IHCP Update: Published October 5

The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on Oct. 5, 2021 (unless alternate date is noted).

​Bulletin and Banner Page
BT202191 – IHCP announces the Indiana Pregnancy Promise Program
BR202140

• Correction to procedure code 0632T, code remains noncovered

Provider Reference Modules

Transportation Services (see the module for a complete list of changes)

• Changed “accompanying parent” references to “accompanying adult”
• Changed DXC references to Gainwell
• Updated Southeastrans web links as needed to reflect the current URLs
• Updated the Introduction section
• Updated the Exempted NEMT Services section
• Updated the Scheduling Procedures for Brokered NEMT Services section
• Updated the Billing and Reimbursement for Brokered NEMT Services section
• Added the Southeastrans Review and Appeals Process section
• Updated the Multiple Passengers section
• Updated the Accompanying Adult or Attendant section
• Updated the Hospital-to-Hospital Transports section
• Added the IHCP Transportation Provider Specialties section heading and introductory text, updated subsections and added four subsections
• Update the Ambulance Transportation and Related Services section
• Added the Naloxone Administration section and subsections
• Added the Vaccine Administration section
• Added the Treat-No-Transport section

Code Tables
The following code table updates are accessible from the Code Sets page:
Chiropractic Services Codes

• Updated the following table:
  • ICD-10 Diagnosis Codes Allowed for Chiropractors (Specialty 150)
• See BT202186 for details.

Durable and Home Medical Equipment and Supplies Codes

• Updated the following tables:
  • Covered Procedure Codes for Durable Medical Equipment (DME) Providers (Specialty 250)
  • Covered Procedure Codes for Home Medical Equipment (HME) Providers (Specialty 251)
• See BR202135 and BT202190 for details.

Emergency Department Autopay List

• See BT202186 for details.

Family Planning Eligibility Program Codes

• Updated the following table:
  • Procedure Codes for the Family Planning Eligibility Program
• See BT202190 for details.

Physician-Administered Drugs Carved Out of Managed Care and Reimbursable Outside the Inpatient Diagnosis-Related Group

• See BT202190 for details.

Podiatry Services Codes

• Updated the following table:
  • Covered Procedure Codes for Podiatrists (Specialty 140)
• See BT202190 for details.

Prenatal and Preventive Pediatric Care Diagnosis Codes That Bypass Cost Avoidance

• Updated the following table:
  • Prenatal Care ICD-10 Diagnosis Codes That Bypass Cost Avoidance
• See BT202186 for details.

Presumptive Eligibility for Pregnant Women Codes

• See BT202186 for details.

Procedure Codes That Require National Drug Codes (NDCs)

• See BT202190 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 BT202190 for details.

Transportation Services Codes

• All codes were reviewed.

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