CoreMMIS and the new Provider Healthcare Portal coming soon!

The Indiana Health Coverage Programs (IHCP) is developing a new information processing system, called CoreMMIS, which will replace IndianaAIM. Along with CoreMMIS, a new provider interface called the Provider Healthcare Portal will replace Web interChange. Notice of the new system's implementation date - as well as information about the transition and conversion activities directly affecting providers - will be provided in advance. The IHCP has established an Indiana CoreMMIS web page as a reference point for posting information. Also look for special CoreMMIS bulletins that will communicate system details and transition plans.

News and Announcements

  • 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.

  • HCBS waiver claims sent to third-party insurers

    06/30/2016 - A number of paid HCBS claims have been sent to third-party insurers for waiver members who carry private insurance. This action was taken in accordance with federal regulations, which require Medicaid to bill potentially liable third-party insurers to ensure that Medicaid is the payer of last resort. Because these claims were already paid by Medicaid, there should be no action required of waiver providers or members.

  • 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.

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