The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on August 16, 2018 (unless alternate date is noted). Provider Reference Modules
Injections, Vaccines, and Other Physician-Administered Drugs • Replaced the introductory note box with the new standard verbiage • Incorporated relevant information from the Medical Policy Manual • Added clarification about the term physician-administered in the Introduction section • Added the Managed Care Carve-Outs section • Added information about physician-administered drugs that are separately reimbursable during an inpatient stay to the Reimbursement for Physician-Administered Drugs section • Added information about coverage restrictions in the Coverage and Limitations for Specific Types of Physician-Administered Drugs section • Added coverage information to the Botulinum Toxin section • Added the Eteplirsen (Exondys 51) section • Removed lists of specific diagnostic documentation from the Histrelin Implant (Supprelin LA) section • Added an ICD-10 diagnosis code in the Histrelin Implant (Vantas) section • Added the Nusinersen (Spinraza) section • Added the Sipuleucel-T (Provenge) section • Added an email address and updated the name for the ISDH Immunization Division in the Vaccines for Children Program section • Updated instructions and removed information about separate stock in the Provider Enrollment in the VFC Program section • Clarified Medicaid enrollment criteria and removed provider restrictions for underinsured children in the VFC Eligibility and Tracking section • Added descriptions for the diagnosis codes in the IHCP Reimbursement for VFC Vaccine Administration section Code Table and Other Updates The following updated code tables are now available on the Code Sets page: Injections, Vaccines, and Other Physician-Administered Drugs 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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