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 September 11, 2014 Version 14.1
Chapter 2: Member Eligibility and Services April 3, 2014 Version 14.0
Chapter 3: Electronic Solutions May 13, 2014 Version 14.0
Chapter 4: Provider Enrollment, Eligibility, and Responsibilities May 1, 2014 Version 14.0
Chapter 5: Third Party Liability May 29, 2014 Version 14.0
Chapter 6: Prior Authorization June 10, 2014 Version 14.0
Chapter 7: Reimbursement Methodologies June 24, 2014 Version 14.0
Chapter 8: Billing Instructions June 5, 2014 Version 13.2
Chapter 9: IHCP Pharmacy Services Benefit August 14, 2014 Version 14.0
Chapter 10: Claims Processing Procedures June 12, 2014 Version 14.0
Chapter 11: Paid Claim Adjustment Procedures August 12, 2014 Version 14.0
Chapter 12: Financial Services September 4, 2014 Version 14.0
Chapter 13: Utilization Review May 15, 2014 Version 14.0
Chapter 14: Long-Term Care
May 6, 2014 Version 14.0
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 October 14, 2014
Version 9.1
Division of Aging Home and Community-Based Services Waiver Provider Manual August 5, 2014 Version 2.0
Division of Disability and Rehabilitative Services Home and Community-Based Services Waiver Provider Manual April 23, 2014 Version 1.1
Division of Mental Health and Addiction Psychiatric Residential Treatment Facility Transition Waiver Provider Manual
(Formerly the Division of Mental Health and Addiction Home and Community-Based Services Waiver Provider Manual)
August 5, 2014 Version 2.1
HealthWatch/EPSDT Manual August 28, 2014 Version 10.0
HIP Reimbursement Manual June 10, 2014
Version 5.0
Hospice Provider Manual July 31, 2014 Version 12.0
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 September 16, 2014
Version 5.1