CoreMMIS and new Provider Healthcare Portal are live!

The Indiana Health Coverage Programs (IHCP) has implemented its new information processing system, CoreMMIS, as well as the new provider interface called the Provider Healthcare Portal (Portal). Find important information about the new system on the Indiana CoreMMIS and Provider Healthcare Portal web pages, and watch for IHCP bulletins to learn about post-implementation updates.

News and Announcements

  • 2017 IHCP Annual Provider Seminar: Presentations available, change in session schedule

    10/12/2017 - Presentations for sessions of the 2017 Annual Provider Seminar are now available via the Provider Education Opportunities page at indianamedicaid.com for printing, if desired. The OptumRx sessions, scheduled on each of the three days of the seminar, have been cancelled. These session times have been reassigned to repeat three presentations that filled up quickly during seminar registrations. These sessions will be offered to walk-in registrants on a first-come, first-served basis.

  • IHCP provider enrollment inventory at normal levels

    10/10/2017 - The Indiana Health Coverage Programs (IHCP) has reduced the inventory for provider enrollment transactions to normal levels. Providers who have submitted transactions should respond to IHCP communication requesting corrections or missing documentation or, if no communication was received, check the status of their transactions through the Portal or through Customer Service.

  • Presumptive eligibility applications available through the Portal

    10/05/2017 - The Indiana Health Coverage Programs (IHCP) has resolved the Provider Healthcare Portal (Portal) issue affecting presumptive eligibility (PE). Beginning October 5, 2017, access to the PE applications was restored in the Portal. Qualified providers should be able to complete and submit PE applications to determine patient eligibility for temporary IHCP coverage. Please direct all questions and concerns about PE during the Portal downtime to PresumptiveEligibility@fssa.IN.gov.

  • Presumptive eligibility applications unavailable through the Portal

    10/04/2017 - Beginning Sunday, October 1, 2017, access to presumptive eligibility applications (other than PE applications for inmates) has been unavailable in the Portal. As a result, qualified providers are currently unable to complete applications for patients to determine eligibility for temporary IHCP coverage. This issue is being corrected and an update will be provided once it is resolved. In the interim, please direct all questions and concerns to PresumptiveEligibility@fssa.IN.gov.

  • Marriott is accepting reservations for the 2017 IHCP Annual Provider Seminar

    09/11/2017 - The Indiana Health Coverage Programs (IHCP) 2017 Annual Provider Seminar is fast approaching. This year’s seminar is scheduled for October 17-19, 2017, at the Marriott Indianapolis East, 7202 E. 21st Street in Indianapolis. Guest room reservations made on or before September 29, 2017, are available at a special rate of $133 plus tax per night. Reservations may be made online using the Marriott East website (preferred) or by phone at (317) 352-1231 or 1-800-991-3346.

  • IHCP extends deadline to update rendering provider linkages to January 1, 2018

    07/27/2017 - In banner page BR201719, the IHCP announced that EOB 1010 would temporarily be converted to a “post-and-pay” status to allow providers time to submit enrollment updates to appropriately link rendering providers to group locations. This temporary conversion was originally scheduled to end as of August 31, 2017. The IHCP is extending this temporary workaround through December 31, 2017.

  • IHCP reminds providers how to interpret PA status information

    07/25/2017 - As stated in BR201715, PA status codes displayed on the Portal and used in the IVR comply with the HIPAA 278 transaction standards and provide only a high-level, standardized description of the actual working status of the PA request. To help providers, the IHCP has created a crosswalk table showing the standard response categories reported on the Portal and through the IVR with the administrative working statuses associated with each standard response category.

  • IHCP addresses system problems with MRO, AMHH, BPHC, and CMHW benefit packages

    05/18/2017 - With the implementation of CoreMMIS, the Indiana Health Coverage Programs is aware of various challenges associated with member benefit packages for Medicaid Rehabilitation Option (MRO), Adult Mental Health Habilitation (AMHH), Behavioral and Primary Healthcare Coordination (BPHC), and Child Mental Health Wraparound (CMHW) services. See the full article for information on the current status of the identified issues.

Doc box 100CoreMMIS

The new CoreMMIS claims processing system will more 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