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      • Annual Awards
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IHCP Update: Published 10/29

10/30/2020

 
The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on October 29, 2020 (unless alternate date is noted).
Provider Reference Modules
Division of Aging Home and Community-Based Services Waivers (October 30, 2020)
  • Changed case management to care management
  • Added notes about DXC name change to Gainwell
  • Changed INsite references to CaMMS
  • Updated service names
  • Added references to Incident and Follow-Up Reporting (IFUR) tool
  • Updated Section 1: Introduction
  • Created and updated Section 2: Waiver Provider Requirements
  • Updated the Verifying Eligibility for HCBS Waiver Services section
  • Updated the Billing Instructions section, including adding the Assisted Living Billing Instructions subsection
  • Added the Electronic Visit Verification System Required for Personal Care Services section
  • Updated the Claim Voids and Replacements section
  • Updated the Division of Aging HCBS Waiver Rates section
  • Updated the Provider Compliance Reviews section
  • In Section 6: Care Management, added that care managers need to be cleared by background checks
  • Updated Section 7: Service Definitions and Requirements
  • Updated Section 8: Provider Help
Outpatient Facility Services
  • Changed references for revenue code payment information from the Revenue Codes code document to the Outpatient Fee Schedule
  • Added reference to the Outpatient Fee Schedule in the Introduction section
  • In the Rate Reduction section, added that the reduction does not apply to UPL payments
  • Updated the Billing for Outpatient Facility Services section
  • Updated the Treatment Room Visits section with billing limit on treatment room revenue code families

​Code Tables

The following code table updates are accessible from the Code Sets page; see BR202039 for details:
Durable and Home Medical Equipment and Supplies Codes
  • Covered Procedure Codes for Durable Medical Equipment (DME) Providers (Specialty 250)
  • Covered Procedure Codes for Home Medical Equipment (HME) Providers (Specialty 251)
  • Procedure Codes for Equipment and Supplies Classified by the IHCP as Requiring Frequent and Substantial Servicing
  • All codes were reviewed
Procedure Codes That Require Attachments

Check out these resources to stay up-to-date with the most recent changes at the IHCP. 

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