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CoreMMIS and new Provider Healthcare Portal are live!

The Indiana Health Coverage Programs (IHCP) has implemented its new information processing system, CoreMMIS, as well as the new provider interface called the Provider Healthcare Portal (Portal). Find important information about the new system on the Indiana CoreMMIS and Provider Healthcare Portal web pages, and watch for IHCP bulletins to learn about post-implementation updates.


News and Announcements

  • CoreMMIS stabilization: Day 12 Update

    02/24/2017 - The IHCP is completing week two of implementation of the CoreMMIS and the Portal. The Indiana Family and Social Services Administration (FSSA) and HPE have made progress in stabilizing the new system but are aware some performance issues still exist. It is our intention to resolve issues as quickly as possible. We also intend to keep the provider community aware of problems that have been identified and the progress being made to resolve them. See the full article for the Day 12 update.

  • Providers will see a one-day delay in their payments

    02/22/2017 - There will be a one-day delay in electronic funds transfer (EFT) payments posting to provider bank accounts for claims processed the week of February 13, 2017. Rather than posting on Wednesday, February 22, 2017, these payments will post Thursday, February 23, 2017. Check payments were not impacted by this delay. Providers may refer to their weekly Remittance Advice (RA) for expected payment amounts. Providers can find the RAs on the Search Payment History page in the Portal.

  • IHCP identifies claim processing error for Hoosier Healthwise dental claims

    01/13/2017 - Hoosier Healthwise claims for certain dental codes that were supposed to be submitted to the MCEs were submitted in error to HPE and continued to process and pay. HPE’s claims processing system has been corrected. Dental providers whose Hoosier Healthwise dental claims were processed by HPE, whether denied or paid, should void the claims and resubmit them to the appropriate MCE or MCE dental benefit manager. All claims paid in error will be recouped as accounts receivable.

  • IHCP reminds providers lead screening is required for children

    09/06/2016 - The Indiana Health Coverage Programs (IHCP), in collaboration with the Indiana State Department of Health (ISDH), reminds providers that screening for blood lead toxicity is a federal requirement for all children enrolled in Medicaid. See full article for more details.

  • RID numbers change for newly eligible members

    08/04/2016 - As the Indiana FSSA moves to a new eligibility system, a new numbering sequence is being used for member identification numbers (RIDs). Beginning July 17, 2016, RIDs issued to newly eligible members include a “120” prefix rather than a “100” prefix. New RIDs continue to follow the same 12-digit format of 12xxxxxxxx99. All previously assigned "100" RIDs remain intact. Presumptive Eligibility RIDs are also unaffected.

Doc box 100CoreMMIS

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

Doc in a BoxProvider Healthcare Portal

Enroll as a provider, submit claims, check member eligibility, update your provider profile, and much more. More information