IHCP Update: Published December 14

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on Dec. 14, 2021, (unless alternate date is noted).

News and Announcements
IHCP will host webinar to discuss provider notices published during December

Bulletin and Banner Page
BT2021108 – Changes to reimbursement for eligible out-of-state children’s hospitals
BR202150

• IHCP clarifies COVID-19 vaccination pharmacy claims process using the ordering pharmacist’s NPI
• IHCP updates HAF exemption information on the Outpatient Fee Schedule

Provider Reference Modules
Introduction to the IHCP

• Changed DXC references to Gainwell
• Changed ISDH references to IDOH
• Updated Table 1 – Fee-for-Service PA and Claim Submission
• Updated information in the Provider Reimbursement Methodologies section
• Added UnitedHealthcare in the Contractors section
• Updated the Southeastrans Provider Services section
• Updated the Provider Relations section
• Updated the Provider Resources and Contact Information section, including adding Table 3 – Office of Medicaid Policy and Planning Email Inboxes for Providers
• Updated the Civil Rights Requirements section to add a reference to the American Disabilities Act and to update Figure 1 – Sample Nondiscrimination Posting

Electronic Data Interchange

• Changed DXC references to Gainwell
• Updated information about the location of implementation guides

Code Tables
The following code table updates are accessible from the Code Sets page:
Procedure Codes That Require National Drug Codes (NDCs)

• See BR202145 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 BR202145 for details

Companion Guide
270/271 Health Care Eligibility Benefit Inquiry and Response Transactions, Version 3.7

• Updated the benefit plan list to include Package B – Emergency Services Only With Pregnancy Coverage
• Updated the email address for trading partner agreements and electronic data interchange (EDI) technical assistance

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