IHCP CoreMMIS billing guidance: Part I

Today Indiana Health Coverage Programs (IHCP) announced that on December 5, 2016, the IHCP will replace the current information processing system, IndianaAIM, with a new system called CoreMMIS, which stands for Core Medicaid Management Information System. Along with CoreMMIS, a new provider interface called the Provider Healthcare Portal (Portal) will replace Web interChange.

The new system is designed to more accurately and efficiently adjudicate claims in alignment with IHCP policies and procedures and national coding guidelines to prevent the improper payment of claims. Claims not following billing guidelines or claims for services inconsistent with IHCP policy will not process for reimbursement in CoreMMIS as they may have in IndianaAIM. Such claims will deny in CoreMMIS, even though they may not have in IndianaAIM. 

View the full announcement here.

We hope this information is helpful. If you have any questions, feel free to contact the INARF office.