CoreMMIS and new Provider Healthcare Portal coming December 5, 2016!

The Indiana Health Coverage Programs (IHCP) will implement its new information processing system, CoreMMIS, as well as a new provider interface called the Provider Healthcare Portal (Portal), effective December 5, 2016. Watch for special CoreMMIS bulletins to learn about system details and transition plans. Find this information and more on the Indiana CoreMMIS web page.

News and Announcements

  • IHCP revises transition date for processing paper attachments for electronic claims

    10/27/2016 - The Indiana Health Coverage Programs (IHCP) announced in CoreMMIS bulletin BT201662 that November 30, 2016, would be the last date paper attachments associated with electronic claims would be accepted for processing in IndianaAIM. That date has been revised to November 28, 2016.

  • Presentations for the 2016 IHCP Annual Provider Seminar are now available

    10/12/2016 - For your convenience, PowerPoint presentations for the sessions offered at the 2016 IHCP Annual Provider Seminar, October 18-20, 2016, including those by Hewlett Packard Enterprise (HPE) and the managed care entities (MCEs), are available on the 2016 IHCP Annual Provider Seminar page at indianamedicaid.com.

  • Register now on the new IHCP Provider Healthcare Portal!

    10/11/2016 - The IHCP announces that the new Provider Healthcare Portal (Portal) is now available for registration. A link to the Portal is provided on the Indiana CoreMMIS web page. Providers will need to create a unique, secure Provider account for each IHCP-enrolled service location to conduct business with the IHCP when the new CoreMMIS system is implemented. To avoid disruptions, Portal registration must be completed before CoreMMIS implementation on December 5, 2016.

  • IHCP reminds providers lead screening is required for children

    09/06/2016 - The Indiana Health Coverage Programs (IHCP), in collaboration with the Indiana State Department of Health (ISDH), reminds providers that screening for blood lead toxicity is a federal requirement for all children enrolled in Medicaid. See full article for more details.

  • RID numbers change for newly eligible members

    08/04/2016 - As the Indiana FSSA moves to a new eligibility system, a new numbering sequence is being used for member identification numbers (RIDs). Beginning July 17, 2016, RIDs issued to newly eligible members include a “120” prefix rather than a “100” prefix. New RIDs continue to follow the same 12-digit format of 12xxxxxxxx99. All previously assigned "100" RIDs remain intact. Presumptive Eligibility RIDs are also unaffected.

  • Indiana EHR MAPIR upgraded, new user guides available

    07/14/2016 - Indiana Medicaid's Electronic Health Records (EHR) Medical Assistance Provider Incentive Repository (MAPIR) has been upgraded and is now accepting Program Year 2015 Meaningful Use (MU) attestations for eligible professionals (EPs). In addition, new EHR user guides are now available.

  • HCBS waiver claims sent to third-party insurers

    06/30/2016 - A number of paid HCBS claims have been sent to third-party insurers for waiver members who carry private insurance. This action was taken in accordance with federal regulations, which require Medicaid to bill potentially liable third-party insurers to ensure that Medicaid is the payer of last resort. Because these claims were already paid by Medicaid, there should be no action required of waiver providers or members.

  • 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.

  • 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.

Doc box 100CoreMMIS

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