The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at https://www.in.gov/medicaid/providers/index.html on November 20, 2018 (unless alternate date is noted). Banner Pages BR201847 • IHCP clarifies guidance for billing service intensity add-on payments with hospice services • Providers may resubmit claims for Family Planning Eligibility Program members that denied incorrectly • IHCP reminds providers that Hoosier Care Connect hospice benefits will be responsibility of the enrolling health plans • New program integrity self-disclosure protocol training now available Provider Reference Modules
Claim Administrative Review and Appeals • Added a note box to the beginning of the module to reflect new standard verbiage • Merged the former Administrative Review and Appeals for Managed Care Claims section into the new note box and added school corporation as an example of a carved-out service • Merged the former Administrative Review and Appeals for Fee-for-Service Claims section into the Introduction section, and made the following updates: • Added a reference to the Claim Submission and Processing module for exceptions to timely filing limit • Added a note about an upcoming change to the timely filing limit • In the Filing an Administrative Review Request section, added that the Claim ID should be included in the administrative review request Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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