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Clarification on Eligibility Reporting in CoreMMIS

IHCP clarifies how eligibility and coverage are reported in CoreMMIS The Indiana Health Coverage Programs (IHCP) has received a number of inquiries from providers regarding the eligibility and coverage information that CoreMMIS conveys through the IHCP Eligibility Verification System (EVS) options – the Provider Healthcare Portal (Portal), the Interactive Voice Response (IVR) system, and electronic data interchange (EDI) eligibility […]

IHCP Announces Updates to Dental Services in BR201712

On March 21, 2017, the Indiana Health Coverage Programs (IHCP) published provider banner BR201712. The banner discusses several updates which affect dental services, including: Changed Web interChange to Provider Healthcare Portal (Portal) Included the Portal as an option for submitting fee-for-service claims, prior authorization requests, and claim history inquiries Removed reference to Care Select Updated […]

CoreMMIS Goes Live February 13

 CoreMMIS Implementation Schedule available here >>>   IHCP’s CoreMMIS will go live February 13, 2017. The original go live date was December 5, 2016. The Indiana Health Coverage Programs (IHCP) is replacing its current information processing system with the new CoreMMIS, which stands for Core Medicaid Management Information System. CoreMMIS will be a more modern […]

IHCP identifies processing error for HHW dental claims

The Indiana Health Coverage Programs (IHCP) announced in BT201678, that effective January 1, 2017, the management of dental benefits for members enrolled in Hoosier Healthwise would transition to the managed care entities (MCEs). Each MCE, along with any contracted dental benefit manager (DBM), would manage Hoosier Heathwise dental benefits and process dental claims. Accordingly, Hoosier […]
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