IHCP Important updates posted to the website - Published 12/14

​The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on December 14, 2017 (unless alternate date is noted). 

Provider Reference Modules 
HIPAA Standards for Electronic Transactions
-Edited and reorganized text as needed for clarity
-Changed “rendering” to “administering or performing” in the National Provider Identifier section, and added Portal option for enrollment
-In the Trading Partner Requirements for Electronic Transactions section, clarified that providers that exchange electronic data exclusively via the Portal are not required to become IHCP trading partners 

Medicaid Rehabilitation Option Services
-Reorganized and edited text as needed for clarity
-Changed Hewlett Packard Enterprise references to DXC Technology
-Combined psychiatrist and physician under a single bullet in the Licensed Professional section (and made a corresponding update in Appendix C)
-Updated the MRO Service Requirements section, including clarifying information about PA for additional services and replacing the federal definition of MRO services with the IAC definition (and made a corresponding update in Appendix C)
-Added references to CANS service package 6 in all applicable Service Unit Limitations subsections of the MRO Service Requirements section
-Added LON criteria to all Target Population subsections of the MRO Service Requirements section
-Updated the Service Package Assignment Process section: 
        -Clarified that CoreMMIS receives updated member data every business day 
        -Revised the Member Data Match and Criteria Validation steps, including updating reason codes
-Updated status responses, noted that only CMCS providers can access MRO coverage details, and corrected the description of the Provider field, and in the Verifying Eligibility for MRO Services on the Provider Healthcare Portal section
-Updated the PA Submission section: 
        -Added a reference to the 278 transaction 
        -Clarified PA submission instructions 
        -Added system update information for modifying a member’s existing MRO benefit package
-Expanded information in the PA Decision section about options for obtaining PA status information
-Added introductory text to the Psychosocial Rehabilitation (Clubhouse Services) Documentation section
-Removed provider specialty information from the Managed Care Considerations section
-Added CareSource as an MCE to the Healthy Indiana Plan section
-Removed the Hoosier Care Connect section

Code Table and Other Updates
The following updated code tables are now available on the Code Sets page:

Medicaid Rehabilitation Option Services Codes
-All codes were reviewed

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