The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on October 2, 2018 (unless alternate date is noted). INARF sent a communication earlier on 10/3 about IHCP Announces Electronic Visit Verification. If you have questions, please contact Sarah Chestnut. Bulletins and Banner Page
BT201855 – IHCP announces EVV solution for personal care and home health services BR201840 • IHCP will reimburse for FluMist in the 2018-2019 flu season • IHCP removes gender restriction on ICD-10-CM code Z85.3 • IHCP reminds hospice providers of face-to-face physician encounter requirement Provider Reference Modules Member Eligibility and Benefit Coverage (See the module for a full list of changes) • Added references to the FFS PBM and managed care subcontractors to the IHCP Programs and Benefit Plans section • Updated Table 1 – IHCP Programs and Associated Benefit Plans • Updated Figure 1 – Hoosier Health Card • Replaced HIP Employer Link information and figure in the Healthy Indiana Plan Member Card section with a note box indicating that the program was ended • Updated information in the Importance of Verifying Eligibility section • In the Verifying Eligibility for a Specific Date of Service section, changed eligibility history available in the EVS to up to 7 years • Added Figure 13 – Waiver Liability Details Panel in the Portal Eligibility Verification • Updated information about Pap tests and services for members at risk of HIV in the Family Planning Eligibility Program section • Updated the HIP Employer Link section • Updated information in the Medicaid Inpatient Hospital Services Only section, including adding examples of covered and noncovered services • Added the Self-Referral Services section • Added the Carved-Out Services section • Updated the Healthy Indiana Plan section and subsections • Updated the Hoosier Healthwise section • Updated the Hoosier Healthwise Package Comparison section • Updated the Service-Specific Copayment Policies section and subsections, including adding Table 8 – Service-Specific Copayments by Program • Updated the Member Appeals section Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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