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Banner # Date Topics Type
BR201738 9/19/2017 IHCP to mass adjust MFP-A&D assisted living services claims; IHCP corrects CLIA classification and scope of mass adjustment of claims for CPT code 80305; IHCP clarifies enrollment requirements for providing OTP-specific services All, Laboratory, Addiction services, OPR
BR201737 9/12/2017 CoreMMIS corrected to properly adjudicate certain neonate inpatient claims; IHCP to cover HCPCS code C9849; IHCP to mass adjust or mass reprocess certain dental claims that denied for EOB 4211; IHCP clarifies billing for services during the presumptive eligibility period; IHCP clarifies billing for PASRR and MRT services; Place of Service Code field required for pharmacy claims; IHCP makes Applied Behavioral Analysis PA Checklist available; Marriott is accepting reservations for the 2017 IHCP Annual Provider Seminar All, Pharmacy, Dental, Hospitals
BR201736 9/5/2017 This banner page has been canceled.
BR201735 8/29/2017 Clarification of IHCP TPL/Medicare Special Attachment Form instructions; Code Sets corrected for provider specialties 200 – Audiologists, and 220– Hearing Aid Dealers All, Audiologist, Hearing Aid Dealer
BR201734 8/22/2017 Member eligibility verification to include MCE delivery network; IHCP notifies pharmacy providers of address change for submitting manual FFS claims All, Pharmacy
BR201733 8/15/2017 IHCP makes updates to lab codes subject to HAF; Mark your calendars for the IHCP 2017 Annual Provider Seminar All, Hospitals
BR201732 8/8/2017 IHCP to update CLIA procedure codes and mass adjust claims; IHCP updates list of dental codes that require a tooth number for billing; IHCP clarifies requirements regarding the treatment of assets for nursing facility providers All, Dental
BR201731 8/1/2017 IHCP to cover HCPCS code S0073- Aztreonam, injection, 500 mg; IHCP to mass-adjust or mass-reprocess claims for crisis intervention services; IHCP providers experiencing delays with provider enrollment transactions; IHCP extends deadline to update rendering provider linkages for proper claim adjudication to January 1, 2018; Providers may resubmit claims that denied inappropriately for EOB 2504 All
BR201730 7/25/2017 CMS approves deactivation of NCCI MUE for A0425;IHCP adds diagnosis codes for services covered under the Family Planning Eligibility Program;IHCP to revise the DME and medical supply items included in the LTC facility per diem rate;IHCP to reimburse for certain procedures rendered by LCACs All, Transportation, LTC Facilities
BR201729 7/18/2017 Income limits now calculating correctly for presumptive eligibility applications; IHCP makes pharmacy benefit information readily accessible on provider website All
BR201728 7/11/2017 IHCP establishes a Podiatry Services Code Set; Authorization numbers for PA requests are no longer case-sensitive in the Provider Healthcare Portal All, podiatrist
BR201727 7/4/2017 This banner page has been canceled.
BR201726 6/27/2017 Providers may resubmit claims denied for EOB codes 1003 and 1004 All
BR201725 6/20/2017 Transportation providers are reminded of IHCP guidance for billing ALS/BLS oxygen services; IHCP adds billing restrictions to dental anesthesia codes; IHCP updates dental codes that require tooth numbers when billing All, Transportation, Dental
BR201724 6/13/2017 IHCP issues new billing guidance for partial hospitalization services for managed care programs; IHCP reminds providers to include the member’s ICD-10 diagnosis code on update requests to approved MRO benefit packages; Providers may resubmit claims for CPT code 99292 that denied incorrectly All, MRO, Hospital, Mental Health
BR201723 6/6/2017 Sign up for 2017 second-quarter provider workshops All
BR201722 5/30/2017 IHCP to mass adjust nursing facility, hospice, and PRTF claims for members with patient liability; IHCP reminds nursing facilities of Myers and Stauffer’s secure web portal; IHCP will no longer provide separate outpatient reimbursement for certain physician-administered drugs All, Nursing Facility, PRTF, Hospice
BR201721 5/23/2017 IHCP addresses issues with MRO, AMHH, BPHC, and CMHW benefit packages; IHCP will mass reprocess or mass adjust claims for psychiatric therapy services that may have inappropriately adjudicated; Effective January 1, 2018, paper claims must be submitted on NUCC red claim forms; IHCP is addressing system issues with batch 270/271 eligibility transactions All, MRO, AMHH, BPHC, CMHW
BR201720 5/16/2017 Transportation code A0425 denying for NCCI MUE; POA indicator issues corrected in CoreMMIS and the Portal; IHCP identifies top 20 EOB denial codes; Save the date for the 2017 second-quarter IHCP provider workshops All, Transportation, Hospital
BR201719 5/9/2017 IHCP clarifies requirements for provider criminal background checks; IHCP recognizes additional certified training course for physicians administering topical fluoride varnish services; Home health providers may resubmit claims for therapy services that denied incorrectly; IHCP allows providers until September 1, 2017, to update rendering provider linkages to support proper claim adjudication; IHCP to revise the DME and medical supply items included in the LTC facility per diem rate All, Home Health, LTC Facility, Clinic

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