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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on August 14, 2018 (unless alternate date is noted). News and Announcements (home page) • Enter title of news item and link; enter date only if post date is different from above date) Bulletins and Banner Pages
BR201833 • IHCP to mass reprocess or mass adjust transportation services claims that adjudicated incorrectly • IHCP implements claim-processing edit to enforce reimbursement limitations on clubhouse psychosocial rehabilitation services • IHCP to mass reprocess or mass adjust certain claims that denied incorrectly for exceeding PA units • IHCP enhances Portal to allow submission of electronic dental PA requests • Additional information to be required when providers revalidate enrollments on the Portal Provider Reference Modules Laboratory Services • Merged relevant information from the Medical Policy Manual into this module • Updated the introductory note box and updated the Introduction section • Added CLIA certification types in the Clinical Laboratory Improvement Amendment Regulations section and removed the table listing provider types subject to CLIA rules • Added a note box explaining the HAF exception for outpatient laboratory services in the Reimbursement Methodology for Laboratory Services section • Added modifier descriptions in the Billing Procedures for Laboratory Services section • Renamed the Consultative Pathology Services section and removed the corresponding code table and billing guidelines for codes that allow interpretation • Added a reference to cervical cancer screening and added a note box regarding PA requirements in the Policies and Procedures for Specific Laboratory Services section • Added information about covered HIV testing methods in the HIV Testing section, and removed specific USPSTF guidelines Code Table and Other Updates The following updated code table is now available on the Code Sets page: Procedure Codes That Require National Drug Codes (NDCs) • See BR201828 for details The following new code table is now available on the Code Sets page: Renal Dialysis Services Codes – Procedure Codes Included in the Renal Dialysis Composite Rate • See BR201828 for details The following code table has been removed from the Code Sets page: Laboratory Services Codes – Clinical Lab Procedure Codes That Allow Interpretation • Providers are advised to follow national billing guidelines for laboratory procedure codes that allow interpretation Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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