IHCP Update: Published August 9, 2022

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on Aug. 9, 2022 (unless alternate date is noted).

​Bulletins and Banner Page
​BT202262 – IHCP to cover COVID-19 vaccine for children as young as age 6 months
BR202232

• IHCP to cover HCPCS code 90759
• IHCP reminds providers of plan of care requirement

Provider Reference Modules
Diabetes Self-Management Training Services (posted Aug. 8, 2022)

• In the Coverage for DSMT Services section, updated the list of healthcare professionals that can order DMST services
• Added clarification about rendering provider in the DSMT Billing and Reimbursement section
• Updated the Documentation for DSMT Services section

Financial Transactions and Remittance Advice (posted Aug. 5, 2022)

• Updated the Remittance Advice Section Descriptions section, including adding the new wrap payment sections for FQHCs and RHCs, and added corresponding Figures 17 and 18)
• Updated Table 1 – Provider Remittance Advice Fields
• Updated Table 4 – RA Summary Page Fields to add a field for NEMT capitation payment and updated corresponding Figure 24
• Updated the Accounts Receivable Reason Codes section
• Added new FQHC/RHC Wraparound Supplemental Professional and Dental Claim Processing section

Code Tables
The following code table updates are accessible from the Code Sets page:
Physician-Administered Drugs Carved Out of Managed Care and Separately Reimbursed Outside the DRG

• See BT202262 for details

Preventive Care Services Excluded From Copayment for HIP and PE Adult

• See BR202232 for details

Revenue Codes With Special Procedure Code Linkages

• Updated the following table: Procedure Codes Linked to Revenue Code 636 – Drugs Requiring Detailed Coding
• See BT202262 and BR202232 for details

Transportation Services Codes

• Updated the following table: Covered Procedure Codes for Ambulance Providers (Specialty 260)
• See BT202262 for details

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