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CoreMMIS and the new Provider Healthcare Portal coming soon!

In early 2016, the Indiana Health Coverage Programs (IHCP) information processing system, IndianaAIM, will be replaced with a new system called CoreMMIS, which stands for Core Medicaid Management Information System. Along with CoreMMIS, a new provider interface called the Provider Healthcare Portal will replace Web interChange. The IHCP has established an Indiana CoreMMIS web page as a reference point for posting information about the new system and the provider portal. Special CoreMMIS bulletins will be published and posted to this web page to communicate important system details and transition plans.


News and Announcements

  • Additional first-quarter provider workshop added in Indianapolis

    03/01/2016 - The Indiana Health Coverage Programs has scheduled an additional first-quarter workshop in Indianapolis on May 4, 2016, from 9:00 a.m. to 3:00 p.m. at St. Vincent Hospital’s Cooling Auditorium. See the full article for more details.

  • FSSA announces proposed amendment to the Aged and Disabled Waiver

    01/29/2016 - On March 7, 2016, the Indiana Family and Social Services Administration (FSSA) Division of Aging (DA) intends to submit a proposed amendment to the Aged and Disabled (A&D) waiver to the Centers for Medicare & Medicaid Services (CMS) for consideration. For details of the proposed amendment, see the full news article.

  • New CMS rule modifies EHR meaningful use for 2015

    11/19/2015 - In October, the CMS released a final rule (with comment period), specifying the criteria that eligible professionals (EPs) and eligible hospitals and critical access hospitals (EH/CAHs) must meet to demonstrate meaningful use of EHR. These changes encompass modifications to the program for 2015-2017 (Modified Stage 2), as well as Stage 3 in 2018 and beyond. Updates to the MAPIR will be required, which will affect submission of all meaningful use applications.

  • IHCP reminds transportation providers about ICD-9 vs ICD-10 requirements

    10/06/2015 - Transportation providers must use the appropriate ICD indicator and the appropriate ICD diagnosis codes when submitting paper claims and via Web interChange. The ICD-9 indicator and ICD-9 diagnosis codes must be used for DOS before October 1, 2015. The ICD-10 indicator and the ICD-10 diagnosis codes must be used for DOS on or after October 1, 2015.

  • IHCP reminds all providers about default ICD indicator on Web interChange

    10/02/2015 - Providers must use the appropriate ICD Indicator and the appropriate ICD diagnosis codes when submitting claims via Web interChange. The ICD-9 indicator and ICD-9 diagnosis codes must be used for DOS before October 1, 2015. The ICD-10 indicator and the ICD-10 diagnosis codes must be used for DOS on or after October 1, 2015.

  • Pharmacy Benefit Manager, Catamaran, joins with OptumRx

    08/06/2015 - On July 23, 2015, the Indiana Health Coverage Program’s (IHCP’s) fee-for-service (FFS) Pharmacy Benefit Manager (PBM), Catamaran, combined with Optum’s pharmacy care services business, OptumRx. The combination of Catamaran and OptumRx will operate as OptumRx. Providers will begin to see communications and related PBM material referring to OptumRx as the IHCP FFS Pharmacy Benefit Manager.

  • PE approval letters serve as proof of temporary coverage

    03/24/2015 - The State is aware that some members are presenting for pharmacy and other services before their PE status is visible to providers in the IHCP Eligibility Verification System or in the MCEs’ pharmacy benefits manager (PBM) systems. Please be aware that an original PE approval letter is sufficient to validate temporary coverage even if the member is not listed in the appropriate eligibility system.

  • Get Ready for the 2012 IHCP Annual Provider Seminar!

    09/13/2012 - The 2012 IHCP Annual Provider Seminar will be October 23-25 at the Caribbean Cove Hotel and Conference Center in Indianapolis.

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CoreMMIS

The new CoreMMIS claims processing system will more accurately and efficiently adjudicate claims. More information

Doc in a BoxWeb interChange

Submit claims, check member eligibility, update your provider profile and much more. More Information