IHCP Update: Published August 16, 2022

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on August 16, 2022 (unless alternate date is noted).

​News and Announcements
IHCP cancels DAP webinar on August 18
IHCP will host webinar to discuss provider notices published during August

​Bulletins and Banner Page
BT202266 – IHCP announces billing guidance for Paxlovid pharmacy claims
BT202265 – IHCP updates PA criteria for HCPCS code J3399 (Zolgensma)
BT202264 – HIP reimbursement policy updated for members requiring admission to LTC facilities

Provider Reference Modules
Member Eligibility and Benefit Coverage (posted Aug. 12, 2022) (See the module for a full list of changes.)

• Added sample UnitedHealthcare card in the Hoosier Care Connect Member Card section
• Added sample cards from each MCE in the Hoosier Healthwise Member Card section
• Added information for FFS pharmacy benefit limits to the note in the Information Available Through the EVS section
• Updated 1915(I) State Plan HCBS information in the Fee-for-Service Benefit Options section
• Updated the Primary Medical Providers section
• Updated the list of behavioral health practitioners in the Self-Referral Services section
• Added COVID-19 vaccine administration in the Carved-Out Services section
• Added a note about the postpartum coverage period in the Member Eligibility and HIP Benefit Plan Assignment section
• Updated Table 6 – Comparing Hoosier Healthwise Benefit Packages A and C
• Updated the Program of All-Inclusive Care for the Elderly section
• Updated the Preadmission Screening and Resident Review section

Prior Authorization (posted Aug. 12, 2022)

• Updated the telephone option for IVR
• Updated DXC group email addresses to Gainwell
• In the Transferring Outstanding Prior Authorizations section, clarified that the requesting provider’s NPI is required
• Updated the Providers Allowed to Submit PA Requests section
• Added the Behavioral Health Related Forms section
• Added MRO references and subsection in the Prior Authorization Procedures for HCBS and MRO Programs section
• Clarified information in the Prior Authorization and Third-Party Liability section
• Added note about retroactive PA requests in the Submitting PA Requests by Mail or Fax section
• Updated Table 2 – IHCP Prior Authorization Request Form Instructions
• Updated the Create Authorization (Requesting PA) section
• Added note about retroactive requests in the Create Authorization section

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