Partner Reference
News, Bulletins, and Banner Pages
Use the links on this page to access IHCP provider news items, bulletins, and banner page publications.
IHCP Email Notifications
The email notifications are used to send notices to subscribers on behalf of the IHCP. To receive notices, you must subscribe.
Reference Materials
For information about IHCP policies, procedures, and billing guidance (including information about electronic transactions), access these IHCP reference documents.
IHCP Fee Schedules
The Indiana Health Coverage Programs (IHCP) Professional Fee Schedule is updated weekly.
Programs and Authority
IHCP Programs
Find information about the healthcare programs included under the Indiana Health Coverage Programs (IHCP) umbrella – the primary programs serving most children and adults as well as those designed to serve special member populations.
Indiana State Plan and Waivers
Medicaid is a state-administered program, and each state sets its own guidelines regarding eligibility and services. The Indiana State Plan provides specifics on how Medicaid is implemented and governed in Indiana.
Procurement Opportunities
Solicitation opportunities to do business with the State of Indiana.
Medicaid Partners
Southeastrans
Southeastrans, Inc. is the Indiana Health Coverage Program’s non-emergency medical transportation broker for Traditional (fee-for-service) Medicaid members who require assistance traveling to their covered health care services.
Incontinence Providers
The Indiana Health Coverage Programs contract with two durable medical equipment suppliers to provide incontinence, ostomy and urological supplies, including diapers, under- pads, ostomy bags and gloves to members enrolled in Traditional Medicaid.
Maximus
MAXIMUS Health Services Inc. has served as the Indiana Health Coverage Programs enrollment broker since 2007.
Gainwell Technologies
Gainwell Technologies has been contracted with the state of Indiana since 1991. Gainwell provides a number services to the IHCP, including provider enrollment, customer service, eligibility verification, and fee-for-service claim processing.
Dual Eligible Special Needs Plans
Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries.
OptumRx
Indiana Health Coverage Programs is contracted with OptumRx to be the pharmacy benefits manager for the Traditional Medicaid.
Managed Care Health Plans
Indiana Health Coverage Programs works with four health plans to serve as managed care entities for the Hoosier Healthwise, Hoosier Care Connect and Healthy Indiana Plan programs.
Business Transactions
EDI Solutions
Important information to all providers and software developers that communicate via electronic data interchange (EDI) format and direct data entry (DDE).
Program Integrity
The mission of the Office of Medicaid Policy and Planning (OMPP) Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources.
HIPAA
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains Portability, Medicaid Integrity Program/Fraud and Abuse, and Administrative Simplification.
Interoperability
Since May 2, 2011, the state of Indiana has participated in the federal Promoting Interoperability (PI) Program, formerly the Electronic Health Records (EHR) Incentive Program.
IHCP Companion Guides
This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions.
The state of Indiana is contracted with a number of business partners to operate the Indiana Health Coverage Programs (IHCP). Information about these business partners can be found here:
Companies interested in becoming business partners can see procurement opportunities posted on the Indiana Department of Administration website.
Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.
