IHCP makes provider resources and information easy to access

The Indiana Health Coverage Programs (IHCP) offers providers easy access to the resources and tools needed to conduct business with Indiana Medicaid. Provider updates and announcements, important reference materials, and general program information are all available through links and web pages located on this website. The Provider Healthcare Portal, which serves as the primary online interface for provider business transactions with the IHCP and the State's CoreMMIS information processing system, is also accessible from this site.

News and Announcements

  • IHCP clarifies coordination requirements with Southeastrans for facility transport scenarios

    07/12/2018 - The Indiana Health Coverage Programs (IHCP) works with Southeastrans to manage all nonemergency medical transportation (NEMT) for Traditional Medicaid members. The IHCP is clarifying when coordination through Southeastrans is required for certain types of facility-to-facility transports.

  • NEMT town hall presentations and FAQs available for reference

    07/10/2018 - The Indiana FSSA and its vendor, Southeastrans Inc., recently held a series of virtual town hall meetings to discuss changes related to the brokering of NEMT services for fee-for-service Medicaid members, which began June 1, 2018. The presentations and answers to FAQs from the meetings are available on the Southeastrans website at southeastrans.com or from the NEMT web page at indianamedicaid.com.

  • IHCP revises HAF adjustment factors for outpatient and inpatient rates

    07/02/2018 - Effective August 1, 2018, the Indiana Health Coverage Programs (IHCP) will revise the Hospital Assessment Fee (HAF) adjustment factors used for outpatient reimbursement and inpatient diagnosis-related group (DRG) reimbursement to eligible hospitals. These revised HAF factors apply within the fee-for-service (FFS) and managed care delivery systems, including reimbursement under the Healthy Indiana Plan (HIP), Hoosier Care Connect, and Hoosier Healthwise programs.

  • IHCP clarifies NEMT assignment information on Portal eligibility panels

    06/14/2018 - Beginning June 1, 2018, when verifying member eligibility, providers saw "Southeastrans" displayed under the Managed Care Assignment Details panel for fee-for service (FFS) members whose nonemergency medical transportation (NEMT) benefits are managed through Southeastrans. It is critical providers understand that this managed care assignment applies to NEMT services ONLY; the member continues to receive other services as FFS.

  • IHCP corrects claim submission process for FFS NEMT

    06/13/2018 - Previously issued billing guidance for transportation providers rendering nonemergency medical transportation (NEMT) services to fee-for-service (FFS) members brokered through Southeastrans (SET), included errors. Providers other than emergency medical services (EMS) providers, should NOT bill using a CMS-1500 claim form, as previously instructed. See the full news item for corrected guidance.

  • Medicare Part D prescription drug copayment issue corrected

    04/12/2018 - Some Medicare Part D prescription drug copayments calculated incorrectly beginning January 1, 2018. As a result, certain IHCP members dually eligible for Medicaid and Medicare were asked to pay higher copayments for their prescriptions than should have been required. The Medicare Part D copayment issue has been corrected. Medicare Part D Plans will work with PBMs and pharmacies to ensure claim adjustments are made so that pharmacies and members are reimbursed appropriately.

Doc box 100CoreMMIS

The CoreMMIS claims processing system is designed to accurately and efficiently adjudicate claims. More information

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

Home Page QRG 6IHCP Quick Reference Guide

Find IHCP contact information and website links to business partners. More information.