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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

  • Income limits now calculating correctly for presumptive eligibility applications

    07/11/2017 - The Indiana Health Coverage Programs (IHCP) previously identified that the federal poverty level (FPL) income limit calculation for determining presumptive eligibility was computing incorrectly. This issue has been resolved. Presumptive eligibility income limit calculations are now computing correctly.

  • Authorization numbers for PA requests are no longer case-sensitive in the Provider Healthcare Portal

    07/03/2017 - The Portal now allows users to enter PA authorization numbers using lower-case or upper-case alpha characters. Entries keyed in lower-case are now automatically converted into upper-case by the system.

  • Update: Nursing facility rate reduction extended

    06/30/2017 - As previously published in Indiana Health Coverage Programs (IHCP) Bulletin BT201529, the IHCP implemented a 3% reduction in reimbursement paid to nursing facilities effective January 1, 2014, through June 30, 2017. This reimbursement reduction will be extended through June 30, 2019.

  • Update: Reduction in inpatient and outpatient hospital services reimbursement extended

    06/30/2017 - As previously published in Indiana Health Coverage Programs (IHCP) Bulletin BT201530, the IHCP implemented a 3% reduction in reimbursement for inpatient and outpatient hospital services effective January 1, 2014, through June 30, 2017.This reimbursement reduction will be extended through June 30, 2019.

  • OPR providers required to revalidate their IHCP enrollment

    06/13/2017 - The Centers for Medicare & Medicaid Services (CMS) recently provided guidance clarifying that ordering, prescribing, and referring (OPR) providers must revalidate their Medicaid enrollments at intervals not to exceed every five years. Accordingly, the Indiana Health Coverage Programs (IHCP) is requiring enrolled OPR providers to revalidate based on their initial enrollment date.

  • 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.

  • IHCP allows providers until September 1, 2017, to update rendering provider linkages

    05/03/2017 - IHCP policy requires rendering providers to be linked to the locations where they render services for a group practice. In CoreMMIS, claims billed for services performed by rendering providers not linked to the specific service location on the claim deny for EOB 1010. The IHCP will temporarily convert EOB 1010 to a “post-and-pay” status through August 31, 2017, allowing providers ample time to link rendering providers to the appropriate group locations.

  • IHCP transitions certain members from Hoosier Healthwise to Traditional Medicaid

    04/27/2017 - Effective May 1, 2017, the IHCP will serve enrolling adult refugees eligible for coverage under the low-income parent/caretaker aid category through Traditional Medicaid rather than through Hoosier Healthwise. As a result, these members will receive services via the fee-for-service delivery system, rather than under a managed care health plan. Providers are reminded to check member eligibility to know which delivery system applies for PA and billing purposes.

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