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

  • 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 identifies issues with processing nursing home claims

    03/23/2017 - The Indiana Health Coverage Programs (IHCP) has identified issues with the processing of nursing home claims, claim type L, in CoreMMIS. These reported issues are being researched and future publications with detailed information will be forthcoming.

  • OPR Provider Search Tool under development

    03/22/2017 - IHCP providers that render services to Medicaid members must verify IHCP enrollment of the ordering, prescribing, or referring provider before service or supplies are rendered. Since the transition to CoreMMIS, a comprehensive OPR Provider Search tool has not been available. This tool is currently under development. Until the OPR search tool is available, providers will need to use a two-step process to verify enrollment with IHCP.

  • Reminder: Web interChange will be fully retired on March 15, 2017

    03/10/2017 - Providers are reminded that the Web interChange functionality for retrieving Remittance Advices (RAs) for claims processed in IndianaAIM will be available only through March 15, 2017. At 6 p.m. on that date, this functionality will be turned off and Web interChange will be fully retired. Providers must retrieve RA information before that time.

  • IHCP identifies claim processing error for Hoosier Healthwise dental claims

    01/13/2017 - 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.

  • 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.

  • RID numbers change for newly eligible members

    08/04/2016 - 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.

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