IHCP Updates - Published 4/30

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on April 30, 2019 (unless alternate date is noted).

Banner Page
BR201918

• IHCP to update pricing for certain physician-administered drug codes

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Provider Reference Modules
Transportation Services (See module for full list of changes)

• In the Introduction section, added information about IHCP transportation requirements, including new brokerage requirements for FFS NEMT
• Added the Brokered Nonemergency Medical Transportation section and subsections
• Added the Emergency Transports in Response to 9-1-1 Dispatches section
• Updated the “other emergency procedures” in the Basic Life Support (BLS) Ambulance Service section
• Updated the Prior Authorization for Transportation Services section
• Updated the General Billing and Reimbursement Guidelines section
• Added the Hospital-to-Hospital Transports section
• Added the Pharmacy-Only Transportation section
• In the Noncovered Transportation Services section, removed text about transporting a member to or from the pharmacy to pick up a prescription
• Updated the Patient Expiration section
• Added the Common Carrier – Ambulatory Transportation (Provider Specialty 264) and Common Carrier – Nonambulatory Transportation (Provider Specialty 265) sections
• Updated the Family Member Transportation (Provider Specialty 266) section, including adding information about brokered NEMT

Code Tables
The following code table updates are accessible from the Code Sets page:
Transportation Services Codes

• All codes were reviewed

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