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      • Exhibit Opportunities
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IHCP Updates - Published 12/3

12/5/2019

 
The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on December 3, 2019 (unless alternate date is noted).
​

News and Announcements (home page)
CMS good faith exemption extends EVV soft launch (November 26, 2019)
Banner Page
BR201949
  • IHCP provider payment dates during the holidays

​Provider Reference Modules

Federally Qualified Health Centers and Rural Health Clinics
  • Corrected information about the documentation required in the Federally Qualified Health Centers and Rural Health Clinics sections
  • Clarified information in the Rendering Providers section regarding FQHC/RHC qualifying practitioners required to enroll in the IHCP
  • Added a note box about FQHC cost reports and instruction manual in the FQHC and RHC Billing and Reimbursement section
  • Updated the FQHC and RHC Encounters section to include information about telemedicine
  • Added the Medicaid Rehabilitation Option Services section
  • Updated the Dental Services section

Code Tables

The following code table updates are accessible from the Code Sets page:
Anesthesia Services Codes
  • Updated the following table to remove end-dated codes:
    • Procedure Code Set for Certified Registered Nurse Anesthetists (CRNAs) (Specialty 094)
Injections, Vaccines, and Other Physician-Administered Drugs Codes
  • Updated the following table:
    • Procedure Codes for Chemodenervation for Use with Botulinum Toxin Injections
  • See BR201944 for details
Procedure Codes That Require National Drug Codes (NDCs)
  • See BR201944 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 BR201944 for details

Companion Guides

The following updated companion guides are accessible from the IHCP Companion Guides page:
834 MCE Benefit Enrollment and Maintenance Transaction V5.1
  • Loop 2750 N102 Name – Added indicators for Hoosier Healthwise (HHW), Hoosier Care Connect (HCC), and Healthy Indiana Plan (HIP)
  • Loop 2750 REF02 –Added indicator codes for HHW, HCC, and HIP
  • Loop 2750 DTP02 – Changed sentences
  • Under HHW/HCC – Added Section 4.2.1.3 Term Change File and Section 4.2.1.4 Term Audit File
  • Under File Naming Standards – Added CT – Monthly term change file and AT – Monthly term audit file
  • Under HIP – Added Section 4.2.4.3 Term Change File and Section 4.2.4.4 Term Audit File
  • Added to File Naming Standards – CT – Monthly term change file – fully eligible members and AT-Monthly term audit file – fully eligible members
  • Added MCE stop reason code GS – HIP GTW Suspension
Check out these resources to stay up-to-date with the most recent changes at the IHCP.  

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