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Banner # Date Topics Type
BR201903 1/15/2019 IHCP to mass adjust additional institutional claims to apply Hospital Assessment Fee adjustment factors Hospital
BR201902 1/8/2019 IHCP to mass reprocess FQHC and RHC claims for HCPCS code T1015 that may have denied inappropriately Clinic, Podiatrist
BR201901 1/1/2019 This banner page has been canceled.
BR201852 12/25/2018 This banner page has been canceled.
BR201851 12/18/2018 IHCP to mass adjust claims to which patient liability deductions were applied incorrectly; IHCP clarifies guidance regarding NEMT services for members eligible for both Medicaid and Medicare All, transportation
BR201850 12/11/2018 IHCP to assign ASC pricing indicator to CPT code 96379; IHCP clarifies billing guidance for Intensive Outpatient Program services; IHCP reminds providers of the 180-day timely filing limit for FFS claims All, ASC, Hospital, Mental Health
BR201849 12/4/2018 IHCP to revise rates for select clinical laboratory services based on 2019 Medicare rates; IHCP corrects rate for HCPCS code C9031; IHCP reminds dental providers that transition to the ADA 2012 claim form will be fully implemented January 1, 2019; IHCP requests providers submit enrollment transactions via the Portal All, Advanced Practice Nurse, ASC, Chiropractor, Dental, Hospital, Laboratory, Mental Health, Optometrist, Pharmacy, Physician, Physician Assistant, Podiatrist, Public Health Agency, Radiology
BR201848 11/27/2018 IHCP to mass adjust claims for certain hospital services that processed without the 3% reduction applied; IHCP to change type of bill code for small ICF/IID claims effective January 1, 2019 Hospice, Hospital
BR201847 11/20/2018 IHCP clarifies guidance for billing service intensity add-on payments with hospice services; Providers may resubmit claims for Family Planning Eligibility Program members that denied incorrectly; IHCP reminds providers that Hoosier Care Connect hospice benefits will be responsibility of the enrolling health plans; New program integrity self-disclosure protocol training now available All, Clinic, Hospice, OPR, Physician, Public Health Agency
BR201846 11/13/2018 IHCP revises policy regarding outpatient mental health services limitations for certain procedure codes; IHCP reminds providers of the 180-day timely filing limit for FFS claims; IHCP reminds providers of cost-sharing obligation limit for Medicaid members; Portal enhanced to display Right Choices Program PMP when verifying member eligibility All, Mental Health
BR201845 11/6/2018 Clarification regarding physician-administered drugs carved out of managed care; CMS updates NCCI medically unlikely edits for HCPCS code J1726 Makena; IHCP to mass reprocess or mass adjust professional claims that adjudicated incorrectly in CoreMMIS All, ASC, DME, Hospital, Physician, Waiver
BR201844 10/30/2018 IHCP revises revenue codes for billing hospice services; IHCP to mass reprocess or mass adjust BPHC services claims that may have inappropriately denied; IHCP corrects system to apply unit limits on certain ABA therapy codes billed without modifiers; IHCP to assign ASC pricing indicators to cardiac catheterization-related procedure codes All, ASC, Clinic, Hospice, Hospital, Mental Heath, Physician
BR201843 10/23/2018 IHCP enhances Portal to allow electronic submission of CHOWs for extended care facilities; Code set corrected for provider specialty 250 DME/Medical Supply Dealer DME, Extended Care Facility
BR201842 10/16/2018 IHCP announces IEP-related nursing services rate for calendar year 2019 School corporation
BR201841 10/9/2018 This banner page has been canceled.
BR201840 10/2/2018 IHCP will reimburse for FluMist in the 2018-2019 flu season; IHCP removes gender restriction on ICD-10-CM code Z85.3; IHCP reminds hospice providers of face-to-face physician encounter requirement All, Hospice, Physician, Advanced Practice Nurse
BR201839 9/25/2018 Services rendered during the retroactive eligibility period for a Hoosier Healthwise member will be covered fee-for-service; IHCP enhances Portal with a pop-up message when a procedure code is entered on a PA request that does not typically require PA; IHCP updates the security policy on the Provider Healthcare Portal; IHCP to implement Portal enhancement for converting OPR and rendering provider classifications; IHCP corrects procedure code published in Banner Page BR201834 All, ASC, Hospital, OPR
BR201838 9/18/2018 IHCP to mass reprocess or mass adjust professional claims that denied inappropriately; IHCP to mass reprocess or mass adjust claims for services that denied inappropriately; IHCP eligibility verification systems to include tooth sealant information to support dental benefit limits; Procedure codes reimbursable in the outpatient setting and linked to revenue code 636 ASC, Dentist, DME, Hospital, Physician, Transportation
BR201837 9/11/2018 IHCP to mass adjust or mass reprocess outpatient claims for CPT code 95250 that may have denied inappropriately; OPR provider revalidation is quick and easy on the Portal; IHCP delays Portal enhancement for converting OPR and rendering provider classifications; Reminder: DXC email addresses changing from @HPE to @DXC All, Ambulatory Surgical Center, Clinic, Hospital, OPR
BR201836 9/4/2018 IHCP to reimburse cochlear device separately from outpatient implantation; HCPCS code L3923 covered in the outpatient setting and linked to revenue code 274 ASC, DME, Hospital, Physician, Podiatrist, Rehabilitation Facility

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