Home_Photo_Providers

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.

  • Income limits now calculating correctly for presumptive eligibility applications

    07/11/2017 - The Indiana Health Coverage Programs (IHCP) previously identified that the federal poverty level (FPL) income limit calculation for determining presumptive eligibility was computing incorrectly. This issue has been resolved. Presumptive eligibility income limit calculations are now computing correctly.

  • Authorization numbers for PA requests are no longer case-sensitive in the Provider Healthcare Portal

    07/03/2017 - The Portal now allows users to enter PA authorization numbers using lower-case or upper-case alpha characters. Entries keyed in lower-case are now automatically converted into upper-case by the system.

  • Update: Nursing facility rate reduction extended

    06/30/2017 - As previously published in Indiana Health Coverage Programs (IHCP) Bulletin BT201529, the IHCP implemented a 3% reduction in reimbursement paid to nursing facilities effective January 1, 2014, through June 30, 2017. This reimbursement reduction will be extended through June 30, 2019.

  • Update: Reduction in inpatient and outpatient hospital services reimbursement extended

    06/30/2017 - As previously published in Indiana Health Coverage Programs (IHCP) Bulletin BT201530, the IHCP implemented a 3% reduction in reimbursement for inpatient and outpatient hospital services effective January 1, 2014, through June 30, 2017.This reimbursement reduction will be extended through June 30, 2019.

  • OPR providers required to revalidate their IHCP enrollment

    06/13/2017 - The Centers for Medicare & Medicaid Services (CMS) recently provided guidance clarifying that ordering, prescribing, and referring (OPR) providers must revalidate their Medicaid enrollments at intervals not to exceed every five years. Accordingly, the Indiana Health Coverage Programs (IHCP) is requiring enrolled OPR providers to revalidate based on their initial enrollment date.

  • 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