IHCP Quick Reference Guide
The best way to find the correct Indiana Health Coverage Programs (IHCP) contact information (phone or fax number, email address, mailing address, or web link) is to check the IHCP Quick Reference Guide. Whether your question or need relates to members or providers; managed care or fee-for-service coverage; medical, pharmacy or other service type, the IHCP Quick Reference Guide can help – with resources for enrollment, claims, prior authorization and more. The guide also provides the telephone number for IHCP Customer Assistance.
Policy Consideration Requests
The Office of Medicaid Policy and Planning (OMPP) has a specific process for IHCP members, providers or other interested parties wanting to submit a request for policy consideration. For example, you may complete the OMPP Policy Consideration Submission Form to request that the IHCP add coverage for a specific medical code, revise a provider code set or change a current medical policy. See the Policy Consideration Requests page for instructions and to access the form.
Claim-Related Inquiries
Fee-for-Service Claims
For contact information regarding fee-for-service (FFS) electronic and paper claims, see the IHCP Quick Reference Guide.
The Gainwell Technologies Written Correspondence staff is available to research issues for providers experiencing difficulty in receiving FFS claim payments. Inquiries can be submitted via secure correspondence on the IHCP Provider Healthcare Portal (IHCP Portal) or by email to INXIXWrittenCorr@gainwelltechnologies.com. Please note that corrected claim forms and requests for hearings and appeals cannot be submitted via email, but instead should be submitted through secure correspondence on the IHCP Portal or via standard mail. See the IHCP Quick Reference Guide for the mailing address.
Your Gainwell provider relations consultant can also help with questions about FFS claim submission (including using the IHCP Portal) and general problem solving.
Managed Care Claims
For information about managed care claims, contact the managed care entity with which the member is enrolled (see the IHCP Quick Reference Guide for contact information). You may also contact the managed care network's provider relations representative for your area:
Electronic Data Interchange Assistance
For help with becoming a trading partner and submitting transactions via electronic data interchange (EDI), contact INXIXElectronicSolution@gainwelltechnologies.com or call the EDI Solutions Help Desk at 800-457-4584, option 3, and then option 1.
IHCP Provider Healthcare Portal Technical Assistance
For assistance with technical issues related to IHCP Portal access, call the IHCP Portal Help Desk at 800-457-4584, option 3, and then option 2.
Provider Enrollment Inquiries
If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information. Your Gainwell provider relations consultant may also be able to assist with enrollment questions.
IHCP-enrolled providers should direct questions about joining any of the managed care health plan networks directly to the managed care entity (MCE) of interest. See the IHCP Quick Reference Guide for MCE contact information.
Frequently Asked Questions
Before contacting us, please review the top 10 frequently asked questions.