Several vendors work together to administer pharmacy benefits on
behalf of the Indiana Health Coverage Programs (IHCP).
Pharmacy Benefit Management
The IHCP Pharmacy Benefits Manger is Xerox State Healthcare LLC.
Xerox State Healthcare is responsible for the Preferred Drug List,
Supplemental Rebates, pharmacy prior authorization (PA), and automated pharmacy PA/SmartPA.
If PA cannot be immediately obtained, a pharmacist may dispense
and be reimbursed for an emergency supply.
Claims processing is provided by HP Enterprise Services.
Email the HP Pharmacy Team.
Centers for Medicare & Medicaid Services (CMS)
Key business lines for the Centers for Medicare & Medicaid
Services (CMS) are the following:
- Medicare health plans
- Medicare financial management
- Medicare fee-for-service operations
- Medicaid and children's health survey, certification, and
Providers should periodically review the CMS
section of this website for inclusive memoranda of notes and
instructions sent to the State Medicaid directors concerning the
Medicaid drug rebate program and product coverage.