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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on September 28, 2017 (unless alternate date is noted). Bulletins and Banner Pages BT201766 – FSSA announces CMS approval of CIH and FSW amendments BT201765 – Annual update of ICD-10 codes is effective October 1, 2017 BT201764 – October 2017 quarterly HCPCS code updates announced Provider Reference Modules
Long-Term Care -Edited and reorganized text as needed for clarity -Made extensive revisions to update the Preadmission Screening and Resident Review (PASRR) process -Updated RUG-III to RUG IV -Changed Hewlett Packard Enterprise references to DXC Technology -Added the Short-Term Placement in an Institution for Mental Disease section -Updated the rate reduction information in the Proprietary Large Private and Small ICFs/IID section -Added that LOC information must match billing provider information in the Autoclosure Process for Inpatient Crossover Claims section -Updated the EOB 1024 section -Updated PASRR information in the Preadmission Screening and Resident Review Billing section Presumptive Eligibility -Reorganized and edited text as needed for clarity -Merged information from Hospital Presumptive Eligibility module into this module -Changed Hewlett Packard Enterprise references to DXC Technology -Added clarification regarding PE vs. PEPW processes and benefit plan in the Introduction section -Added provider type and specialty information to the PE Qualified Provider Types section -Updated aid category names for consistency throughout the module -Updated the Qualified Providers section -Added information about claim processing and prior authorization to the DXC Technology and Managed Care Entities sections -Updated the FSSA Division of Family Resources section -Updated the Enrolling as a Presumptive Eligibility Qualified Provider section -Clarified information in the General Requirements for All PE Applicants section -Updated the Completing the Presumptive Eligibility Member Application section -Added Table 3 – PE Benefit Plan Assignment Based on Aid Category and related text under the new section heading: Presumptive Eligibility Coverage -Updated the Member Identification and Eligibility Verification section -Updated the Coordination with Presumptive Eligibility for Pregnant Women section -Added the Special Rules Regarding Presumptive Eligibility for Inmates section and subsections -Updated the Presumptive Eligibility Claim Submission section and subsectionsRemoved the Hospital Presumptive Eligibility module from the Provider Reference Materials page at indianamedicaid.com; this information is now included in the Presumptive Eligibility module Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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