IHCP Update: Published 8/27

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on August 27, 2020 (unless alternate date is noted).

Bulletins
BT202096 – IHCP COVID-19 Response: IHCP clarifies policy on PA process for acute care hospital inpatient admissions
BT202095 – IHCP announces requirement for pharmacies to use Quantity Prescribed (460-ET) field

Provider Reference Modules
Pharmacy Services (see the module for a complete list of updates)

• Updated OptumRx Indiana Medicaid website references
• Changed CMCS references to DXC
• Updated pharmacy audit department telephone number
• Added a note regarding requirements for a phoned-in prescription in the Dispense-as-Written Codes section
• Updated the Drugs Carved Out of Managed Care section
• Added information about days supply and product shelf life in the Storage and Handling Requirements section
• Updated the Medical Supplies (Including Preferred Diabetes Supplies) and Durable and Home Medical Equipment section and subsections
• Provided clarification regarding copayments in the Pharmacy Copayment section
• Added the Family Planning Eligibility Program section
• Updated the Coverage of Drug Products for Treating Tobacco Dependence section
• Updated Table 6 – Exclusions to $5,000 Limit
• Added the Claim Reimbursement Adjustments section
• Included information about Medicare Part B crossover claims in the Claim Processing for Dually Eligible (Medicare and Medicaid) Members section
• Updated the Invoice Reconciliation Audits section
• Updated the Proof of Delivery section

Laboratory Services

• Added billing information for comprehensive environmental lead investigation in the Lead Testing section

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