- IHCP identifies claim processing error for Hoosier Healthwise dental claims
Hoosier Healthwise claims for certain dental codes that were supposed to be submitted to the MCEs were submitted in error to HPE and continued to process and pay. HPE’s claims processing system has been corrected. Dental providers whose Hoosier Healthwise dental claims were processed by HPE, whether denied or paid, should void the claims and resubmit them to the appropriate MCE or MCE dental benefit manager. All claims paid in error will be recouped as accounts receivable.
- Processing of medical and outpatient claims to be minimally delayed
Processing of IHCP medical and outpatient claims submitted beginning January 1, 2017, will be minimally delayed so that system upgrades related to NCCI edits can be completed. Claims submitted for processing beginning January 1, 2017, will be held until January 6, 2017, at which time claim processing will resume. Claims will be processed in the order they are received. All delayed claims are expected to be processed by January 10, 2017.
- Register on the new IHCP Provider Healthcare Portal!
Attention, providers! Web interChange will be retired soon. To avoid interruptions, you must register on the new Provider Healthcare Portal before CoreMMIS implementation. 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 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.
- 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.
- 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.
- IHCP reminds providers lead screening is required for children
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.
- 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.
- PE approval letters serve as proof of temporary coverage
The State is aware that some members are presenting for pharmacy and other services before their PE status is visible to providers in the IHCP Eligibility Verification System or in the MCEs’ pharmacy benefits manager (PBM) systems. Please be aware that an original PE approval letter is sufficient to validate temporary coverage even if the member is not listed in the appropriate eligibility system.