- PE approval letters serve as proof of temporary coverage
The State is aware that some members are presenting for pharmacy and other services before their PE status is visible to providers in the IHCP Eligibility Verification System or in the MCEs’ pharmacy benefits manager (PBM) systems. Please be aware that an original PE approval letter is sufficient to validate temporary coverage even if the member is not listed in the appropriate eligibility system.
- Evansville provider workshop rescheduled for April 9
The Indiana Health Coverage Programs (IHCP) has rescheduled its provider workshop at Deaconess Hospital in Evansville for April 9, 2015. The original workshop was canceled due to weather.
- PE and HPE qualified provider training scheduled for March
Acute care hospitals, free-standing psychiatric hospitals, FQHCs, RHCs, CMHCs, and local county health departments interested in becoming qualified providers for Presumptive Eligibility (PE) or Hospital Presumptive Eligibility (HPE) are invited to attend a virtual training webinar this month.
- Provider workshops scheduled for March 2015
The Indiana Health Coverage Programs (IHCP) is offering one-day educational workshops to providers throughout the state during the month of March. Click the news article link for dates and other information. More details and registration will be available on the Provider Education page beginning Tuesday, February 17, 2015.
- IHCP Makes Changes to Hoosier Healthwise Member Cards
The Indiana Health Coverage Programs (IHCP) is changing how member cards for individuals enrolled in Hoosier Healthwise are issued. Each managed care entity (MCE) will assume responsibility for issuing Hoosier Healthwise member ID cards for newly eligible Hoosier Healthwise members enrolled under their health plan. This change will be implemented in phases and may result in some minor differences in the look of Hoosier Healthwise member cards printed after January 1, 2015.
- ACA increase in reimbursement for primary care services ending December 31, 2014
The Affordable Care Act (ACA) required a temporary increase in Medicaid payments for qualifying primary care services provided by qualifying physicians for dates of service (DOS) in calendar years (CYs) 2013 and 2014. The federally funded, temporary rate increase was authorized only for these two calendar years. This temporary increase will end December 31, 2014, and the Medicaid rate structure will return to its preexisting levels for DOS on or after January 1, 2015.
- Indiana Core MMIS under development
The Indiana Health Coverage Programs (IHCP) is in the design phase of developing an enhanced Medicaid Management Information System (MMIS) to replace its current IndianaAIM system. The new system will include state-of-the-art technology intended to make doing business with the IHCP easier and more efficient.
- How the ICD-10 delay affects the IHCP
For questions and answers about the ICD-10 delay, see BR201437, and watch for more information about ICD-10 on this site in coming months.
- Anthem assumes responsibility for HIP ESP claims processing
Effective July 1, 2014, Anthem Insurance Companies, Inc. will assume responsibility for processing outstanding claims for members who continued participation in the Healthy Indiana Plan (HIP) Enhanced Services Plan (ESP) program administered by Xerox through April 30, 2014. Anthem will follow existing policies and procedures for processing ESP claims.