HIP Plus is the initial, preferred plan selection for all members and offers the best value. If you choose to leave the program early, your contributions not spent on health care costs may be returned to you. Maintaining Your IHCP Provider Enrollment. Members in the HIP Basic plan will still use the POWER account to cover their $2,500 annual deductible, but the funds in the account will be contributed entirely by the State. With HIP Plus, members do not pay every time they visit a doctor or fill a prescription. Copyright 2022 State of Indiana - All rights reserved. Maintaining Your IHCP Provider Enrollment. ; On the User Registration page, complete the required information, and then click Next.Required fields are marked with a red asterisk. forms, training and more. The contributions you make to your new POWER account will be yours. Your health plan (Anthem, CareSource, MDwise, MHS) may contact you annually to review your health condition. Press Enter again after expanding an item to navigate to that page. Our vision providers can access the following tools to help them provide efficient and quality care. Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of The Workshop Registration Tool enables providers to sign up for workshops. Call us at 1-844-607-2829 (TTY: 1-800-743-3333). Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Fax: 1-888-752-0012. Visit this page for information about upcoming webinars and recordings of past presentations. Call 877-GET-HIP-9 to learn more about the application process or click here to find your local DFR office. Provider Relations regions are organized to minimize provider wait times when providers need assistance. Local, state, and federal government websites often end in .gov. It is important to answer their questions to maintain HIP State Plan benefits. The IHCP is interested in hearing from you if you have input or need assistance. Find important information for providers, software developers, and trading partners that communicate via electronic data interchange format and direct data entry. Amerigroup will provide effective programs and services to patients, coordinate quality healthcare and assist with important case management and preventive care services. Family Member/Associate Transportation Providers. It also allows more visits for physical, speech and occupational therapy, and covers additional services like bariatric surgery and Temporomandibular Joint Disorderstreatment. The IHCP Quick Reference Guide lists phone numbers and other information for vendors. Hoosiers enrolled in Healthy Indiana Plan (HIP) and Hoosier Healthwise (HHW) can choose CareSource for health care coverage. The Indiana Health Coverage Programs (IHCP) invites providers to attend the 2022 IHCP Works seminar from Oct. 11 through Oct. 13. The benefits are reduced. Traditional Medicaid is a program created to provide health care coverage to individuals who are not enrolled in managed care. Medicaid Topics will include prior authorization, provider enrollment, and professional (CMS1500) and institutional (UB04) claims, among others. Leading with Heart CareSource is nationally recognized for leading the industry in providing member-centric health care coverage. The HIP Basic plan will charge copayments for health care services. Health Insurance Portability and Accountability Act (HIPAA). The only exception to this is a charge of $8 if a member goes to the hospital emergency room for a non-emergency. In the HIP Plus program, members do not pay copayments when they go to the doctor or hospital or fill a prescription. HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home. Indiana Family and Social Services Administration (FSSA) Benefits Portal. Written prior authorization requests should be submitted on the Navigate Medical Prior Authorization Request Form. Will my health condition(s) affect the coverage I receive? Peach State Health Plan(Peach State) is a physician-driven, Georgia-based Medicaid managed care plan. The IHCP is working in collaboration with stakeholders to expand and improve SUD treatment. Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who Home- and Community-Based Services (HCBS). For details on all HIP Plans visit our Healthy Indiana Plan page. If your annual health care expenses are more than $2,500, the first $2,500 is covered by your POWER account, and expenses for additional health services are fully covered at no additional cost to you. How do I find a provider? Reservations at the Marriott may be made online (preferred) at the seminar welcome page, or by telephone at 8009913346 referencing the group name "Indiana Medicaid Conference." Copyright CareSource 2022. Overview PLANS. Walk-in registrations will be allowed; however, it is not recommended, as space is limited. Quickly access your member information, change your doctor, request a new ID card and more. Electronic Data Interchange (EDI) Solutions. If they receive recommended preventive care services throughout the year, the discount will be doubled. The Health Insurance Portability and Accountability Act (HIPAA) contains the provisions for portability, Medicaid integrity, and administrative simplification. These include by mail, over the phone, online and via payroll deduction through the member's employer. Headquartered in Dayton, Ohio, the company has built a legacy of providing quality Get paired with a life coach who can help you by connecting to resources. Members also receive medication therapy management services that are designed to work closely with their doctors and pharmacies to provide additional assurances that prescription therapies are safe and effective. The information that identifies and describes an enrolled IHCP provider is called a Provider Profile. Free surface lot parking will be available to attendees of the seminar. CVS Pharmacy Members receive all key health benefits required by federal law, plus vision, dental and chiropractic services, plus extra services like weight loss surgery and jaw care. The IHCP will implement an electronic visit verification (EVV) system for federally required provider documentation of designated personal care and home health services. As defined by the Centers for Medicare and Medicaid Services, an individual will be considered medically frail if he or she has one or more of the following: Click here to see a list of conditions that may qualify you as medically frail. The Medical Review Team determines an applicant's eligibility based on a disability. You can also double your reduction if you complete preventive services. