IHCP Updates - Published 1/21

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on January 21, 2020 (unless alternate date is noted).

Bulletin and Banner Page
BT202005 – FSSA announces amendment to the CMHW Program
BR202003

• IHCP to cover HCPCS codes Q5114, and Q5115
• IHCP removes age restriction on adult day services for A&D and TBI waivers, accepts resubmitted claims
• IHCP assigns maximum fee pricing to CPT codes for outpatient services, accepts resubmitted claims
• IHCP to mass reprocess claims for skilled nursing facility services that may have denied incorrectly
• FSSA to host provider meeting on January 24, including information on new Medicaid waiver for SMI

​Provider Reference Module
Interactive Voice Response System

• Clarified information in the Entering Alphabetic Data section
• Updated option 5 in step 1a of Table 7 - IVR System Initial Options
• Updated step 5-8d of Table 9 - IVR System - Service Restrictions to remove the note about the IVR system not returning benefit limit information for managed care members
• Removed the limit on the number of coverage types returned in the Other Insurance Information section
• In the Benefit Limits section, updated the benefit limit information provided by the IVR system

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