy Indiana Plan (HIP) dental provider network. The IHCP is extending that grace period through June 30, 2015.
- Publication of nursing facility rates pending
The nursing facility reimbursement rates for the quarter beginning July 1, 2015, are still being finalized. The rates will be finalized and posted on the Myers and Stauffer website by July 1, 2015. See the Public Notices page of the Myers and Stauffer LC website at in.mslc.com.
- PE and HPE qualified provider training opportunities still available
Acute care hospitals, freestanding psychiatric hospitals, Federally Qualified Health Centers (FQHCs), rural health clinics (RHCs), community mental health centers (CMHCs), and local county health departments interested in becoming qualified providers (QPs) for Presumptive Eligibility (PE) or Hospital Presumptive Eligibility (HPE) can still register for the virtual training webinars coming up in May.
- PE approval letters serve as proof of temporary coverage
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
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.
- ACA increase in reimbursement for primary care services ending December 31, 2014
The Affordable Care Act (ACA) required a temporary increase in Medicaid payments for qualifying primary care services provided by qualifying physicians for dates of service (DOS) in calendar years (CYs) 2013 and 2014. The federally funded, temporary rate increase was authorized only for these two calendar years. This temporary increase will end December 31, 2014, and the Medicaid rate structure will return to its preexisting levels for DOS on or after January 1, 2015.
- Indiana Core MMIS under development
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.
- Anthem assumes responsibility for HIP ESP claims processing
Effective July 1, 2014, Anthem Insurance Companies, Inc. will assume responsibility for processing outstanding claims for members who continued participation in the Healthy Indiana Plan (HIP) Enhanced Services Plan (ESP) program administered by Xerox through April 30, 2014. Anthem will follow existing policies and procedures for processing ESP claims.