IHCP Update: Published November 16

The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on Nov. 16, 2021 (unless alternate date is noted).

​Bulletins and Banner Page
BT2021101 – IHCP to cover COVID-19 vaccine for children ages 5 through 11
BT2021100 – IHCP to cover Covid-19 vaccine booster shots
BT202199 – IHCP clarifies billing requirements for enrolled behavioral health professionals supervising plans of treatment
BR202146

• IEP-related nursing services rate remains unchanged for calendar year 2022
• IHCP adds prosthetic device coverage for HCPCS codes L8701 and L8702
• IHCP to add 66821 to optometry services code set
• IHCP updates pricing for certain procedure codes in the outpatient setting, effective immediately

Code Tables
The following code table updates are accessible from the Code Sets page:
Family Planning Eligibility Program Codes

• Updated the following table:
  • Procedure Codes for the Family Planning Eligibility Program
• See BT2021100 for details

Preventive Care Services Excluded from Copayment for Healthy Indiana Plan and Presumptive Eligibility – Adult

• Updated the following table:
  • Procedure Codes That Qualify as Preventive Services for HIP and PE Adult Members
• See BT2021100 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, BT2021100 and BT2021101 for details

Transportation Services Codes

• Updated the following table:
  • Covered Procedure Codes for Ambulance Providers (Specialty 260)
• See BT2021100 and BT2021101 for details

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