IHCP Update: Published June 28, 2022

The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on June 28, 2022 (unless alternate date is noted).

News and Announcements
IHCP to host live webinar on age-specific diagnoses

​Bulletins and Banner Page
BT202247 – IHCP to cover COVID-19 vaccine counseling as part of EPSDT benefit
BT202246 – Pharmacy updates approved by Drug Utilization Review Board June 2022
BR202226

• FSSA reminds PRTF providers of rate changes for 2022
• IHCP issues reminder and general guidance to facilitate prior authorization submissions
• FSSA reminds waiver providers of the temporary rate for assisted living services ends June 30, 2022

Provider Reference Modules
Medical Practitioner Reimbursement (see the module for a full list of changes)

• Added the IHCP Professional Pricing Methods section and updated both subsections
• Updated the Special Payment Situations section
• Removed the Mid-Level Practitioners section
• Updated the Advanced Practice Registered Nurses section
• Updated the Physician Assistants section
• Added the Behavioral Health Practitioners section
• Added the Nonenrolled Therapy Practitioners section
• Added the Community Health Workers section
• Updated the Provider Preventable Conditions section
• Updated the Site-of-Service Payment Adjustment section
• Removed the Reimbursement for Notification of Pregnancy section
• Updated the Reimbursement for the Promoting Interoperability Program section

Division of Disability and Rehabilitative Services Home- and Community-Based Services Waivers (posted June 24, 2022) (see the module for a full list of changes)

• Updated the annual cap for FSW
• Updated Section 1.7: Waiver Service Providers, Including Selected Contracting Case Management Organizations
• Updated Section 1.8: Office of Administrative Law Proceedings (OALP)
• Updated the Participating in Risk Plan Development and Implementation section
• Added Section 1.10: FSSA BDDS Documentation Requests
• Updated the Services Available subsections and removed the Terminated Services subsections in Section 4.5: Family Supports Waiver (FSW) and Section 4.6: Community Integration and Habilitation (CIH) Waiver
• Updated the Responsibilities of Individuals Applying for a CIH Waiver Priority Slot section
• Added Section 9.7: Quality On-Site Provider Review

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