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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on March 8, 2018 (unless alternate date is noted). Provider Reference Modules Right Choices Program • Updated instructions for eligibility verification in the Identification of RCP Members section • Updated and clarified information in the Services Carved Out of the RCP section • Clarified the criteria for clinical review in the Clinical Review section • Updated the Removal from the RCP: Case Closure section • Updated Section 2 to reflect the current RCP report process • Updated figures in Section 4 and Section 5 to reflect current letterhead Code Table and Other Updates
The following updated code tables are now available on the Code Sets page: Durable and Home Medical Equipment and Supplies Codes • Durable Medical Equipment (DME) Code Set for DME Providers (Specialty 250) o See BT201808 for details Family Planning Eligibility Program Codes • Procedure Codes for the Family Planning Eligibility Program o See BT201808 for details Medical Review Team Codes • Medical Review Team Procedure Codes and Modifier o See BT201808 for details Obstetrical and Gynecological Services Codes • Long-Acting Reversible Contraception (LARC) Devices Separately Reimbursable During an Inpatient Hospital or Birthing Center Stay for Delivery o See BT201782 for details Procedure Codes That Require National Drug Codes (NDCs) • Procedure Codes That Require NDCs o See BR201806 for details Revenue Codes Linked to Specific Procedure Codes • Procedure Codes Linked to Revenue Code 636 – Drugs Requiring Detailed Coding o See BR201806 for details • Procedure Codes Linked to Revenue Code 920 – Other Diagnostic Services: General o See BT201808 and BR201808 for details • Procedure Codes Linked to Revenue Code 929 – Other Diagnostic Services o See BT201808 for details Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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