IHCP Important updates posted to the website - Published 4/26

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on April 26, 2018 (unless alternate date is noted). 

Bulletins and Banner Pages 
BT201815 – Additional information provided from the April 2018 quarterly HCPCS update

Provider Reference Modules 
Prior Authorization
• Clarified information specific to the fee-for-service delivery system, where applicable
• Changed PA decision letter references to PA notification letter, to match its official name
• Updated the email address for EDI Solutions
• Updated the resource list in the Introduction to Prior Authorization section
• Updated references for carved-out services and self-referral services in the Managed Care Prior Authorization section
• Consolidated information about school corporation services and emergency admissions into a new Prior Authorization Exceptions section
• Updated the 590 Program section
• Updated the list of eligible providers in the Provider Types Allowed to Submit PA Requests section
• Updated CMCS telephone options in the Telephone PA Procedures section
• Updated instructions for completing the universal and dental PA request forms
• Updated the table of PA status responses and associated administrative working statuses
• Updated the Prior Authorization Update Notification Letter section 

Third Party Liability
• Updated contact information for TPL resources
• Added the CHOICE exception to the Introduction section
• Clarified information in the Medicaid Coverage for Members with Medicare section
• Clarified information in the Amount Paid: Claim- and Detail-Level Information section
• Clarified information in the Proof of Zero Payment section
• In the Reimbursement for Dually Eligible (Medicare/Medicaid) Members section, added explanation for when the Medicare paid amount exceeds the Medicaid allowed amount
• Replaced specific modifiers in the Medicare-Enrollment Requirements for Providers section with a reference to the appropriate module
• Updated the Crossover Claim Submission section
• Updated the Medicare Noncovered Services section

Code Table and Other Updates
The following updated code tables are now available on the Code Sets page:
Prenatal and Preventive Pediatric Care Diagnosis Codes That Bypass Cost Avoidance
• All codes were reviewed

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