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important Family Member/Associate Transportation Providers. Complete an IHCP Provider Enrollment Application. IHCP providers should verify enrollment of the ordering, prescribing or referring (OPR) provider before services or supplies are rendered. The Healthy Indiana Plan empowers members to make important decisions about the cost and quality of their health care. Program Integrity Provider Education Training. They can help with employment, education, budgeting, food access, transportation, legal assistance, housing resources, childcare and more. The changes have enhanced the individual and provider experience. If a member does not wish to change health plans, they do not need to take any action and will automatically stay with their current health plan for the new year. Complete an IHCP Provider Enrollment Application. Providers must be enrolled as MRT providers to be reimbursed for MRT services. The member pays an affordable monthly POWER account contribution based on income. Guest room reservations made on or before Sept.19, 2022, are available at a special rate of $146 plus state and local taxes, per night. It was created by the Department of Community Health (DCH) in partnership with the Department of Public Health (DPH) to extend Medicaid coverage from 60 days to six months to allow extended access to quality care and ensure continuity of care, and care coordination during the postpartum period, and became effective July 1, 2021. EVV Service Providers; EVV Third-Party Information; EVV Schedule of Events; EVV Newsletter; PSS / CLS / Claims Implementation Archive (2018 2021) Current offerings are posted here. All rights reserved. The $10 payment goes toward the members first POWER account contribution. The IHCP Provider Healthcare Portal is an internet-based solution that offers enhanced reliability, speed, ease of use, and security to providers and other partners doing business with the IHCP. Medicaid. Registration. To learn more about CareSource, call 1-855-202-0729 or visit our website atCareSource.com/Georgia. CareSource offers services and online resources that help members achieve and maintain good health. Find links to provider code sets, fee schedules and more. HIP Plus members also get more visits to see physical, speech and occupational therapists than the HIP Basic program and extra services like weight loss surgery and jaw care (TMJ). [] The Healthy Indiana Plan is a health-insurance program for qualified adults ages 19-64. CareSource is the number one plan of choice for Medicaid in Ohio. HIP Plus The initial plan selection for all members is HIP Plus which offers the best value for members. Applications are available online or by mail, or can be picked up at any Division of Family Resourcesoffice. Session Information. If you choose to leave the program early, your contributions not spent on health care costs will be returned to you. The provider manual is a resource for working with our health plan. Pregnant women enrolled in Hoosier Healthwise will not be affected by changes to the Healthy Indiana Plan and will continue to receive coverage through Hoosier Healthwise. Together, we share a commitment to transforming delivery of care for members through innovative community solutions. How you know. The member is also required to make a copayment each time he or she receives a health care service, such as going to the doctor, filling a prescription or staying in the hospital. There is a reason more Ohioans choose CareSource for their Medicaid plan than all other plans combined. Members who leave HIP and return in the same calendar year will still have their same POWER account and health plan. Members can also call 877-GET-HIP-9 and ask. As an incentive, members who remain in the HIP Plus program can reduce their POWER account contribution amounts after a year in the program based on the amount remaining in their accounts. If a member makes a Fast Track payment and is eligible for HIP, their HIP Plus coverage will begin the first of the month in which they made the Fast Track payment. See the Hospice Forms page for descriptions of all hospice forms. Join us and watch your business grow. Whether you're new to Medicaid or have been a provider for years, this section is designed to help answer your billing questions. The HIP Plus program provides comprehensive benefits including vision, dental and chiropractic services for a low, predictable monthly cost. CareSource-Brand-Logo-Vert-RGB-resize.png. Vision and dental care. PACE provides community-based care for qualified members who are 55 and older that live in a PACE service area. If you have a condition, disorder or disability, as described above, you receive additional benefits called the HIP State Plan benefits. The IHCP reimburses for long-term care services for members meeting level-of-care requirements. CareSource Medicaid members get access to a large provider network, The Right Choices Program monitors member utilization and, when appropriate, implements restrictions for members who would benefit from increased case coordination. Use the links on this page to access IHCP provider news items, bulletins, and banner page publications. The IHCP Provider Healthcare Portal is an internet-based solution that offers enhanced reliability, speed, ease of use, and security to providers and other partners doing business with the IHCP. HIP Basic requires members to make a small payment, called a copayment, each time they go to the doctor or hospital except for preventive care or family planning services. There will be new individual and provider portals that will look and act differently. With HIP Plus, members can get 90-day refills on prescriptions and receive medication by mail order. IHCP providers should verify enrollment of the ordering, prescribing or referring (OPR) provider before services or supplies are rendered. It can also be used to review or modify a registration. CareSource wants to ensure our providers have easy access to the latest tools and resources regarding COVID-19. Managing your account well and getting preventive care can reduce your future costs. A penalty is deducted if an individual is disenrolled due to non-payment or withdrawing from the program without having other coverage. The IHCP provider enrollment instructions and processes are outlinedon these web pages. information. These HIP State Plan benefits will continue as long as your health condition, disorder or disability status continues to qualify you as medically frail. The 590 Program provides coverage for certain healthcare services provided to members who are residents of state-owned facilities. If you have trouble opening linked PDF files, view the PDFHelp page. Find the forms you need to serve members and transact business with the IHCP. Note: Many of