Manuals

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IHCP Provider Manual

Section Name Revision Date Current Version
IHCP Provider Manual Cover Page N/A N/A
Chapter 1: General Information March 11, 2014 Version 14.0
Chapter 2: Member Eligibility and Services April 3, 2014 Version 14.0
Chapter 3: Electronic Solutions October 31, 2013 Version 13.1
Chapter 4: Provider Enrollment, Eligibility, and Responsibilities December 10, 2013 Version 13.1
Chapter 5: Third Party Liability October 17, 2013 Version 13.1
Chapter 6: Prior Authorization January 21, 2014 Version 13.1
Chapter 7: Reimbursement Methodologies April 1, 2014 Version 13.1
Chapter 8: Billing Instructions January 23, 2014 Version 13.1
Chapter 9: IHCP Pharmacy Services Benefit February 11, 2014 Version 13.1
Chapter 10: Claims Processing Procedures February 13, 2014 Version 13.1
Chapter 11: Paid Claim Adjustment Procedures January 14, 2014 Version 13.1
Chapter 12: Financial Services February 20, 2014 Version 13.1
Chapter 13: Utilization Review December 17, 2013 Version 13.1
Chapter 14: Long-Term Care
October 31, 2013 Version 13.1
Index N/A N/A

Note: CD copies of this version of the IHCP Provider Manual will not be automatically sent to enrolled IHCP providers. Providers may access or download copies of the manual from this Web site, or they may request CD or paper copies of this version of the manual by contacting HP Customer Assistance or HP Provider Written Correspondence.

oTHER MANUALS

Title
Revision Date Current Version
590 Program Provider Manual March 11, 2014
Version 9.0
Division of Aging Home and Community-Based Services Waiver Provider Manual December 19, 2013 Version 1.1
Division of Disability and Rehabilitative Services Home and Community-Based Services Waiver Provider Manual June 10, 2013 Version 1.0
Division of Mental Health and Addiction Home and Community-Based Services Waiver Provider Manual August 13, 2013 Version 1.0
HealthWatch/EPSDT Manual February 18, 2014 Version 9.1
HIP Reimbursement Manual February 20, 2014
Version 4.1
Hospice Provider Manual February 21, 2014 Version 11.1
Hospital Presumptive Eligibility Qualified Provider Manual January 1, 2014 Version 1.0
IHCP Companion Guides N/A N/A
IHCP Common Glossary N/A N/A
Medicaid Rehabilitation Option (MRO) Provider Manual February 4, 2014 Version 9.1
Presumptive Eligibility for Pregnant Women Qualified Provider Manual April 1, 2014 Version 6.0
Right Choices Program Policy Manual January 14, 2014
Version 4.1