Home_Photo_Providers

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 delays Portal enhancement for converting OPR and rendering provider classifications

    09/07/2018 - The IHCP announced in Banner Page BR201835 that, effective September 9, 2018, actively enrolled OPR providers would be able to convert to rendering providers, or actively enrolled rendering providers would be able to convert to OPR providers, in a single transaction in the IHCP Provider Healthcare Portal. The date for implementing this enhancement has been delayed. The new implementation date will be published after it is established.

  • Temporary change in scheduling NEMT services applies ONLY to designated facility provider types

    08/31/2018 - The IHCP recently released BT201845 concerning a temporary return to nonbrokered NEMT services for FFS members in specific types of facilities. Affected facilities are still required to contact Southeastrans to receive a Trip Leg ID during this temporary period. The IHCP encourages providers to carefully read the entire bulletin.

  • DXC email addresses changing from @HPE to @DXC September 18, 2018

    08/30/2018 - By September 18, 2018, all HPE email addresses (123456@hpe.com) will change to DXC email addresses (123456@dxc.com). After September 18, 2018, emails using the @hpe.com address will no longer be delivered.

  • Make plans now to attend the 2018 IHCP Annual Provider Seminar

    08/23/2018 - The 2018 IHCP Annual Provider Seminar is fast approaching. This year's seminar is scheduled for October 23-25, 2018, at the Marriott Indianapolis East, 7202 E. 21st Street, in Indianapolis. Guest rooms are available now through October 1, 2018, at a special rate of $137 plus tax per night. Rooms at the discounted rate are booked on a first come, first served basis, so don't delay.

  • IHCP revises reimbursement policy for emergency transports in response to 9-1-1 dispatches

    08/08/2018 - Effective immediately, the IHCP is revising its policy regarding emergency transports resulting from 9-1-1 dispatches. The IHCP considers all transports to an emergency room in response to 9-1-1 dispatches to be emergent. For 9-1-1 dispatched trips to an emergency room, ambulance providers should bill the appropriate procedure codes for emergency ALS or BLS services, based on the types of services provided during the transport.

  • IHCP clarifies when to use Southeastrans for NEMT

    07/19/2018 - On June 1, 2018, the Indiana Health Coverage Programs (IHCP) began working with Southeastrans to manage all NEMT for Traditional Medicaid members. For clarification, for members with other means of transportation available to them, transportation should not be arranged through Southeastrans. The only time members should arrange NEMT for a Traditional Medicaid member through Southeastrans is when there are no other means of transportation available for that member.

  • DXC email addresses changing from @HPE to @DXC, now through September 18, 2018

    07/19/2018 - Now through September 18, 2018, all HPE email addresses (123456@hpe.com) will change to DXC email addresses (123456@dxc.com). After September 18, 2018, emails using the @hpe.com address will no longer be delivered.

  • 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

Doc in a BoxProvider Healthcare Portal

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.