IHCP Update: Published January 4

The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on Jan. 4, 2022 (unless alternate date is noted).

​News and Announcements
IHCP to host Jan. 12 webinar on data flow with MCEs

Bulletins
BT202201 – Pharmacy updates approved by Drug Utilization Review Board December 2021
BT2021113 – Coverage and billing information for the 2022 annual HCPCS codes update (posted Dec. 30, 2021)
BT2021112 – IHCP requests feedback for proposed 2022 telehealth and virtual services code set (posted Dec. 30, 2021)
BT2021111 – DMHA announces changes to child mental health wraparound access site policy (posted Dec. 30, 2021)
BT2021110 – Drug coverage policy clarified for members enrolled in managed care requiring admission to LTC facilities (posted Dec. 30, 2021)

Code Tables
The following updated code tables are accessible from the Code Sets page.
See BT2021113 for details about updates to the following tables:

• Dental Services Codes
  • Dental Procedure Codes That Require a Tooth Number on the Claim
• Durable and Home Medical Equipment and Supplies Codes
  • Covered Procedure Codes for Durable Medical Equipment (DME) Providers (Specialty 250)
  • Covered Procedure Codes for Home Medical Equipment (HME) Providers (Specialty 251)
  • Incontinence, Ostomy, and Urological Supplies Available Only through Contracted Vendors (for Fee-for-Service Members)
• Hearing Services Codes
  • Covered Procedure Codes for Audiologists (Specialty 200)
  • Covered Procedure Codes for Hearing Aid Dealers (Specialty 220)
• Obstetrical and Gynecological Services Codes
  • CPT Procedure Codes for Hysterectomy
• Physician-Administered Drugs Carved Out of Managed Care and Reimbursable Outside the Inpatient Diagnosis-Related Group
• Podiatry Services Codes
  • Covered Procedure Codes for Podiatrists (Specialty 140)
• Procedure Code Modifiers for Professional Claims
• Procedure Codes That Require Attachments
• Procedure Codes That Require National Drug Codes (NDCs)
• Renal Dialysis Services Codes
  • Procedure Codes Included in the Renal Dialysis Composite Rate
• Revenue Codes With Special Procedure Code Linkages
  • Procedure Codes Linked to Revenue Code 636 – Drugs Requiring Detailed Coding

See BT2021106 for details about updates to the following tables:

• Prenatal and Preventive Pediatric Care Diagnosis Codes That Bypass Cost Avoidance
  • Prenatal Care ICD-10 Diagnosis Codes That Bypass Cost Avoidance for Dates of Service Before December 31, 2021

See BR202148 for details about updates to the following tables:

• Revenue Codes With Special Procedure Code Linkages
  • Procedure Codes Linked to Revenue Code 920 – Other Diagnostic Services – General
  • Procedure Codes Linked to Revenue Code 940 – Other Therapeutic Services – General

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