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 February 14, 2013 Version 13.0
Chapter 2: Member Eligibility and Services March 28, 2013 Version 13.0
Chapter 3: Electronic Solutions April 30, 2013 Version 13.0
Chapter 4: Provider Enrollment, Eligibility, and Responsibilities December 13, 2012 Version 12.1
Chapter 5: Third Party Liability April 18, 2013 Version 13.0
Chapter 6: Prior Authorization March 19, 2103 Version 12.1
Chapter 7: Reimbursement Methodologies January 24, 2013 Version 12.1
Chapter 8: Billing Instructions January 22, 2013 Version 12.1
Chapter 9: IHCP Pharmacy Services Benefit May 23, 2013 Version 13.0
Chapter 10: Claims Processing Procedures January 15, 2013 Version 12.1
Chapter 11: Paid Claim Adjustment Procedures January 15, 2013 Version 12.1
Chapter 12: Financial Services March 19, 2013 Version 12.1
Chapter 13: Utilization Review January 10, 2013 Version 12.1
Chapter 14: Long-Term Care
May 21, 2013 Version 13.0
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 February 19, 2013
Version 8.0
HealthWatch/EPSDT Manual January 31, 2013 Version 8.1
HIP Reimbursement Manual February 25, 2013
Version 3.1
Home and Community-Based Services Waiver Provider Manual February 13, 2007 Version 1.0
Hospice Provider Manual March 28, 2013 Version 10.1
IHCP Companion Guides N/A N/A
IHCP Common Glossary N/A N/A
Medicaid Rehabilitation Option (MRO) Provider Manual January 24, 2013 Version 8.1
Qualified Provider Presumptive Eligibility Manual May 14, 2013 Version 5.0
Right Choices Program Policy Manual May 23, 2013
Version 4.0