CoreMMIS and new Provider Healthcare Portal coming soon!

The Indiana Health Coverage Programs (IHCP) will implement its new information processing system, CoreMMIS, as well as a new provider interface called the Provider Healthcare Portal (Portal) very soon. Watch for special CoreMMIS bulletins to learn about system details and transition plans. Find this information and more on the Indiana CoreMMIS web page.

News and Announcements

  • Provider Healthcare Portal off-line for maintenance December 4

    12/02/2016 - The Indiana Health Coverage Programs (IHCP) Provider Healthcare Portal will be off-line from noon to midnight on Sunday, December 4, 2016, for system maintenance. Providers will be able to access the Portal again after midnight on Monday, December 5, 2016, for registration. Providers are reminded that the IHCP has temporarily delayed the December 5 implementation of CoreMMIS – see provider bulletin BT201683.

  • On-site Portal workshops scheduled for December

    12/01/2016 - To adequately prepare providers, the IHCP has scheduled on-site training workshops on the new Provider Healthcare Portal during the month of December. These workshops will include sessions on two of the major functions performed on the Provider Healthcare Portal – member eligibility verification and management and claim submission. Claim submission sessions will address fee-for-service billing for different provider types. For more information, see the Provider Healthcare Portal Training page.

  • CoreMMIS implementation temporarily delayed

    11/30/2016 - The Indiana Health Coverage Programs (IHCP) is temporarily delaying the December 5, 2016, implementation of the new CoreMMIS system. A brief delay is necessary to allow additional time for readiness testing. The transition activities outlined in CoreMMIS bulletins BT201662 and BT201674 are now suspended. All business transactions already on hold are resumed, and other established transition dates are deferred. Please see CoreMMIS bulletin BT201683 for more information.

  • Additional training available on member eligibility in the new Portal

    11/23/2016 - The Indiana Health Coverage Programs (IHCP) has scheduled additional training on verifying and managing member eligibility in the new Provider Healthcare Portal. The additional online training will be November 30 at 2:30 p.m. For details and to register, see the Provider Healthcare Portal Training page.

  • Register on the new IHCP Provider Healthcare Portal!

    11/17/2016 - Attention Providers! Web interChange will be retired in less than two weeks. You must register on the new Provider Healthcare Portal before CoreMMIS implementation to avoid interruptions. A link to the Portal is provided on the Indiana CoreMMIS web page. Providers will need to create a unique, secure Provider account for each IHCP-enrolled service location to conduct business with the IHCP when the new CoreMMIS system is implemented.

  • IHCP revises transition date for processing paper attachments for electronic claims

    10/27/2016 - The Indiana Health Coverage Programs (IHCP) announced in CoreMMIS bulletin BT201662 that November 30, 2016, would be the last date paper attachments associated with electronic claims would be accepted for processing in IndianaAIM. That date has been revised to November 28, 2016.

  • Presentations for the 2016 IHCP Annual Provider Seminar are now available

    10/12/2016 - For your convenience, PowerPoint presentations for the sessions offered at the 2016 IHCP Annual Provider Seminar, October 18-20, 2016, including those by Hewlett Packard Enterprise (HPE) and the managed care entities (MCEs), are available on the 2016 IHCP Annual Provider Seminar page at indianamedicaid.com.

  • 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.

  • Indiana EHR MAPIR upgraded, new user guides available

    07/14/2016 - Indiana Medicaid's Electronic Health Records (EHR) Medical Assistance Provider Incentive Repository (MAPIR) has been upgraded and is now accepting Program Year 2015 Meaningful Use (MU) attestations for eligible professionals (EPs). In addition, new EHR user guides are now available.

  • 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.

Doc box 100CoreMMIS

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