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INARF has learned that issues related to billing for Wellness Coordination on the CIH Waiver should soon be resolved, please see the attached bulletin for more information. - - - The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on March 28, 2017 (unless alternate date is noted). News and Announcements (home page)
OPR Search Tool now available Bulletins and Banner Pages BT201723 - IHCP revises coverage policies for home health services BR201713 IHCP to cover HCPCS code Q5102 IHCP will no longer cover chemistry and toxicology tests IHCP will no longer cover HCPCS code S3000 OPR Search Tool now available IHCP revises maximum facility reimbursement rates for birthing centers Pricing updated for HCPCS codes A6450 and A6451 Prior authorization is now required for CPT code 69930 Providers should no longer bill certain DME procedure codes with the NU modifier Pricing updated for CDT codes D0251 and D1354 IHCP updates attachment requirements for various HCPCS codes Provider Modules Presumptive Eligibility Portal process updated where applicable Portal snaps updated where applicable Changed Web interChange to Provider Healthcare Portal Changed IndianaAIM to CoreMMIS Replaced RID with Member ID Changed Automated Voice Response (AVR) system to Interactive Voice Response (IVR) Hospital Presumptive Eligibility Changed Web interChange to the Provider Healthcare Portal Changed IndianaAIM to CoreMMIS Changed Automated Voice Response (AVR) system to Interactive Voice Response (IVR) and updated phone number Changed RID to Member ID Portal process updated, where applicable Portal snaps populated, where applicable Moved Member Identification and Admission Date sections under new Presumptive Eligibility Period heading. Hearing Services Changed hearing aid specialist references to hearing aid dealer Added the Provider Healthcare Portal option to billing and PA instructions Removed clinical fellowship year audiologist from the list of providers that must conduct audiological assessments in the Hearing Services Coverage and Prior Authorization Requirements section Home Health Services Updated billing and PA instructions to include Provider Healthcare Portal options Replaced references to IndianaAIM with CoreMMIS Clarified the use of 99600 TD in Home Health Nursing PA Request Coding Updated billing information regarding occurrence codes in the PA Exception for Hospital Discharge, Overhead Rate, and Home Health Reimbursement sections Added notes to Table 1 - Revenue Codes Crosswalked to Procedure Codes for Home Health Services and Table 3 - Codes for Billing Initial Evaluations for Physical, Occupational, and Speech Therapy in Home Settings to indicate code changes that took place after this module's effective date Removed outdated home health agency rate-setting methodology from the Home Health Reimbursement section Updated the Customer Assistance telephone number Updated the CMCS mailing address Injections, Vaccines, and Other Physician-Administered Drugs Added Provider Healthcare Portal instructions for billing Removed ICD-9 information Updated Customer Assistance and TPL Unit telephone numbers Updated information in the Remittance Advice and NDC-Related Explanations of Benefits section Vision Services Replaced Automated Voice Response (AVR) system references with Interactive Voice Response (IVR) system Replaced Web interChange references with Provider Healthcare Portal Updated claim references to reflect Portal billing options Updated the Written Correspondence section to include information about submitting coverage inquiries through the Portal and revised time frame for response Family Planning Eligibility Program Changed Automated Voice Response (AVR) system reference to Interactive Voice Response (IVR) system and updated the telephone number for the IVR system Changed Web interChange reference to Provider Healthcare Portal Removed ICD-9 codes Updated billing information with Portal options throughout the module Updated the EOB information in Table 1 − EOBs Applicable to the Family Planning Eligibility Program Updated Table 2 - Family Planning Eligibility Program − Billing Instructions for the Hysteroscopic Sterilization Procedure with Implant Device Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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