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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on November 9, 2017 (unless alternate date is noted). Bulletins and Banner Pages BT201773 – IHCP to identify DSH-eligible CHIP members through the Eligibility Verification System BT201772 – Corrections to ICD-10 annual updates for BPHC, Hospice, and OB-GYN services BR201745 - IHCP will remove age restrictions on certain diagnosis codes and mass reprocess claims that denied inappropriately - IHCP reminds providers of January 1 deadline to update rendering provider linkages - IHCP delays changes to taxonomy code requirements on claims for attending, operating, and OPR providers - IHCP corrects inpatient hospital services code table on website Provider Reference Modules
Presumptive Eligibility for Pregnant Women - Correction to remove references to the PEPW application containing a field for selecting an MCE Home Health Services - Reorganized and edited text as needed for clarity - Replaced Hewlett Packard Enterprise references with DXC Technology - Changed speech therapy references to speech-language pathology - Updated the definition of home health services in the Introduction section and as needed throughout the module - Updated information in the IHCP Coverage for Home Health Services section and subsection - Updated documentation needed in the Home Health PA Documentation section - Updated requirements in the PA for Home Health Nursing Services section - Added the PA for Home Health Therapy Services section - Removed the Medical Plan of Care section and subsection; moved relevant information to elsewhere in the module - Updated the PA Exception for Hospital Discharge section - Updated Table 1 – Revenue Codes Crosswalked to Procedure Codes for Home Health Services - Updated the Home Health Reimbursement section - Updated Table 2 – Home Health Services - Clarified PA requirements in the Initial Evaluations for Physical Therapy, Occupational Therapy, and Speech-Language Pathology in Home Settings section - Updated Table 3 – Codes for Billing Initial Evaluations for Physical Therapy, Occupational Therapy, and Speech-Language Pathology in Home Settings - Updated the Home Uterine Monitoring Device section Hospice Services - Reorganized and edited text as needed for clarity - Changed Hewlett Packard Enterprise references to DXC Technology - Removed outdated information - Added note box with link to the Medical Policy Manual - Updated information regarding the new PASRR process - Updated physician services in the Covered Services in the IHCP Hospice Per Diem section - Added the Routine Home Hospice Care section - Updated the “adult foster care” reference to “adult family care,” in the Location of Routine or Continuous Home Hospice Care section - Updated HIP, Hoosier Care Connect, and Hoosier Healthwise information in the Managed Care Members section -Updated examples and provided DMHA telephone number in the Members Receiving Home and Community-Based Services section - Clarified information in the Qualified Medicare Beneficiaries section - Removed the Healthy Indiana Plan Members section - Updated the Programs and Aid Categories Ineligible for the IHCP Hospice Benefit section - Removed the Local Area Agencies on Aging and Aging and Disability Resource Centers section - Added that two forms are not needed for dually eligible members in the Option 1 section - Updated Table 5 – Indiana Health Coverage Programs Prior Authorization Request Form Fields for Hospice Requests - Updated the Hospice Coverage and Authorization for Managed Care Members section and subsections - Updated the method options in the Treatment for the Hospice Member’s Nonterminal Condition section - Updated information in the General Inpatient Hospice Care section - Updated revenue code descriptions as needed in the Revenue Codes section - Added EOB 4215 to Table 11 – Common Hospice Billing EOB Codes Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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