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
- Providers May Experience Delays in Claims Processing
The Indiana Health Coverage Programs (IHCP) is experiencing some delay in processing fee-for-service claims submitted on and after April 1, 2014. Normal claims processing is underway; however, due to a backlog of claims, providers may experience delays in the typical claims processing and payment time frames, as well as delays in the ability to view submitted claims using Web interChange Claim Inquiry.
- SDGs and LTC audit protocol training scheduled for April 11, 2014
The Indiana Health Coverage Programs (IHCP) is offering a series of virtual training sessions focusing on the Supportive Documentation Guidelines (SDGs) and LTC audit protocols.
- Attention, long-term care facilities!
On the Remittance Advices dated April 1, 2014, a retroactive rate adjustment caused accounts receivables (ARs) to be set up in error. This issue has been identified and is being corrected by HP. Although some providers were advised to resubmit the affected claims, it has been determined these claims should NOT be resubmitted. Paid claims are being reprocessed by HP.
- Date changed to May 1 for submission of EP meaningful use attestations
The date Indiana will begin accepting Program Year 2014 meaningful use (MU) attestations for eligible professionals (EPs) is May 1, 2014, rather than April 17, 2014, as originally announced.
- Eligibility Verification via OMNI 380 Terminals Unavailable
Effective at midnight Friday, March 14, 2014, the Omni 380 Terminals will be unavailable for users while brought down for unscheduled maintenance. During this time, Indiana Health Coverage Programs (IHCP) member eligibility can be verified using one of the other available free options, as specified in Chapter 3 of the IHCP Provider Manual.
- Effective April 1, 2014, the IHCP will accept only the revised version of the CMS-1500
Effective April 1, 2014, the Indiana Health Coverage Programs (IHCP) will accept only the revised version of the CMS-1500 (02/12) paper claim form. Paper claims submitted on the current version of the CMS-1500 (08/05) after March 31, 2014, will not be processed and will be returned to the provider.
- Duplicate ACA primary care physician fee payments issued for fourth quarter 2013
On February 18, 2014, Indiana Health Coverage Programs (IHCP) issued the fourth-quarter 2013 Affordable Care Act (ACA) primary care physician fee payments to fee-for-service providers. On February 25, 2014, these payments were reissued in error, resulting in duplicate payments. The IHCP will begin recouping the overpayments on March 28, 2014. All affected providers will receive a notification letter with information regarding the recoupment of the overpayments.
- The IHCP is testing ICD-10!
The Indiana Health Coverage Programs (IHCP) is testing ICD-10, including testing the new APR-DRG, now through July 31, 2014.
- 2014 Medicaid Disability Eligibility and Spend Down Changes
Effective June 1, 2014, Indiana is changing the way Hoosiers will obtain Medicaid coverage in the aged, blind or disabled categories. Indiana will automatically enroll individuals that the Social Security Administration determines eligible for Supplemental Security Income into Indiana Medicaid and will accept all SSA determinations of disability.
- Indiana interChange MMIS
On July 1, 2015, Indiana Medicaid and HP will replace its current 20+ year-old Medicaid Management Information System (MMIS), IndianaAIM, with an enhanced system. Progress has begun on the design and development phase of this new system, which will include state-of-the-art technology and business processes.