The Indiana Health Coverage Programs (IHCP) contracts with a number of contractors to perform functions such as provider enrollment, eligibility verification, prior authorization, claim processing, transportation brokerage, long-term care oversight and pharmacy benefit management. Many IHCP contractors offer online portals for providers. Registration is generally required. Providers can use the links in the colored boxes below to quickly access and log in to the applicable portal for the function they need to perform.
Note: For portals used by IHCP managed care entities, see the Managed Care section of the IHCP Quick Reference Guide.
To enroll in the IHCP, go to the IHCP Portal linked above and click Provider Enrollment. To register an account on the IHCP Portal, click Register Now.
See the Provider Healthcare Portal page for more information.
(Note: Due to Kepro merging with CNSI, Kepro has officially changed its name to Acentra Health. Providers will see communication from the contractor and the FSSA referring to either Kepro or Acentra Health. A more specified timeline of rebranding will be announced at a later date.)
(Note: Sandata is the IHCP state-sponsored system; some providers may choose to use an alternate EVV system, which will have its own portal.)
* Excludes NEMT services that are exempt from the brokerage requirement, including – for dates of service on or after July 1, 2023 – advanced life support (ALS) and basic life support (BLS) nonemergency ambulance transports, as well as all NEMT for nursing facility residents.
(Note: The portal linked above is for IHCP transportation providers. Separate portals exist for IHCP facilities and members to schedule brokered NEMT services: Verida Facility Portal and Verida Member Portal.)
Instructions for how to register are on the Myers and Stauffer Indiana Long-Term Care page, under Web Portal > Forms.
(Note: Meyers and Stauffer also offers an MDS Web Portal for submitting case-mix reports. Users should contact the Myers and Stauffer Help Desk at 317-816-4122 for registration.)
For information about registering for and logging into the portal, click the Provider Login quick link on the Optum Rx Indiana Medicaid website.
See the Pharmacy Benefits page for more information.