IHCP Updates - Published 12/3

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).
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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.