The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on August 22, 2017 (unless alternate date is noted). Bulletins and Banner Pages BR201734 - Member eligibility verification to include MCE delivery network - IHCP notifies pharmacy providers of address change for submitting manual FFS claims Provider Reference Modules
Surgical Services - Reorganized and edited text as needed for clarity - Removed unneeded information from the Coverage and Reimbursement section - Clarified that information in the Multiple Procedures and Bilateral Procedures sections is specific to professional billing - Renamed and updated the Facility Charges for Outpatient Surgeries section and its Multiple Surgeries and Bilateral Procedures subsection - Updated the Bariatric Surgery section, including removing the ICD-9 code and updating information about noncovered procedures for minors - Updated the Implantable DME section, including adding Table 7 – Separate Reimbursement for Devices Implanted in an Outpatient Setting - Replaced specific medical criteria in applicable subsections of the Implantable DME section with a reference to the Medical Policy Manual - Updated the Implantable Cardioverter Defibrillators section, including adding references to subcutaneous ICDs and to FDA approval - Removed extraneous information from the Implantable Infusion Pumps section - Added PA requirement to the Osteogenic Bone Growth Stimulators section - Updated the reimbursement rate in the Pacemakers section, and added PA and managed care referral requirements - Updated the Phrenic Nerve Stimulator (Breathing Pacemaker) section and subsections, including updating general coverage requirements, correcting inpatient reimbursement information, and removing the Device Monitoring subsection - Added information about transcatheter placement of intravascular stents to the Stents section Code Table and Other Updates The following updated code tables are now available on the Code Sets page: Surgical Services Codes - All code tables were reviewed - ICD-9 code tables were removed Revenue Codes Linked to Specific Procedure Codes – Procedure Codes Linked to Revenue Code 636 – Drugs Requiring Detailed Coding - See BT201741 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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