Provider
Electronic fund transfer notices and checks are sent by the Auditor's office when payments are processed. EOP’s are sent by the program approximately 5 days later. Due to staff resources, we are unable to routinely fax copies of the EOP’s. Please wait at least 5 days before contacting our office to obtain copies of EOP’s. (As a reminder, after 1/1/10, providers will not be receiving EOP's if they currently receive an 835.)
Orthodontia Services
The Children’s Special Health Care Services program (CSHCS) has been paying 100% of the customary charge billed for orthodontia services. The CSHCS program is mandated by statute to reimburse all providers at the Indiana Medicaid allowed rate.
The current Indiana Medicaid allowed rate for orthodontia services billed under procedure D8080 (comprehensive orthodontic treatment of the adolescent dentition) is 90% of the customary charge billed by the provider. CSHCS will not recalculate previously paid claims or existing payment plans which have already been authorized by our pa staff. However, we will now apply this provision to all claims with prior authorizations processed on or after 11/1/2009.
Please remember providers may not bill the family for any payment balance that remains after CSHCS has paid the Indiana Medicaid allowed rate.
We appreciate your cooperation and participation in our program.
Important Information For Children's Special Health Care Services Providers
The Children’s Special Health Care Services program is now offering a new web portal feature to enrolled providers that will allow access to certain program information via the internet. This web portal will allow providers to check participant enrollment and claim status/history and will also enable providers to print an EOP/Remittance Advice. We also hope to include additional features in the future to enhance the system.
In order to utilize this new feature, you must enroll by completing and mailing the Web Portal Enrollment and Change Request form to the address on the form. The form may also be faxed to (317) 233-8199. (The form must be printed out and completed.) If you have any questions, please call the Office of HIPAA Compliance/EDI Department at (317) 233-9803 or 1-800-475-1355, option 5, and then option 1.
Please note that if you are currently receiving an 835 electronic remittance advice (EOP) you will no longer receive a paper EOP as well, however, signing up for web portal access will give you the ability to view and print a paper EOP through the web portal.
We hope you will enroll and take advantage of this new feature which will provide easy access to CSHCS eligibility and claim information.
The thousands of participants served by the various programs administered by the Indiana State Department of Health are fortunate to have the participation of excellent health care providers across the wide spectrum of medical specialties. Their significant contribution to the well being of this sector of Indiana’s population is appreciated.
Provider Document Download Center
Provider Agreement:
- Provider Agreement Packet
- Billing Provider Update Form
- Group Member Update Form
- Change of Ownership Form
Children’s Special Health Care Services Program:
Vendor Information Form Instructions
Please note that after completion of this form, it must be sent to the Children’s Special Health Care Services program at 2 N. Meridian Street, 7-B, Indianapolis, IN, 46204. Please do not send directly to the Auditor’s office.
Electronic Data Interchange/Trading Partner Agreement:
The Children's Special Health Care Services program accepts electronic transactions. Please see EDI Solutions link above for more information
Provider Bulletins:
Bulletin 1, August 2003
Bulletin 2, September 2003
Bulletin 3, February 2007
Bulletin 4, May 2007
Bulletin 5, May 2007
Bulletin 6, November 2009
Stay Connected
- Apply for a Birth/Death Certificate
- Sign up for IDRS Training
- Information on H1N1 Influenza Outbreak
- Get a Flu Shot
- Find information on recent food recalls
- Learn how my business can become certified in the state's Wellness Program
- Obtain a food handler certification license.
- Start a Wholesale Food Business in Indiana
