IHCP Updates - Published 12/20

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at https://www.in.gov/medicaid/providers/ on December 20, 2018, (unless alternate date is noted).

Provider Reference Modules
Diabetes Self-Management Training Services 
• Incorporated relevant information from the Medical Policy Manual
• Updated the examples of DSMT in the Introduction section
• In the Coverage for DSMT Services section: 

•  Updated the list of practitioners eligible to provide DSMT services 
• Removed information regarding which practitioners can bill directly and which must bill under a supervising practitioner’s NPI

• Clarified DSMT coverage requirements in the DSMT Billing and Reimbursement section 

Hearing Services
• Incorporated text from relevant sections of the Medical Policy Manual
• Updated the Audiological Assessments/Hearing Tests section, including: 

• Added an IAC reference 
• Added information about providers eligible to perform audiological assessments 
• Added a reference to the new code table for audiological assessments

• In the Medical Clearance and Audiometric Test Form section, clarified provider restrictions for Part II of the form
• Clarified information about comprehensive audiometry versus other audiometric testing in the Reimbursement for Hearing Tests section
• Updated the list of applicable items and added a note about hearing aid checks in the Hearing Services That Do Not Require Prior Authorization section
• Updated the Hearing Aids section and its subsections, including: 

• In the Reimbursement for Hearing Aids subsection, added references to the Fee Schedule and cost invoices and removed reference to the manually priced hearing aids code table 
• Added the Coverage Criteria by Type of Hearing Aid subsection

• Clarified PA requirements in the Cochlear Implants section

Code Table and Other Updates
The following code table updates are now available on the Code Sets page:
Hearing Services Codes
• All codes were reviewed
• Added Audiological Assessment Procedure Codes Limited to One Unit Every 3 Years table
• Removed Procedure Codes for Manually Priced Hearing Aids table

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