Indiana Medicaid — Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP)
| Program name | Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP) |
|---|---|
| Provider portal | https://www.in.gov/medicaid |
| FFS claims payer ID | No single canonical ID — routing is fiscal-intermediary-specific. Verify per clearinghouse. |
| Medicaid timely filing | 180 days from date of service |
The federal ceiling for Medicaid timely filing is 12 months under 42 CFR §447.45; most states set a shorter window. Always verify the current policy on the Indiana Medicaid provider portal before filing a late-billing appeal.
BCBS licensee in Indiana
The Blue Cross Blue Shield Association licensee in Indiana is Anthem Blue Cross and Blue Shield of Indiana (Elevance Health). See the Anthem (Elevance Health) payer guide for payer ID, timely filing, prior auth, and appeal procedures.
Top commercial payers in Indiana
The dominant commercial insurers operating in Indiana, in approximate order of lives covered. Click through for per-payer claims payer IDs, timely filing windows, prior-authorization rules, and appeal procedures.
Medicaid MCOs in Indiana
Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP) contracts with the following managed-care organizations to administer Medicaid benefits in Indiana. MCO contracts dictate claims routing, prior-auth workflows, and appeal deadlines — route each claim by the member's MCO assignment, not the state FFS payer ID.
State-specific regulations affecting Indiana billing
- Indiana Code §27-8-10.1 (Out-of-Network Health Care Services — balance billing, as amended 2020)
- Indiana Code §27-8-5.7 (prompt pay — 30 days electronic clean claim)
- Indiana Code §16-21-9 (hospital financial assistance)
Provider licensing & enrollment in Indiana
Providers enroll via IHCP Provider Healthcare Portal (Gainwell). All MCE participation requires IHCP enrollment first.
Major health systems headquartered in Indiana
| Health system | Headquarters |
|---|---|
| IU Health (Indiana University Health) | Indianapolis, IN |
| Community Health Network | Indianapolis, IN |
| Franciscan Health Indiana | Mishawaka, IN |
| Parkview Health | Fort Wayne, IN |
| Ascension St. Vincent Indiana | Indianapolis, IN |
Frequently asked questions — Indiana billing
What is the Indiana Medicaid program called?
Indiana's Medicaid program is known as Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP). Providers enroll and manage claims through the provider portal at https://www.in.gov/medicaid.
What is the Indiana Medicaid timely filing limit?
Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP) requires initial claims to be filed within 180 days from the date of service. The federal ceiling is 12 months under 42 CFR §447.45; Indiana's 180-day window is set by the state provider manual. Late-billing exceptions may be allowed with good-cause documentation — verify on the state portal before filing an appeal.
Does Indiana Medicaid publish a single claims payer ID?
No single canonical claims payer ID is published for Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP). Claims route through the state's fiscal intermediary; look up the correct submitter ID in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and route managed-care claims by the member's MCO assignment.
Who are the largest commercial insurers in Indiana?
The dominant commercial payers in Indiana include Anthem (Elevance Health), UnitedHealthcare, Aetna, Cigna, Humana, along with the BCBS licensee Anthem Blue Cross and Blue Shield of Indiana (Elevance Health). Each payer's claims routing, timely filing, and prior-auth rules differ — see the per-payer guides linked above.
What Medicaid managed-care organizations operate in Indiana?
Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP) contracts with 5 Medicaid MCOs tracked in the QuickIntell registry, including Anthem (Elevance Health), CareSource, Centene, Molina Healthcare, UnitedHealthcare. MCO contracts determine claims routing and appeal deadlines — route each claim by the member's MCO assignment, not by the FFS payer ID.
What state-specific billing regulations apply in Indiana?
Indiana has 3 tracked state-level statutes that affect medical billing and RCM: Indiana Code §27-8-10.1 (Out-of-Network Health Care Services — balance billing, as amended 2020); Indiana Code §27-8-5.7 (prompt pay — 30 days electronic clean claim); Indiana Code §16-21-9 (hospital financial assistance). These sit on top of federal protections such as the No Surprises Act, HIPAA, and 42 CFR §447.45.
Run cleaner claims in Indiana with QuickIntell
QuickRCM, QuickAuth, and QuickERA are tuned to Indiana Health Coverage Programs (IHCP / Hoosier Healthwise / Hoosier Care Connect / HIP) and the commercial payers on this page — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules, not generic adapters.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. State Medicaid policies, MCO contracts, and payer rules change without notice — always verify against the current provider manual from Indiana Medicaid and the member ID card before submission.