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IHCP Update: Published 12/17

12/18/2020

 
The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on December 17, 2020 (unless alternate date is noted).
Bulletins
BT2020129 – IHCP receives COVID-19 vaccine HCPCS update from CMS and AMA
BT2020128 – IHCP to update rates for certain DME and medical supply items

​Provider Reference Modules

Division of Mental Health and Addiction Behavioral and Primary Healthcare Coordination Service
  • Updated link and number for Indiana State Plan Amendment (SPA)
  • Changed community health worker (CHW) to integrated health technician (IHT)
  • Added note about legal guardian attestation and signature requirement in the Submission of the BPHC Application Packet section
  • Updated the Ongoing IICP Review section
  • Added the Prior Authorization section
  • Updated the BPHC Member Home and Community-Based Settings Requirements section
  • In the Service Delivery section, updated the sources in need assessment and time frame in monitoring and follow-up
  • Added case management to TBI Waiver in the 1915(c) Home and Community-Based Services (HCBS) Waivers section
  • Updated the CMS requirement in the Utilization of HCBS Benefit section
  • Updated the address in the Requesting an Appeal section
Right Choices Program (see the module for the complete list of changes)
  • Removed text appropriate for Administrators only and created an administrator manual with that information
  • Removed references to hospital lock-in providers
  • Updated the RCP Administrators section, including references to the FFS RCP Administrator
  • Updated the RCP Members section
  • Updated the RCP Providers section and subsection
  • Updated the Services Carved Out of the RCP section
  • Updated the Eligibility Verification for RCP Members section
  • Updated the Lock-In PMP Responsibilities section and subsections
  • Updated the Referral Provider Responsibilities section
  • Updated the Primary Lock-In Pharmacy Responsibilities section and subsections
  • Removed the Primary Lock-In Hospital Responsibilities in the RCP section and added the Hospital Responsibilities for RCP Member Prescriptions upon Discharge section
  • Updated the Early Removal from the RCP section
  • Updated the Right Choices Program Letters section, including figures

Code Tables

The following code table updates are accessible from the Code Sets page:
Behavioral and Primary Healthcare Coordination Service Codes
  • All codes were reviewed

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

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