- How can someone apply for Medicaid?
How can I update my provider information (address, taxpayer ID, specialty tax ID, funds transfer, and so on)?
Please follow the instructions on the IHCP Provider Enrollment Transactions page on this website.
- What codes should I use to bill my claim?
How can I determine whether a service is covered?
Providers that bill services on the CMS-1500 claim form and the dental claim form can use the Fee Schedule to determine covered services. The information contained on the Fee Schedule does not pertain to providers that use the UB-04 or pharmacy claim form. Information for UB-04 billers is in the Claim Submission and Processing provider reference module. Information for pharmacy billers is in the Pharmacy Services provider reference module.
Did you receive my transmission of electronic claims?
The 999 Functional Acknowledgement provides trading partners with verification that claims submitted electronically have been accepted for processing. The 999 also identifies any claims rejected because of Health Insurance Portability and Accountability Act (HIPAA) compliance violations. The 999 is available for download immediately after the claim file is submitted. Contact your claims submission software vendor for more details.
What is the status of my claim-adjustment request?
Call Customer Assistance for information on claim-adjustment requests.
What is the status of my claim?
The IHCP Provider Healthcare Portal can provide information on the status of Medicaid claims.
What testing is needed for HIPAA?
Instructions on how to become a Health Insurance Portability and Accountability Act (HIPAA) Trading Partner are available on this website.
How can I become a Medicaid provider?
Please read the IHCP Provider Enrollment Transactions information on this website.
What is HIPAA? How does this affect me?
Please read the HIPAA information available on this website.