INDIANA HEALTH COVERAGE PROGRAMS - UPCOMING INITIATIVES

Indiana Health Coverage Programs (IHCP) is changing! Watch this website, and IHCP bulletins and banner pages, for up-to-date information about major IHCP healthcare initiatives.

  • Indiana CoreMMIS - The IHCP is in the design phase of developing an enhanced Medicaid Management Information System (MMIS) to replace its current IndianaAIM system. The new system, called CoreMMIS, will include state-of-the-art technology intended to make doing business with the IHCP easier and more efficient. A major improvement for providers will be the new online Provider Healthcare Portal that will replace the current Web interChange system. The healthcare portal's enhanced capabilities include online enrollment and profile management, new claims submission and management features, secure correspondence, and more. Continue to watch this website and IHCP publications for more details as we gear up for implementation over the coming months.
  • Home and Community-Based Services (HCBS) Final Rule - The Centers for Medicare & Medicaid Services (CMS) issued regulations effective March 17, 2014, that define the settings in which it is permissible for states to pay for Medicaid HCBS. The Indiana Family and Social Services Administration (FSSA) is assessing all FSSA HCBS programs and has submitted a transition plan for full compliance by March 2019. Per federal requirements, the Statewide Transition Plan is available for review on the HCBS Final Rule web page at in.gov/fssa.
  • CAQH CORE - The IHCP is making updates to comply with the federally mandated Council of Affordable Quality Healthcare (CAQH) Committee for Operating Rules for Information Exchange (CORE). The CAQH CORE's mission, defined by the Affordable Care Act (ACA), is to use common business rules (operating rules) to promote interaction of healthcare trading partners and the exchange of healthcare-related information in a consistent, clear, and standardized manner, and in compliance with applicable laws and regulations. Operating rules implemented January 1, 2013, refer to patient eligibility and claim status. Operating rules regarding electronic funds transfer (EFT) and Electronic Remittance Advice (ERA) transactions implemented January 1, 2014. Operating rules pertaining to claim attachments, prior authorization, and enrollment implemented January 1, 2016. For more information about CAQH CORE, visit the CAQH CORE website at caqh.org.