IHCP Important updates posted to the website - Published 1/23

​The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on January 23, 2018 (unless alternate date is noted). 

Bulletins and Banner Pages 
BR201804
- IHCP to mass adjust or mass reprocess claims for certain mental health codes that may have denied inappropriately
- Sign up now for spring 2018 IHCP provider workshops

Provider Reference Modules 
Introduction to the IHCP
- Updated the Managed Care Service Carve-Outs section 
- Added PASRR to the Division of Aging section
- Updated the Contractors section, including adding CareSource
- Clarified what types of information are available to providers and updated hours in the Customer Assistance section
- Updated contact-related information in the Provider Relations section
- Updated Table 1 – Provider Resources
- Updated the Civil Rights Requirements section and included a sample nondiscrimination posting 

Claim Submission and Processing
- Updated the Fee-for-Service Billing for Carved-Out Services section
- Added the Provider Signatures section to apply to all claim types
- Updated the Claim Notes section
- Added the Partial Sterilization section
- Updated the National Provider Identifier and One-to-One Match section
- Updated the billing information in the National Drug Codes section and its subsections
- Updated the Visit and Encounter Definitions section
- Corrected examples in the Calendar-Year Versus 12 Month Monitoring Cycle section
- Updated the Revenue Codes Not Reimbursable for Outpatient Billing section
- Added the Revenue Code 724 – Labor Room/Delivery – Birthing Center section
- Updated the Billing Guidance for Dates of Service section
- Updated the following tables: 
    o Table 3 – Types of Services Billed on Institutional Claims 
    o Table 4 – UB-04 Claim Form Fields 
    o Table 5 – Types of Services Billed on Professional Claims 
    o Table 6 – CMS-1500, Version 02/12, Claim Form Fields 
    o Table 7 – Types of Services Billed on Dental Claims 
    o Table 8 – ADA 2006 Claim Form Field Descriptions 
    o Table 10 – Package E Billing Instructions
- Added the Medicaid Inpatient Hospital Services Only Billing section
- Added region code 28 to Table 14 – Region Codes
- Added the TA1 Interchange Acknowledgement bullet to the 837 Electronic Transaction Claim Processing section
- Updated Section 10: Crossover Claims and its subsections 

Mental Health and Addiction Services 
- Updated the Managed Care Considerations for Behavioral Health Services section
- Updated information in the Self-Referral section
- Updated the Carved-Out and Excluded Services section
- Clarified office visit limitations in the introductory text of Section 2: Outpatient Mental Health Services
- Updated the Outpatient Mental Health Professional Services section
- Updated the Physician or HSPP Supervision section
- Added the Annual Depression Screening section
- Added information regarding X modifiers to the Applied Behavioral Analysis Therapy section
- Added billing information to the Additional Service Limitations section
- Updated the Outpatient Mental Health Hospital Services section
- Updated the Psychiatric Hospital Requirements section
- Updated the Reimbursement Methodology for Inpatient Mental Health Services section and subsections
- Updated the Prior Authorization for Inpatient Mental Health Services section, including adding information about the plan of care and updating Tables 1 and 2
- Added a note about opioid treatment programs to the introductory text in Section 7: Substance Abuse and Addiction Treatment Services
- Added the Inpatient Chemical Dependency Services heading and introductory text and updated information in that section
- Updated and added information in the Tobacco Dependence Treatment section and its subsections, and replaced smoking cessation terminology

Code Table and Other Updates
The following updated code tables are now available on the Code Sets page:
- Medical Review Team Code 
    o All codes were reviewed
- Mental Health and Addiction Services Codes 
    o All codes were reviewed
- Procedure Code Modifiers for Professional Claims 
    o All codes were reviewed
- Procedure Codes That Require Attachments 
    o All codes were reviewed and updated as needed 
    o See BR201747 for detail
- Procedure Codes That Require NDCs 
    o All codes were reviewed
- Revenue Codes 
    o All codes were reviewed and updated as needed 
    o See BR201743 for detail
- Revenue Codes Linked to Specific Procedure Codes 
    o All were codes reviewed

Note: The Place of Service Codes table was removed from the Code Sets page; for this information, see the Place of Service Code Set page on the Centers for Medicare & Medicaid Services (CMS) website at cms.hhs.gov.

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