CoreMMIS and new Provider Healthcare Portal are live!

The Indiana Health Coverage Programs (IHCP) has implemented its new information processing system, CoreMMIS, as well as the new provider interface called the Provider Healthcare Portal (Portal). Find important information about the new system on the Indiana CoreMMIS and Provider Healthcare Portal web pages, and watch for IHCP bulletins to learn about post-implementation updates.

News and Announcements

  • IHCP transitions certain members from Hoosier Healthwise to Traditional Medicaid

    04/27/2017 - Effective May 1, 2017, the IHCP will serve enrolling adult refugees eligible for coverage under the low-income parent/caretaker aid category through Traditional Medicaid rather than through Hoosier Healthwise. As a result, these members will receive services via the fee-for-service delivery system, rather than under a managed care health plan. Providers are reminded to check member eligibility to know which delivery system applies for PA and billing purposes.

  • PA authorization number is case-sensitive in the Provider Healthcare Portal

    04/26/2017 - The Indiana Health Coverage Programs (IHCP) informs providers that the field for the authorization number used to search and review prior authorization (PA) requests in the Provider Healthcare Portal is case-sensitive. Alpha characters in the authorization number must be keyed in UPPER CASE. If the authorization number is keyed incorrectly, providers will receive an “authorization not found” error message.

  • Income limit calculating incorrectly for presumptive eligibility applications

    04/21/2017 - The Indiana Health Coverage Programs (IHCP) has identified that the federal poverty level (FPL) income limit calculation for determining presumptive eligibility is computing incorrectly. As a result some applicants are either being denied eligibility altogether or being approved only for limited coverage under the Family Planning Eligibility Program in error. The IHCP is working on a permanent solution to this issue. Refer to the full article for an interim solution.

  • IHCP to deactivate CoreMMIS email box

    04/06/2017 - Effective April 14, 2017, the Indiana Health Coverage Programs (IHCP) will deactivate the incoremmis2015im@hpe.com email box, which was established to help answer providers' questions and resolve issues related to the implementation of CoreMMIS. Providers will need to resume the standard inquiry methods for requesting assistance and resolving issues.

  • HPE merges with CSC to form DXC Technology

    04/05/2017 - Effective April 3, 2017, the Enterprise Services Division of Hewlett Packard Enterprises (HPE) has merged with information-technology corporation CSC to form a new company, DXC Technology.

  • Hoosier Care Connect members reassigned to Anthem and MHS health plans

    03/30/2017 - As of April 1, 2017, all Hoosier Care Connect (HCC) members previously enrolled with MDwise will have been reassigned to either Managed Health Services (MHS) or to Anthem. Providers are reminded they must check member eligibility and managed care entity (MCE) assignment through the IHCP eligibility verification system (EVS) – either through the Provider Healthcare Portal or through the Interactive Voice Response (IVR) system.

  • IHCP now accepting Year 1 Attestations for Program Year (PY) 2016

    03/30/2017 - The Indiana Health Coverage Program (IHCP) is now accepting Year 1 applications in the Medical Assistance Provider Incentive Repository (MAPIR). For PY 2016, eligible professionals/eligible hospitals, and critical access hospitals (EPs/EHs/CAHs) will have until May 1, 2017, to attest to meaningful use (MU) and adopting, implementing, upgrading (AIU).

  • OPR Provider Search Tool now available

    03/28/2017 - Indiana Health Coverage Programs (IHCP) providers that render services to Medicaid members must verify IHCP enrollment of the ordering, prescribing, or referring (OPR) provider before service or supplies are rendered. A comprehensive OPR Search Tool is now available on indianamedicaid.com

  • 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.

Doc box 100CoreMMIS

The new CoreMMIS claims processing system will more accurately and efficiently adjudicate claims. More information

Doc in a BoxProvider Healthcare Portal

Enroll as a provider, submit claims, check member eligibility, update your provider profile, and much more. More information