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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on April 13, 2017 (unless alternate date is noted). Bulletins and Banner Pages BT201726 - IHCP publishes an Outpatient Fee Schedule Provider Reference Modules
Hospice Services Replaced AVR system references with IVR system Replaced Web interChange references with Provider Healthcare Portal (Portal) Replaced IndianaAIM references with CoreMMIS Updated the Customer Assistance and IVR system telephone number Replaced RID references with Member ID Added Portal options to processes where needed Updated the Basic Enrollment Requirements section Removed revalidation fee information from the Affordable Care Act Risk Category Requirements section Clarified process for when Hoosier Care Connect members elect in home hospice in the Managed Care Members section Updated the Qualified Medicare Beneficiaries section Updated the Preferred Method for Submitting Hospice Authorization Requests section Updated the Hospice Authorization Request for Medicaid-Only Members section Clarified the certification rules in the Certification for Medicaid-Only Hospice Members section Updated the Additional Hospice Authorization Forms section Updated the Timely Submission of Hospice Authorization Paperwork section Updated the Exceptions Related to Untimely Submissions section Updated the IHCP Managed Care Members Electing the IHCP Hospice Benefit section Updated the requirements in the Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) section Updated the patient status discharge codes in the Billing Services Associated with the SIA Payment section Updated the Payment for Date of Discharge section Updated note regarding patient liability in the IHCP Reimbursement Policy section Updated the revenue and occurrence codes in the Revenue Codes section Updated the Medicaid-Only Hospice Member Residing in a Nursing Facility section Updated Table 11 - Common Hospice Billing EOB Codes Updated EOB 2026 in the B98 Autoclosures section Division of Disability and Rehabilitative Services Home and Community-Based Services Waivers Version 4.1, Policies and procedures as of April 1, 2016 Code Table and Other Updates The following updated code tables are now available on the Code Sets page - see BT201726 for details: Revenue Codes Revenue Codes and Outpatient Payment Methodologies - Added outpatient payment methodology information for relevant codes - Removed end-dated codes Revenue Codes Linked to Specific Procedure Codes Procedure Codes Linked to Revenue Code 274 - Orthotic/Prosthetic Devices - Updated and moved from Durable and Home Medical Equipment and Supplies Codes Procedure Codes Linked to Revenue Code 513 - Clinic/Psychiatric - Updated and moved from Mental Health and Addiction Services Codes The following new code tables are now available on the Code Sets page - see BT201726 for details: Revenue Codes Linked to Specific Procedure Codes Procedure Codes Linked to Revenue Code 260 - IV Therapy - General Procedure Codes Linked to Revenue Code 636 - Drugs Requiring Detailed Coding Procedure Codes Linked to Revenue Code 905 - Intensive Outpatient Services - Psychiatric (Managed Care Billing Only) Procedure Codes Linked to Revenue Code 906 - Intensive Outpatient Services - Chemical Dependency (Managed Care Billing Only) Procedure Codes Linked to Revenue Code 920 - Other Diagnostic Services - General Procedure Codes Linked to Revenue Code 929 - Other Diagnostic Services Procedure Codes Linked to Revenue Code 940 - Other Therapeutic Services - General Check out these resources to stay up-to-date with the most recent changes at the IHCP. If you have any questions, please contact the INARF office. Comments are closed.
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