INARF
​​Home | login | contact us
  • About Us
    • About Us
    • Board of Directors
    • Staff
    • Corporate Committees
    • Professional Interest Sections
    • Awards & Recognition
  • Membership
    • Member Login
    • Membership
    • Member Benefits & Inquiries
    • Organizational Member Directory
    • Associate Member Directory
    • Member Job Postings
  • Events
    • Upcoming Events
    • INARF 2023 Annual Conference >
      • Artisan Opportunities
      • Sponsor Opportunities
      • Exhibit Opportunities
    • INARF 2023 Pre-Conference
  • Professional Development
    • Professional Development
    • INARF DSP Series
    • INARF Leadership Academy
  • Technical Assistance
    • Technical Assistance
    • News & Information
  • Governmental Affairs
    • Governmental Affairs
    • INARF PAC
    • Bills Being Watched
    • Statehouse News
    • Take Action Now With VoterVoice!
  • About Us
    • About Us
    • Board of Directors
    • Staff
    • Corporate Committees
    • Professional Interest Sections
    • Awards & Recognition
  • Membership
    • Member Login
    • Membership
    • Member Benefits & Inquiries
    • Organizational Member Directory
    • Associate Member Directory
    • Member Job Postings
  • Events
    • Upcoming Events
    • INARF 2023 Annual Conference >
      • Artisan Opportunities
      • Sponsor Opportunities
      • Exhibit Opportunities
    • INARF 2023 Pre-Conference
  • Professional Development
    • Professional Development
    • INARF DSP Series
    • INARF Leadership Academy
  • Technical Assistance
    • Technical Assistance
    • News & Information
  • Governmental Affairs
    • Governmental Affairs
    • INARF PAC
    • Bills Being Watched
    • Statehouse News
    • Take Action Now With VoterVoice!

IHCP Important updates posted to the website - Published 5/16

5/17/2017

 
The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on May 16, 2017 (unless alternate date is noted).

Bulletins and Banner Pages
BR201720
- Transportation code A0425 denying for NCCI MUE
- POA indicator issues corrected in CoreMMIS and the Portal
- IHCP identifies top 20 EOB denial codes
- Save the date for the 2017 second-quarter IHCP provider
Provider Reference Modules 
Inpatient Hospital Services 
- Reorganized text and made edits as needed for clarity
- Changed RID references to IHCP Member ID
- Changed IndianaAIM references to CoreMMIS
- Changed Web interChange references to Provider Healthcare Portal (Portal), and added Portal instructions for billing as needed
- Removed ICD-9 information
- Updated EOB description in the PA Policy for Inpatient Stays for Burn Care section
- Added information for MCE contacts in the General Inpatient Billing and Coding Procedures section
- Updated the Present on Admission Indicators section
- Included reference to implantable DME in the Diagnosis-Related Group Reimbursement System section
- Updated the Customer Assistance telephone number
- Updated the AP-DRGs excluded for psychiatric cases in the Inpatient Level-of-Care Reimbursement System section
- Updated the section of the RA in which medical education payment information appears in the Medical Education Reimbursement for Encounter Claims section
- Updated the list of IHCP-enrolled children's hospitals in the DRG Base Rate for Children's Hospitals section
- Updated the Hospital-Acquired Conditions Policy section
- Updated EVS information in the Inpatient Coverage for Department of Correction Inmates section
- Changed Medicare Remittance Notice (MRN) references to Explanation of Medicare Benefits (EOMB)
- Clarified "same or related" in the Readmissions section
- Updated the Inpatient Stays Less Than 24 Hours section and Inpatient-Only Codes subsection 

Home and Community-Based Services Billing Guidelines
- Reorganized and edited text throughout for clarity and consistency
- Replaced Web interChange references with Provider Healthcare Portal
- Replaced IndianaAIM references with CoreMMIS 
- Replaced LPI references with Provider ID 
- Added notation regarding PRTF Transition Waiver
- Removed references to MFA-CIH and MFA-PRTF
- Added the HCBS Benefit Combinations section
- Added web page references to the Authorization of 1915(i) HCBS Benefit Plan Services section 
- Added the HCBS Eligibility Verification heading and expanded information in that section to reflect CoreMMIS processes
- Updated the HCBS Billing Instructions section, including: 
- Updated Table 1
- Expanded information in the Special Processing for HCBS Provided on Long-Term Care Discharge Dates or During Hospice Level of Care section
- Added the Third-Party Liability Exemption section
- Updated the HCBS Provider Reimbursement section 

Medicaid Rehabilitation Option Services 
- Edited and reorganized text throughout for clarity
- Replaced IndianaAIM references with CoreMMIS
- Replaced Web interChange references with the Provider Healthcare Portal
- Replaced AVR system references with IVR system
- Replaced LPI references with Provider ID
- Replaced references to Clinic Option with "outpatient mental health services" (405 IAC 5 20 8)
- Updated the Crisis Intervention section and removed the HW modifier from H2011 throughout the module 
- Updated the Intensive Outpatient Treatment section, including adding information about service unit limitations
- Updated the Medication Training and Support section, including clarifying age limitations for group-based services 
- Added the Psychosocial Rehabilitation (Clubhouse Services) section, and added references to this service wherever appropriate
- Updated the 1915(i) HCBS State Plan Amendment Programs and MRO Services section
- Updated Section 4: Medicaid Rehabilitation Option Service Packages to reflect CoreMMIS processes
- Updated Section 5: Prior Authorization, including:
- Replaced ADVANTAGE references with Cooperative Managed Care Services (CMCS) and updated P.O. box
- Added information about submitting PA via the Portal
- Clarified information in the Retroactive PA Policy and PA and Service Package Assignment subsections
- Updated Section 6: Clinical Record Documentation Requirements, including:
- Updated examples to include provider name
- Added the Psychosocial Rehabilitation Documentation section
- Updated and clarified information in Section 7: Billing and Reimbursement Requirements for MRO Services, including:
- Clarified information about MRO billing for managed care members in the Claim Format section
- Added place-of-service code 32 in the Place of Service Codes section 
- Updated Table 21 - MRO HCPCS Codes
- Replaced the table in the Third-Party Liability Requirements section with a general statement
- Updated the Customer Assistance telephone number
- Updated Appendix A: MRO Service Packages, including adding HCPCS codes to the tables 

Presumptive Eligibility for Pregnant Women
- Reorganized and edited text as needed for clarity
- Replaced Web interChange references with Provider Healthcare Portal and updated related instructions and figures
- Replaced IndianaAIM references with CoreMMIS 
- Updated information regarding the PEPW ID for members with an existing Member ID (RID) 
- Updated the Presumptive Eligibility Claim Billing section to reflect new eligibility verification processes and terminology 
- Updated Appendix A to reflect the PEPW member application fields

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

Comments are closed.

    RSS Feed

    Archives

    September 2022
    August 2022
    July 2022
    June 2022
    May 2022
    April 2022
    March 2022
    February 2022
    January 2022
    December 2021
    November 2021
    October 2021
    September 2021
    August 2021
    July 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    September 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    April 2013
    March 2013
    February 2013
    January 2013
    January 2011
    September 2009
    December 2007

© Indiana Association of Rehabilitation Facilities, Inc. (INARF)
    615 North Alabama Street, Suite 410, Indianapolis, IN 46204
    (t) 317-634-4957 / (f) 317-634-3221 / Contact us by email
ANCOR Proud Member Small