IHCP Updates - Published 1/30

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on January 30, 2020 (unless alternate date is noted).

News and Announcements (home page)
Prior authorization fax lines are now available (posted January 29, 2020)
IHCP communications survey (posted January 31, 2020)

Bulletin
BT202009 – IHCP changes requirements for MCE emergency services claim processing

Provider Reference Modules
Injections, Vaccines, and Other Physician-Administered Drugs

• Updated links to the IHCP website
• Updated the initial note box with standard wording
• Added clarification to the Managed Care Carve-Outs section that only the drug codes themselves are carved out, not related services
• Added the 340B Program Requirements section
• Added an exception for certain manually priced drugs in the Reimbursement for Physician-Administered Drugs section
• Updated instructions in the Provider Enrollment in the VFC Program section
• Added the Buprenorphine section
• Added the Buprenorphine Extended-Release (Sublocade) section

Clinical Trials

• Updated the initial note box with standard wording

Code Tables
The following code table updates are accessible from the Code Sets page:
Emergency Department Autopay List

• New document
• See BR202009 for details.

Injections, Vaccines, and Other Physician-Administered Drugs Codes

• All codes were reviewed.

Companion Guide
837D Health Care Claim: Dental Transaction V3.8 (posted January 27, 2020)

• Clarified that SV306 – Quantity is required by the IHCP

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