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IHCP Updates - Published 12/10

12/11/2019

 
The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on December 10, 2019 (unless alternate date is noted).
News and Announcements (home page)
Payment Error Rate Measurement webinar available on IHCP website (November 27, 2019)

​Bulletins and Banner Page

BT201970 – IHCP explains submission of pharmacy crossover claims for select Medicare-eligible beneficiaries
BR201950
  • IHCP will reimburse claims for NARCAN® when billed on CMS-1500 or UB-04 claim form
  • IHCP to mass reprocess or mass adjust claims for ABA services that may have denied incorrectly
  • IHCP to mass reprocess claims for ICD-10 diagnosis code Z99.89 that may have denied incorrectly
  • IHCP to mass reprocess or mass adjust claims for anesthesia services that denied incorrectly, and add Anesthesia Services Codes for CRNAs
  • IHCP adds procedure codes for speech therapy services to Telemedicine Services Codes

Provider Reference Modules

Claim Submission and Processing (see the module for a full list of changes)
  • Updated 1-year timely filing limit to 180 days
  • Added the Provider Healthcare Portal Claims section and subsection
  • Added two subsections for claim notes: Essure Sterilization and Community Health Worker Name
  • Added information about diagnosis codes on the dental claim in the ICD Codes section
  • Updated Table 2 – Types of Modifiers
  • Updated the Place-of-Service Codes section
  • Clarified inpatient stay definition in the Admission and Duration Requirements for Institutional Claims section
  • Updated the list of codes in the Revenue Code Linkages for Managed Care Billing Only section
  • Updated information in fields 1, 15, and 77 in Table 4 – UB-04 Claim Form Fields
  • Added the Portal Institutional Claim Submission Process section
  • Updated Table 5 – Types of Services Billed on Professional Claims
  • Updated the National Provider Identifiers for Professional Claims section
  • Added the Portal Professional Claim Submission Process section
  • Updated Table 8 – ADA 2012 Claim Form Field Descriptions
  • Updated Figure 56 – ADA 2012 Dental Claim Form
  • Added the Portal Dental Claim Submission Process section
  • Updated the Reporting Other Insurance Information on IHCP Claims section
  • Updated Table 14 – Region Codes

Code Tables

The following code table updates are accessible from the Code Sets page:
Anesthesia Services Codes
  • Updated the following table:
    • Covered Procedure Codes for Certified Registered Nurse Anesthetists (CRNAs) (Specialty 094)
  • See BR201950 for details
Medical Review Team Codes
  • All codes were reviewed
Procedure Code Modifiers for Professional Claims
  • All codes were reviewed
Procedure Codes That Require Attachments
  • All codes were reviewed
Revenue Codes
  • All codes were reviewed
  • Removed outpatient payment information
    • See the Revenue Codes tab on the Outpatient Fee Schedule for this information
Revenue Codes with Special Procedure Code Linkages
  • All codes were reviewed
Check out these resources to stay up-to-date with the most recent changes at the IHCP.

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