IHCP Update: Published 10/22

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on October 22, 2020 (unless alternate date is noted).

News and Announcements
IHCP webinar to discuss provider notices published during October (October 23, 2020)
IHCP invites attendees of 2020 IHCP Works Seminar to take survey (October 23, 2020)

​Provider Reference Modules
Dental Services

• Added EVS limit responses to Table 1 – Dental Limits Returned by the EVS and the EOBs for Related Claim Denials
• Updated the Emergency Dental Services Covered under Package E and Package B section with information about ESO Coverage with Pregnancy Coverage and billing instructions
• Added exception for flexible-base partials and updated FFS PA contractor information in the Prior Authorization for Dental Services section
• Updated PA information for D5282 and D5283 in Table 7 – Covered Partial Dentures
• Added the Maxillofacial Prosthesis section
• Clarified billing information in the Physician-Administered Topical Fluoride Varnish section

Third-Party Liability

• Added IEDSS with ICES
• Updated the website URL for Tricare East in the Health Insurance section
• Added CIH MFP to the Services Exempt from Third-Party Liability Cost Avoidance Requirements section
• In the Identifying Third-Party Liability section, added a graphic to provide an example of information in the Portal
• In the Crossover Claim Submission section, clarified and corrected information about the appropriate claim type for claims that do not cross over automatically
• In the Third-Party Liability Update Procedures section, removed insurance carriers and members as receiving automated letters and questionnaires when a third-party payment is reported on a claim and there is no record of the coverage in CoreMMIS

Code Tables
The following code table updates are accessible from the Code Sets page:
Dental Services Codes

• All codes were reviewed

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.