IHCP Update: Published 2/9

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on February 9, 2021 (unless alternate date is noted).

Bulletins and Banner Page
BT202109 – Coverage and billing information for the 2021 annual HCPCS codes update
BT202108 – Certain denied claims may be resubmitted by March 31 for A&D HCBS case management services
BR202106

• IHCP to mass adjust 837 electronic claims with Medicare information
• IHCP to cover CDT code D4261, accept resubmitted claims
• IHCP to mass reprocess or mass adjust claims for day habilitation services

Provider Reference Module
Radiology Services

• No major changes were made

Code Tables
See BT202109 for details about the following code table updates, accessible from the Code Sets page:
Dental Services Codes

• Dental Codes That Require a Tooth Number on the Claim

Family Planning Eligibility Program Codes

• Procedure Codes for the Family Planning Eligibility Program

Hearing Services Codes

• Covered Procedure Codes for Audiologists (Specialty 200)

Physician-Administered Drugs Carved Out of Managed Care and Reimbursable Outside the Inpatient Diagnosis-Related Group
Preventive Care Services Excluded from Copayment for Healthy Indiana Plan and Presumptive Eligibility – Adult
Procedure Codes That Require National Drug Codes (NDCs)
Revenue Codes with Special Procedure Code Linkages

• Procedure Codes Linked to Revenue Code 636 – Drugs Requiring Detailed Coding

Vision Services Codes

• Table 2 – Covered Procedure Codes for Optometrists (Specialty 180)

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