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IHCP Email Notification - Important updates posted to the website 4/18

4/19/2017

 
The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on April 18, 2017 (unless alternate date is noted).

Bulletins and Banner Pages 
BT201727 - IHCP revises reimbursement policy for vaccines purchased outside the VFC program
BR201716
- IHCP will mass adjust outpatient claims for procedure/revenue code linkages that paid inappropriately
- IHCP reminds transportation providers about correct use of HCPCS codes T2003/T2004 
Provider Reference Modules 
Third Party Liability
- Replaced IndianaAIM references with CoreMMIS
- Replaced Web interChange references with Provider Healthcare Portal (Portal)
- Replaced AVR system references with IVR system
- Updated the telephone number for Customer Assistance and TPL Units
- Added Portal instructions for billing and adjustment processes 
- Removed psychiatric reduction from reporting requirements
- Added information regarding the TPL/Medicare Special Attachment Form
- Changed RID references to Member ID
- Updated the different ways for indicating that claims are for accident-related services in the Liability Insurance section
- Updated the Services Exempt from Third Party Liability Cost Avoidance Requirements section to include HCBS claims and to clarify usage of diagnosis codes to bypass TPL edits
- Updated the Identifying Third Party Liability section
- Updated the TPL Billing and Documentation Procedures section 
- Updated the EOB information in the IHCP Remittance Advice Information section
- Clarified electronic and paper claim billing instructions in the Medicare/Medicaid-Related Reimbursement section 
- Updated the Crossover Claims section 
- Added value code A7 to the Medicare Replacement Plan Claims section 
- Updated the Waiver Liability Considerations Related to Medicare section 

Mental Health and Addiction Services 
- Added Provider Healthcare Portal information to the billing and PA request instructions 
- Clarified that mid-level practitioners must bill using only the single most appropriate modifier from the list in the Billing Procedures section 
- Updated the Outpatient Mental Health Hospital Services section 
- Updated the Eligible Providers and Practitioners section directing smoking cessation providers to the Provider Enrollment module for enrollment information 
- Removed ICD-9 code

Check out these resources to stay up-to-date with the most recent changes at the IHCP.

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