- IHCP continues to monitor CoreMMIS readiness
The IHCP is closely monitoring the readiness of CoreMMIS and the Provider Healthcare Portal and remains optimistic that the new system will be ready for implementation in the very near future. The readiness determination and resulting implementation date will likely dictate an abbreviated transition schedule. In anticipation, providers should continue preparing themselves, their staffs, and their vendors for the transition. Watch IHCP publications for the new CoreMMIS implementation date.
- Presentations for the 2016 IHCP Annual Provider Seminar are now available
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.
- Provider Healthcare Portal off-line for maintenance December 4
The Indiana Health Coverage Programs (IHCP) Provider Healthcare Portal will be off-line from noon to midnight on Sunday, December 4, 2016, for system maintenance. Providers will be able to access the Portal again after midnight on Monday, December 5, 2016, for registration. Providers are reminded that the IHCP has temporarily delayed the December 5 implementation of CoreMMIS – see provider bulletin BT201683.
- On-site Portal workshops scheduled for December
To adequately prepare providers, the IHCP has scheduled on-site training workshops on the new Provider Healthcare Portal during the month of December. These workshops will include sessions on two of the major functions performed on the Provider Healthcare Portal – member eligibility verification and management and claim submission. Claim submission sessions will address fee-for-service billing for different provider types. For more information, see the Provider Healthcare Portal Training page.
- CoreMMIS implementation temporarily delayed
The Indiana Health Coverage Programs (IHCP) is temporarily delaying the December 5, 2016, implementation of the new CoreMMIS system. A brief delay is necessary to allow additional time for readiness testing. The transition activities outlined in CoreMMIS bulletins BT201662 and BT201674 are now suspended. All business transactions already on hold are resumed, and other established transition dates are deferred. Please see CoreMMIS bulletin BT201683 for more information.
- Additional training available on member eligibility in the new Portal
The Indiana Health Coverage Programs (IHCP) has scheduled additional training on verifying and managing member eligibility in the new Provider Healthcare Portal. The additional online training will be November 30 at 2:30 p.m. For details and to register, see the Provider Healthcare Portal Training page.
- Register on the new IHCP Provider Healthcare Portal!
Attention Providers! Web interChange will be retired in less than two weeks. You must register on the new Provider Healthcare Portal before CoreMMIS implementation to avoid interruptions. 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.
- IHCP revises transition date for processing paper attachments for electronic claims
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.
- Register now on the new IHCP Provider Healthcare Portal!
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.
- Provider Audit Workgroup to meet August 23
The Provider Audit Workgroup, established by Senate Enrolled Act 364 to "discuss the policies and procedures used in the performance of Medicaid provider audits and possible improvements to the audit process," will meet August 23, 2016, from 2:00 - 4:00 p.m. in the Indiana Government Center South, Conference Rooms 1 and 2. See the full article for more details.
- RID numbers change for newly eligible members
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
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.
- IHCP continues to process delayed claims
As announced in the Indiana Health Coverage Programs (IHCP) Banner Page BR201626, published June 28, 2016, a claims-processing error was identified that affected claims submitted for payment the week of June 20, 2016. The processing system has been corrected; however, not all delayed claims were processed during the expected time frame. Claims submitted June 20, 2016, through June 28, 2016, continue to be processed.
- HCBS waiver claims sent to third-party insurers
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 identifies claims processing error
A claims processing error that affected claims submitted for payment the week of June 20, 2016, has been identified. A system error prevented claim payments from processing and subsequent posting to Web interChange and 835 Remittance Advices (RAs). The error has been corrected. Claims submitted June 20, 2016, to June 28, 2016, will be processed during the next financial cycle. Providers should begin to see the processed claims on RAs beginning July 5, 2016.
- Pharmacies overdue for revalidation are at risk of disenrollment
Indiana Health Coverage Programs (IHCP) records indicate that several pharmacies overdue for revalidation have not yet submitted the necessary revalidation paperwork to the IHCP. Failure to revalidate will result in these pharmacies being disenrolled from the IHCP as of July 31, 2016. See the full article for more information.
- EHR Program Year 2015 MU Attestations to begin July 11
Indiana will begin accepting Program Year 2015 Meaningful Use (MU) attestations for Eligible Professionals (EPs) July 11, 2016, when an upgrade to the Medical Assistance Provider Incentive Repository (MAPIR) will be completed. Please do not submit your attestation until July 11, 2016, or after to ensure that the MAPIR upgrade is complete. Any EP Program Year 2015 attestation started in MAPIR before the upgrade is complete will be aborted and will have to be restarted after the system upgrade.
- Provider Audit Workgroup to hold public hearings in July
The Provider Audit Workgroup, established by Senate Enrolled Act 364 to "discuss the policies and procedures used in the performance of Medicaid provider audits and possible improvements to the audit process," will hold three public hearings in July to solicit input from interested parties on this topic. See full article for more details.
- Provider Audit Workgroup to meet June 8
The Provider Audit Workgroup, established by Senate Enrolled Act 364 to “discuss the policies and procedures used in the performance of Medicaid provider audits and possible improvements to the audit process,” will meet June 8, 2016, from 10 a.m. to noon at the Indiana State Library. See the full article for more details.
- IHCP requests providers participate in brief HIT survey
To help inform Indiana’s efforts in supporting the adoption of health information technology (HIT), the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) is seeking feedback from providers and hospitals. By completing a brief survey, you will help identify challenges and opportunities in HIT adoption.
- Additional first-quarter provider workshop added in Indianapolis
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
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.