IHCP Update: Published 5/14

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on May 14, 2020 (unless alternate date is noted).

Bulletin
BT202061 – IHCP COVID-19 Response: Additional COVID-19-related HCPCS and reimbursement updates made

Provider Reference Module
Member Eligibility and Benefit Coverage (see the module for full list of changes)

• Updated the IHCP Program and Benefit Plans section
• Updated sample cards in the Healthy Indiana Plan Member Card section
• Added a note about Hoosier Healthwise logo update and removed sample cards with the old logo in the Hoosier Healthwise Member Card section
• Added the Eligibility Verification on the Portal section and subsections
• Added the Benefit Limits and Waiver Liability section
• Made clarifications to the descriptions and notes in Table 2 – Medicare Savings Program Coverage Categories
• Updated the Emergency Services Only – Package E section
• Updated the Fee-for-Service Benefit Options section
• Updated the Healthy Indiana Plan section and subsections
• Updated the Hoosier Care Connect section
• Updated the Hoosier Healthwise Package A section
• Updated the Package C Enrollment Process and Cost-Sharing Requirements section
• Added the Portal Copayment Response section
• Added Section 6: Benefit Limit Information
• Added the Retroactive Eligibility for Managed Care Members section
• Updated the Provider Responsibilities for Retroactive Eligibility section

​Code Tables
The following code table updates are accessible from the Code Sets page:
Family Planning Eligibility Program Codes

• Procedure Codes for the Family Planning Eligibility Program
  • Updated table
• See BT202061 for details

 
Procedure Codes That Require Attachments

• See BR202015 and BR202013 for details

Transportation Services Codes

• Covered Procedure Codes for Nursing Home Transportation Providers (Specialty 268)
  • Added table
  • See BT202026 for details
• Covered Procedure Codes for Common Carrier – Ambulatory Providers (Specialty 264)
  • Corrected table
• Covered Procedure Codes for Common Carrier – Nonambulatory Providers (Specialty 265)
  • Corrected table
• Procedure Code/Modifier Combinations for Billing Hospital-to-Hospital Transports
  • Added and updated table (previously posted in the Transportation Services provider reference module)
  • See BR202001 for details

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