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User Confidentiality Agreement

Based upon the execution of this agreement and under the authority of the Office of Medicaid Policy and Planning (OMPP), you are granted permission to access the Provider Healthcare Portal for the purpose of submitting and/or retrieving information concerning the Indiana Health Coverage Program (IHCP). Any other use of the Provider Healthcare Portal is strictly prohibited. As a condition to the grant of permission, you agree to the following:

  1. That any and all provider enrollment information submitted via the Provider Healthcare Portal shall be true, accurate, and complete. That the accuracy of provider profile maintenance information submitted via the Provider Healthcare Portal is solely the responsibility of the user. Users are responsible for the security of their information.
  2. To safeguard information concerning IHCP members that is obtained via the Provider Healthcare Portal, including, but not limited to:
    1. Any information received regarding an IHCP member's eligibility, including, but not limited to, name, address, identification number, social and economical circumstances, medical services provided, and/or the member's medical data, including diagnosis and past history of disease or disability;
    2. Any information received for verifying a member's amount of medical assistance payments and/or benefit limitation;
    3. Any information received in connection with Third Party Liability; and
    4. Any information received regarding Prior Authorization for medical services for a member under the IHCP program.
  4. That any unauthorized disclosure or use of the information is strictly prohibited. In accordance with Indiana Code 5-14-3-10 a public employee or a contractor or subcontractor of a public agency who intentionally or knowingly discloses information classified as confidential by state statute commits a Class A misdemeanor.
  5. That any unauthorized use, participation in the unauthorized use, or unauthorized modification of any information contained in the Provider Healthcare Portal shall constitute a violation of this agreement.
  6. That the failure to comply with the terms of this agreement will result in disciplinary action which may include, but is not limited to, the suspension of access to the Provider Healthcare Portal.
  7. That OMPP, or its agent, monitors and audits usage of the Provider Healthcare Portal, and you are hereby notified that use of this system constitutes consent to such monitoring and auditing.

Confidentiality Policy

Each Provider Healthcare Portal user is responsible for:

  • Maintaining the strict confidentiality and privacy of member-specific information accessed through the Provider Healthcare Portal.
  • Protecting access to the Provider Healthcare Portal by safeguarding User IDs and passwords. It is each user's responsibility to maintain the integrity of their User ID and password. It is imperative that this information not be shared among multiple users.

Adherence to this policy will:

  • Prevent the violation of state and/or federal law concerning the safeguarding of confidential member information.
  • Reduce the risk of data loss by accidental or intentional modification, disclosure or destruction.
  • Preserve all rights and remedies in the event of such loss.