IHCP Updates - Published 12/10

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.