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
- ACA increase in reimbursement for primary care services ending December 31, 2014
The Affordable Care Act (ACA) required a temporary increase in Medicaid payments for qualifying primary care services provided by qualifying physicians for dates of service (DOS) in calendar years (CYs) 2013 and 2014. The federally funded, temporary rate increase was authorized only for these two calendar years. This temporary increase will end December 31, 2014, and the Medicaid rate structure will return to its preexisting levels for DOS on or after January 1, 2015.
- Update your IHCP provider information for 2014 taxes!
In preparation for generating and mailing tax filing documents, the Indiana Health Coverage Programs (IHCP) must receive any updates to “mail to,” “pay to,” or “home office” addresses, or to your 2014 taxpayer identification information, by December 14, 2014.
- RAs to be available on Web interChange for additional weeks
Beginning November 1, 2014, Indiana Health Coverage Programs (IHCP) Remittance Advices (RAs) will be available for additional weeks on Web interChange. Currently, the most recent four weeks of RAs are visible to providers. Each week beginning November 1, providers will see additional weeks of RAs display, up to a total of 12 weeks.
- Claims denied in error for EOB codes 4183 and 9999
The Indiana Health Coverage Programs (IHCP) has discovered a system issue causing some claims to deny incorrectly with EOB codes 4183 and 9999. HP is diligently working to correct this issue.
- Indiana Core MMIS under development
The Indiana Health Coverage Programs (IHCP) is in the design phase of developing an enhanced Medicaid Management Information System (MMIS) to replace its current IndianaAIM system. The new system will include state-of-the-art technology intended to make doing business with the IHCP easier and more efficient.
- CMS issues Final Rule for Home and Community-Based Services (HCBS)
The Centers for Medicare & Medicaid Services (CMS) issued regulations effective March 17, 2014, that define the settings in which it is permissible for states to pay for Medicaid HCBS. The Statewide Transition Plan outlining Indiana’s plan for coming into full compliance with the regulations will be open for public comment November 1 – December 1, 2014.
- How the ICD-10 delay affects the IHCP
For questions and answers about the ICD-10 delay, see BR201437, and watch for more information about ICD-10 on this site in coming months.
- Anthem assumes responsibility for HIP ESP claims processing
Effective July 1, 2014, Anthem Insurance Companies, Inc. will assume responsibility for processing outstanding claims for members who continued participation in the Healthy Indiana Plan (HIP) Enhanced Services Plan (ESP) program administered by Xerox through April 30, 2014. Anthem will follow existing policies and procedures for processing ESP claims.
- 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.