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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on February 15, 2018 (unless alternate date is noted). Provider Reference Modules Podiatry Services • Noted in the Introduction section that podiatry services are self-referral for managed care members • Added a reference to the new podiatrist code set in the Coverage, Billing, and Reimbursement for Podiatry Services section • Updated the Routine Foot Care section Provider Healthcare Portal
• Updated EDI contact information • Clarified information about user ID, display name, and challenge questions in the Registration Process section • In the Add New Delegate section, noted an alternative to driver’s license numbers when adding delegate accounts • In the Change Delegate Permissions section, added a note regarding the provider’s responsibility to inactivate delegate accounts when delegates leave the organization • Added the Disenroll section • Updated Table 2 – Provider Maintenance Change Types • Added subsections to the Provider Maintenance section for each provider maintenance change type • Updated the Eligibility Verification Request section, including Table 3 – Coverage Detail Panels • Updated the Presumptive Eligibility Application section • Clarified instructions in the Provider Information Section of the dental claim submission instructions • Updated the following sections of the institutional claim submission instructions: o Provider Information Section o Diagnosis Codes o Other Insurance Details (crossover claim instructions) o Service Details (NDC information) • Added the Submission Process Example: Professional Claim section • Added a note about ICN/Claim ID in the Viewing Remittance Advice section • Updated descriptions in Table 5 – Care Management Options • Updated the Create Authorization (Requesting PA) section • Updated the Submit RCP Referral to Lock-in List section Transportation Services • Updated the definition of ALS to match IC 16-18-2-7 in the Advanced Life Support (ALS) Ambulance Service section. • Updated the definition of BLS per IC 16-18-2-33.5 in the Basic Life Support (BLS) Ambulance Service section • Updated the Member Copayments section. • Noted the exemption for members who are American Indian or Native Alaskan to the Exemptions to Copayments for Transportation Services section • Added information regarding the MUE for A0452 to the Mileage Procedure Codes section • Added information about using the XE modifier with procedure code T2004 to the Multiple Passengers section • Added location for the emergency indicator in the 837P and added a note about the emergency diagnosis requirement in the Emergency Transportation Services section • Added the Return Trip from the Emergency Room section • Removed references to “rotary” where text was applicable to both rotary and fixed-wing air transportation in the Air Ambulance Transportation section and added fixed-wing codes to Table 10 • Clarified in the Documentation Requirements for Transportation Services section that the driver must document if a member is unable to provide a signature Home and Community-Based Services Billing Guidelines • Changed the PRTF Waiver end date in the 1915(c) HCBS Waiver Benefit Plans section • Clarified, in the HCBS Benefit Combinations section, that the TBI Waiver can be combined with CMHW for nursing facility level of care only • Updated the HCBS Eligibility Verification subsections to reflect the new Portal eligibility verification process • Noted in Table 1 – CMS-1500 Claim Form Fields for HCBS Waiver Claims that fields 17 and 17a are optional • Added a note in the Claim Form Completion for 1915(c) HCBS Waiver Services section about the requirement to use red claim forms Code Table and Other Updates The following updated code tables are now available on the Code Sets page: Podiatry Services Codes • All codes were reviewed Transportation Services Codes • All codes were reviewed Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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