ARCHIVED Manuals

ATTENTION: The archived documents on this page are obsolete and should be used for historical reference only.

The Indiana Health Coverage Programs (IHCP) Provider Manual in its entirety, as well as all supplemental provider manuals, have been reorganized and replaced with IHCP Provider Reference Modules. To access these modules, as well as the Medical Policy Manual and other provider references, see the Provider Reference Materials page on this site.

For help finding information that has moved from the provider manuals to the IHCP Provider Reference Modules, see the IHCP Provider Manuals/Provider Reference Modules Crosswalk.

The most recent published versions of the IHCP Provider Manual chapters and supplemental manuals will remain on this page for a limited time as the IHCP transitions to the modular format. Providers are reminded, however, that the archived manuals do not include policy or procedural changes that occurred after the effective date noted, and therefore, should not be relied on as current and up-to-date guidance.


Effective Date Version

Archived IHCP Provider Manual

IHCP Provider Manual Cover Page
N/A N/A
Chapter 1: General Information
January 1, 2015 15.0
Chapter 2: Member Eligibility and Benefit Coverage
February 1, 2015 15.0
Chapter 3: Electronic Solutions
January 1, 2015 15.0
Chapter 4: Provider Enrollment, Eligibility, and Responsibilities
January 1, 2015 15.0
Chapter 5: Third Party Liability
January 1, 2015 15.0
Chapter 6: Prior Authorization
January 1, 2015 15.0
Chapter 7: Reimbursement Methodologies
April 1, 2014
14.0
Chapter 8: Billing Instructions
May 1, 2014
14.0
Chapter 9: IHCP Pharmacy Services Benefit
February 1, 2015 15.0
Chapter 10: Claims Processing Procedures
January 1, 2015 15.0
Chapter 11: Paid Claim Adjustment Procedures
January 1, 2015 15.0
Chapter 12: Financial Services
January 1, 2015 15.0
Chapter 13: Utilization Review
January 1, 2015 15.0
Chapter 14: Long Term Care
January 1, 2015 15.0
Index
N/A
N/A

Archived Supplemental Provider Manuals

590 Program Provider Manual
July 1, 2015 10.1
Division of Aging Home and Community-Based Services Waiver Provider Manual
May 1, 2015 3.0
Division of Disability and Rehabilitative Services Home and Community-Based Services Waiver Provider Manual
June 1, 2015 3.0
Division of Mental Health and Addiction 1915(i) Child Mental Health Wraparound Services Program Provider Manual
October 1, 2014 1.0
Division of Mental Health and Addiction Adult Mental Health Habilitation Program Provider Manual
October 1, 2014 1.0
Division of Mental Health and Addiction Behavioral and Primary Healthcare Coordination Program Provider Manual
April 1, 2015 2.0
Division of Mental Health and Addiction Psychiatric Residential Treatment Facility Transition Waiver Provider Manual
January 1, 2015 3.0
HealthWatch/EPSDT Manual
April 1, 2015 11.0
HIP Reimbursement Manual
February 1, 2015 6.0
Hospice Provider Manual
May 1, 2015 13.0
Hospital Presumptive Eligibility Qualified Provider Manual
February 1, 2015 2.0
Medicaid Rehabilitation Option (MRO) Provider Manual
May 1, 2015 11.0
Presumptive Eligibility for Pregnant Women Qualified Provider Manual
April 1, 2015 7.0
Presumptive Eligibility Qualified Provider Manual
April 1, 2015 1.0
Right Choices Program Policy Manual
August 1, 2015 6.1