these forms have been integrated into the IHCP Provider Healthcare Portal (Portal) and, therefore, are not required for transactions conducted via the Portal. POWER account contributions are paid directly to the member's health plan (Anthem, MDwise, CareSource or MHS). Find clinical tools and information about working with CareSource. Prior Authorization Providers are advised to print paper copies of each presentation for reference, if desired. Indiana Medicaid Promoting Interoperability Program. HIP Maternity members will receive vision, dental, chiropractic coverage, non-emergency transportation and access to additional smoking cessation services designed specifically for pregnant women. IHCP reimbursement for services or medical supplies resulting from a practitioner's order, prescription or referral requires the ordering, prescribing or referring (OPR) provider to be enrolled with the IHCP. Before sharing sensitive or personal information, make sure youre on an official state website. Enrolling as a Managed Care Program Provider. The Healthy Indiana Plan (HIP) is a health-insurance program for low income Hoosiers ages 19 to 64, with benefits that include hospital care, mental and behavioral health services, substance abuse treatment, maternity care, doctor visits and prescriptions. We recommend contacting your insurance company before your visit to verify coverage for the specific service you're seeking. Click here to find monthly contribution amounts. Electronic Data Interchange (EDI) Solutions. Program Integrity Provider Education Training. We care about you and your health. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important Home page - OH MCD SPBM.Web - Ohio For information on contracting as a health partner, call 1-855-202-1058 or visitCareSource.com/providers/Georgia. IHCP Medicaid Rehabilitation Option services include community-based mental health care for individuals with serious mental illness, youth with serious emotional disturbance, and/or individuals with substance use disorders. HIP provides incentives for members to take personal responsibility for their health. IHCP-enrolled providers interested in enrolling as a provider for Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect members must apply directly to one or more of the managed care entities (MCEs). Medicaid CareSource Hoosier Healthwise (HHW) is Indianas health care program for children and pregnant women. Providers can order CMS-1500 (professional), ADA 2012 (dental) and UB-04 (institutional) claim forms from a standard form supply company. Get answers to the most frequently asked questions about the IHCP. HIP Basic does not cover vision, dental or chiropractic services and could be more expensive. If you are already enrolled in a health plan, you can only switch plans during open enrollment or under certain special circumstances. Members can select their health plan when they apply. As a CareSource member, your coverage includes: No copays for health care visits. An official website of the State of Georgia. Total contributions may not exceed the members projected required annual contribution to their POWER account. These payments may range from $4 to $8 per doctor visit or prescription filled and may be as high as $75 per hospital stay. Pregnant women who would otherwise be eligible for HIP but are not enrolled may receive a new member card indicating they are enrolled in HIP Maternity. Why is it important to make POWER account contributions? If no plan is choose a health plan, one will be assigned. IHCP Medicaid Rehabilitation Option services include community-based mental health care for individuals with serious mental illness, youth with serious emotional disturbance, and/or individuals with substance use disorders. To receive notices, you must subscribe. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. As long as members make their required monthly POWER account contributions, they will have no other costs. Indiana Medicaid provides a healthcare safety net to Hoosier children, aged, disabled, pregnant women, and other eligible populations under the umbrella of Indiana Health Coverage Programs (IHCP). medicaid The Workshop Registration Tool enables providers to sign up for workshops. Children who are wards of the State, receiving adoption assistance, foster children and former Hoosier Healthwise is a health care program for children up to age 19 and pregnant women. To participate in HIP Plus, members make affordable monthly contributions into their POWER account based on income. The IHCP reimburses for long-term care services for members meeting level-of-care requirements. The Presumptive Eligibility process allows qualified providers to make PE determinations for certain eligibility groups to receive temporary health coverage until official eligibility is determined. The IHCP is interested in hearing from you if you have input or need assistance. In HIP, your contributions to your POWER account will be yours. You can also download a provider contract at this web site. The IHCP will implement an electronic visit verification (EVV) system for federally required provider documentation of designated personal care and home health services. MDwise. McLaren Health Plan today announced it has reached an agreement to purchase CareSource Michigan, a 34,500-member Medicaid health maintenance model to members at all stages of health and illness. CareSource HIP and HHW plans are designed to provide our members with the benefits and coverage needed to live healthy lives. Swipe left or right, or use the dots below the slides to navigate. Providers interested in becoming qualified providers (QPs) for presumptive eligibility (PE) must complete an application through the IHCP Portal and contact IHCP Provider Relations to arrange training. Providers are responsible for keeping all the information in the Provider Profile up-to-date. Accessibility Managed Health Services. If you are registering as a provider, select Practitioner and complete the information. Before sharing sensitive or personal information, make sure youre on an official state website. Medicaid If you are registering as a provider, select Practitioner and complete the information. In HIP Plus, monthly POWER account payments are members only health care costs outside of any non-emergency visits to the emergency room. Provider Manual The CareSource Dental Provider Manual provides information on topics such as covered services, claims submissions and prior authorization requirements and processes. Find A Doctor/Provider; COVID-19 Provider Resources; Contact Us; CareSources goal is to make a lasting difference in our members lives by improving their health and well-being.