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 Portal functions temporarily limited due to system upgrade

    08/17/2017 - From 7:00 p.m. on Sunday, August 20, 2017, until 2:00 a.m. the next morning, some functions on the IHCP Provider Healthcare Portal (Portal) will not be available due to a system upgrade.

  • IHCP temporarily delays implementation of new Addiction Services/OTP provider type and specialty

    08/01/2017 - In Indiana Health Coverage Programs (IHCP) Bulletin BT201744, the IHCP announced that a new provider type of Addiction Services with a specialty of Opioid Treatment Program (OTP) would be established effective August 1, 2017. IHCP has decided to adjust the reimbursement structure for OTP services and therefore is temporarily delaying implementation of this new provider type and specialty until September 1, 2017.

  • IHCP extends deadline to update rendering provider linkages to January 1, 2018

    07/27/2017 - In banner page BR201719, the IHCP announced that EOB 1010 would temporarily be converted to a “post-and-pay” status to allow providers time to submit enrollment updates to appropriately link rendering providers to group locations. This temporary conversion was originally scheduled to end as of August 31, 2017. The IHCP is extending this temporary workaround through December 31, 2017.

  • IHCP providers experiencing delays with provider enrollment transactions

    07/25/2017 - The Indiana Health Coverage Programs (IHCP) currently has a backlog of inventory for provider enrollment transactions. System changes, in combination with the volume of provider enrollment applications, revalidations, and profile updates, have resulted in processing challenges and delays. The IHCP is making every effort to process enrollment paperwork and reduce inventory to normal levels as quickly as possible.

  • IHCP reminds providers how to interpret PA status information

    07/25/2017 - As stated in BR201715, PA status codes displayed on the Portal and used in the IVR comply with the HIPAA 278 transaction standards and provide only a high-level, standardized description of the actual working status of the PA request. To help providers, the IHCP has created a crosswalk table showing the standard response categories reported on the Portal and through the IVR with the administrative working statuses associated with each standard response category.

  • IHCP addresses system problems with MRO, AMHH, BPHC, and CMHW benefit packages

    05/18/2017 - With the implementation of CoreMMIS, the Indiana Health Coverage Programs is aware of various challenges associated with member benefit packages for Medicaid Rehabilitation Option (MRO), Adult Mental Health Habilitation (AMHH), Behavioral and Primary Healthcare Coordination (BPHC), and Child Mental Health Wraparound (CMHW) services. See the full article for information on the current status of the identified issues.

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