IHCP Updates - Published 9/24

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers on September 24, 2019 (unless alternate date is noted).

News and Announcements (home page)
IHCP corrects typo in CPT code number, published in September 17 banner page (published September 23, 2019)

​Bulletins and Banner Page
BT201953 – IHCP amends the rules for applied behavior analysis therapy services
BT201952 – IHCP revises Presumptive Eligibility copays for drugs and pharmacy supplements
BR201939

• IHCP to cover HCPCS code C9041
• IHCP to mass void or mass adjust claims for ABA therapy services
• IHCP to mass adjust certain claims for physician-administered drug procedures that paid inappropriately
• IHCP to allow reimbursement of acquisition of body components in the outpatient setting
• IHCP to update reimbursement of certain organ acquisition services in the outpatient setting
• PE approval letters to include HIPAA notification and resources
• IHCP will collect origination and destination address information from encounter claims
• IHCP reminds providers of provider agreement during enrollment
• Portal enhancement for allowing certain out-of-state providers to perform telemedicine services

Provider Reference Module
Division of Mental Health and Addiction Adult Mental Health Habilitation

• Reorganized and edited text as needed for clarity
• Updated links to new IHCP website
• Made updates per State Plan renewal that was effective October 2018
• Updated POCO setting visit information as of December 2018 in the State Monitoring section
• Added the AMHH Clinical Eligibility Review Process section

• Updated Appendix A: AMHH Acronyms and Definitions
  • Added Appendix F: AMHH Application Report

• Updated the screen pages to current HCBS RSST as of July 1, 2019, in Appendix G: HCBS Residential Setting Screening Tool

Code Table
The following code table updates are accessible from the Code Sets page:
Adult Mental Health Habilitation Codes

• All codes were reviewed

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