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
- 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.
- Eligible Professionals May Attest to Meaningful Use for EHR Program Year 2014 Beginning April 17, 2014
Indiana will begin accepting Program Year 2014 meaningful use (MU) attestations for Eligible Professionals (EPs) April 17, 2014. Please do not submit your attestation until April 17, 2014, or after.
- UB-04 and revised CMS-1500 Claim Forms with missing or invalid ICD indicators will be returned to providers!
Effective January 6, 2014, ICD indicators are required on all UB-04 and revised CMS-1500 claim forms. Revised CMS-1500 and UB-04 claim forms with missing or invalid ICD indicators will be returned to providers.
- Waiver and transportation claims to be reprocessed and mass adjusted
The Indiana Health Coverage Programs (IHCP) has identified that waiver and transportation claims billed with modifiers U3, U7, or HW submitted on January 29, 2014, with dates of service on or after July 1, 2013, were erroneously subjected to audits 9110-9120 and 9122 and denied.
- 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.
- REMINDER! The Revised CMS-1500 Claim Form Will Be Accepted Effective January 6, 2014
Effective January 6, 2014, the Indiana Health Coverage Programs (IHCP) will begin accepting the revised CMS-1500 claim forms. Both current and revised CMS-1500 claim forms will be accepted during a transition period from January 6, 2014, through March 31, 2014.
- 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.