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ARTICLE

Date ArticleType
10/20/2016 Payment/Reimbursement
New IHCP Information Management System

On December 5, 2016 the Indiana Health Coverage Programs (“IHCP”) will replace IndianaAIM with CoreMMIS. Along with the new information management system, the IHCP will also roll out a new provider interface called the Provider Healthcare Portal (“Portal”) to replace WebInterchange.

In order to ensure a successful transition, the State has announced plans to temporarily suspend business transactions in the days leading up to the December 5, 2016 go-live date for CoreMMIS. The State has released a detailed bulletin outlining the dates for important deadlines such as electronic and paper claims submissions, provider enrollment applications, and provider profile updates. Click here for the complete bulletin issued by the State. For more information please view the CoreMMIS website by clicking here.

Below is a summary of the important deadlines listed in the State’s provider bulletin:

• Monday, November 14, 2016 (21 days before implementation)
     o Paper claims and adjustments submitted before 11/14 will be processed in IndianaAIM.
     o Paper claims and adjustments submitted on or after 11/4 will be held for processing in CoreMMIS beginning 12/5.
     o Provider Enrollment applications received before 11/4 will be processed as usual.
     o Provider Enrollment applications received after 11/4 will be held for processing in CoreMMIS beginning 12/5.
• Wednesday, November 23, 2016 (12 days before implementation)
     o Written correspondence (including requests for Administrative Review) received on or before 11/23 will be processed as usual.
     o Written correspondence (including requests for Administrative Review) received after 11/23 will be time stamped upon receipt, but held for processing in CoreMMIS beginning 12/5.
• Wednesday, November 30, 2016 (5 days before implementation)
     o Electronic claims will be accepted and processed timely in IndianaAIM until 12:00 p.m. on 11/30.
     o Electronic claims not submitted by 12:00 p.m. on 11/30 must be held by providers and trading partners until CoreMMIS implementation on 12/5.
     o Electronic claims submitted through WebInterchange will be accepted until 6:00 p.m. on 11/30 for processing in IndianaAIM.
     o Electronic claims not submitted through WebInterchange by 6:00 p.m. on 11/30 must be held by providers and trading partners until the Portal implementation on 12/5.
     o Paper attachments to electronic claims will be accepted through 11/30 for processing in IndianaAIM.
     o The final IndianaAIM processing cycle will occur on 11/30.
     o Claims awaiting attachments after 11/30 will be denied, but will be reprocessed after CoreMMIS implementation on 12/5.