General Provider Services
If you're an Indiana Medicaid provider - regardless of your
provider category or specialty - this section is for you. It links
you to information that helps make doing business with the Indiana
Health Coverage Programs (IHCP) easier. You'll find details about
billing, free provider workshops, forms, the Health Insurance
Portability and Accountability Act (HIPAA), how to submit
claims electronically, and more. Select a topic from the menu on
the left or the following list.
If you have questions that aren't answered here or elsewhere on
this site, please contact Hewlett Packard Enterprise Customer
Assistance at 1-800-577-1278.
Provider Relations field consultants can assist you with
enrolling, updating your provider profile, learning to use Web
interChange, addressing complex claims concerns, and much more.
They also provide one-on-one training in your office and training
at the quarterly provider workshops and the annual provider
seminar. Contact information for each field consultant is available
on the Provider Relations Field
Our goal is to make doing business with Medicaid as efficient as
possible. In this section, you'll find links to more detailed
- Verifying members' eligibility--It takes more than a Hoosier
Health Card or even a prior authorization. Find the tools you need
at Eligibility Verification.
- Obtaining prior authorization.
- Monitoring members' Medicaid use--The Right Choices Program (RCP)
monitors members' Medicaid utilization and, when appropriate,
implements restrictions for members who use services more
extensively than their peers.
- Finding other Medicaid providers--search by
specialty, address, institution, and more at Provider
As a Medicaid provider, what's the best way for you to submit
claims to the IHCP? It's a big topic, and an important one. In
this section, you'll find links to answers, from provider
code sets to
fee schedules to a list of
explanations of benefits (EOBs). Whether you're new to Medicaid
or have been a provider for years, this section is designed
to help answer your billing questions. For more complete
information about billing and submitting claims, see the Claim Submission and
Processing provider reference module, as well as
other service-, provider-, benefit-, and program-specific modules
available on the Provider Reference
Electronic transactions must be HIPAA-compliant. The EDI Solutions page provides
resources for providers and vendors.
The Provider Reference Materials
page contains links to the IHCP Provider Reference
Modules, the Medical Policy Manual, and
and electronic transaction companion guides.
Forms on the Forms page are available in Adobe
Acrobat portable document format (pdf) unless otherwise indicated.
If you do not already have Acrobat, please see the Web
Medicaid is a state-administered program, and each state sets
its own guidelines regarding eligibility and services. The State
Plan outlines how Medicaid is implemented in Indiana.