FAQs - Top 10 Questions

How can someone apply for Medicaid?

Persons interested in applying for Medicaid should review the information provided on the Indiana Medicaid Member site or the Division of Family Resources site.

How can I update my provider information (address, tax ID, specialty tax ID, funds transfer, and so on)?

Please follow the instructions on the IHCP Provider Enrollment Transactions page on this website.

What codes should I use to bill my claim?

See the Claims Submission and Processing provider reference module to view the requirements for billing a claim. If you have additional questions, please contact your Provider Relations field consultant.

How can I determine whether a service is covered?

Providers that bill services on the CMS-1500 claim form and the dental claim form can use the Fee Schedule to determine covered services. The information contained on the Fee Schedule does not pertain to providers that use the UB-04 or pharmacy claim form. Information for UB-04 billers is in the Claims Submission and Processing provider reference module. Information for pharmacy billers is in the Pharmacy Services provider reference module.

Did you receive my transmission of electronic claims?

The Biller Summary Report provides senders with verification that claim files were successfully submitted. These reports also identify any claims rejected because of missing or invalid information. The Biller Summary Report is available for download immediately after the claim file is submitted. Contact your claims submission software vendor for more details.

What is the status of my claims adjustment request?

Call Customer Assistance for information on claims adjustment requests.

What is the status of my claim?

Web interChange can provide information on the status of Medicaid claims.

What testing is needed for HIPAA?

Instructions on how to become a Health Insurance Portability and Accountability Act (HIPAA) Trading Partner are available on this website.

How can I become a Medicaid provider?

Please read the IHCP Provider Enrollment Transactions information on this website.

What is HIPAA? How does this affect me?

Please read the HIPAA information available on this website.