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Banner # Date Topics Type
BR202125 6/22/2021 IHCP updates billing guidance for tobacco dependence counseling, adds coverage of CPT 99406 and CDT D1320; Reimbursement update for COVID-19 treatment code M0245 in the outpatient setting ASC, Behavioral Health, Clinic, Dentist, ESRD Clinic, FQHC/RHC, Hospital, Optometrist, OPR, Pharmacy/Prescribing, Physician/Practitioner, Psych Residential Treatment Facility, Rehabilitation Facility, Therapist
BR202124 6/15/2021 IHCP to cover HCPCS codes M0244 and M0246 for treatment of COVID-19; Reminder of updated Gainwell Technologies post office mailing addresses; IHCP to mass reprocess or mass adjust claims for psychotherapy services that denied incorrectly; IHCP announces new fraud and abuse detection system vendor and mailing address; IHCP will mass adjust claims for inpatient services that paid incorrectly; IHCP updates guidance for sterilization services, revises code set All, Clinc, Hospital, Physician/Practitioner
BR202123 6/8/2021 IHCP clarifies coverage of IOT services rendered by licensed behavioral health professionals, accepts resubmitted claims; Providers may resubmit outpatient crossover claims for HCPCS codes C9761 and C9769 that denied incorrectly; IHCP links procedure codes to revenue code 260; IHCP updates Professional Fee Schedule for CPT codes reported with modifier 53 All, Addiction Services, ASC, Clinic, Hospital, Mental Health, Physician/Practitioner, Therapist
BR202122 6/1/2021 This banner page has been canceled.
BR202121 5/25/2021 Reimbursement updates for COVID-19 monoclonal antibody infusion administration; Prior authorization no longer required for HCPCS code Q4244; IHCP to allow CLIA certificate of waiver for CPT code 87636; IHCP clarifies IRS W-9 requirements for provider enrollment transactions All, ASC, Clinic, FQHC/RHC, Hospital, Laboratory, Nursing Facility/Long Term Care, Ordering, Prescribing, or Referring, Pharmacy/Prescribing, Physician/Practitioner
BR202120 5/18/2021 IHCP COVID-19 Response: IHCP announces HCBS waiver assisted living provider relief, apply by July 31, 2021; IHCP COVID-19 Response: BDDS modifies ICF/IID therapeutic and hospital leave; IHCP to mass adjust claims for end-stage renal disease services that paid incorrectly; Sandata to host webinar for alternate EVV vendors End Stage Renal Disease Clinic, Home Health, Hospital, Mental Health, Nursing Facility/Long Term Care, Waiver
BR202119 5/11/2021 IHCP to mass reprocess claims for certain behavioral health services that denied incorrectly; IHCP to mass reprocess claims for FQHC services that denied incorrectly; Providers may resubmit, or void and replace claims for FSW service A9279 U7 U5 UA; IHCP will add noncovered CPT code 0011M to fee schedules; IHCP to allow modifier HE to bypass NCCI Procedure-to-Procedure edits, mass reprocess or mass adjust claims; IHCP to cover CPT code 50590 in the outpatient setting, accept resubmitted claims; IHCP updates pricing on outpatient procedure codes that were previously inpatient-only, applies NCCI MUE; IHCP revises age restriction on HCPCS codes M0239 and M0243, accepts resubmitted claims; IHCP end dates coverage for HCPCS codes Q0239 and M0239 (Bamlanivimab); Updates to specifications for alternate EVV systems; Reminder of updated Gainwell Technologies post office mailing addresses All, Behavioral Health, Psych Residential Treatment Facility, Rehabilitation Facility, Clinic, ESRD Clinic, Home Health, Hospital, Nursing Facility, LTC, Pharmacy, Prescribing, Physician/Practitioner, Ambulatory Surgical Center, OPR, Waiver, FQHC/RHC
BR202118 5/4/2021 This banner page has been canceled.
BR202117 4/27/2021 Providers can submit meaningful use attestations for Program Year 2021, beginning May 3, 2021; IHCP end dates Family Supports Waiver activity therapy service, H2032 U7 U5 All, Waiver
BR202116 4/20/2021 IHCP revises pricing and billing guidance for HCPCS code P9603; IHCP updates reimbursement and billing guidance for HCPCS code J7169 (Andexxa); IHCP will add procedure codes to Professional Fee Schedule All, Home Health, Hospice, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner
BR202115 4/13/2021 Prior authorization for PADs administered to dually eligible members; IHCP to modify behavioral health enrollment applications; Gainwell Technologies post office mailing addresses update All, Addiction Services, Mental Health
BR202114 4/6/2021 IHCP provider communications survey All
BR202113 3/30/2021 IHCP to cover CPT codes 93985 and 93986, mass reprocess or mass adjust claims; IHCP to cover CPT codes 27130 and 33858 in the outpatient setting, mass reprocess or mass adjust claims; HCPCS code B4187 pricing update; IHCP to link procedure codes for outpatient observation stays to revenue code 762, accept resubmitted claims; Professional Fee Schedule update for HCPCS code R0075 All, ASC, Clinic, DME/HME, End Stage Renal Disease Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Radiology
BR202112 3/23/2021 Reminders about billing for DME and HME services DME/HME
BR202111 3/16/2021 Billing and reimbursement updates for COVID-19 laboratory testing codes, claims that paid incorrectly; IHCP reminds providers not to bill Medicaid members, with some exceptions All, ASC, Clinic, FQHC/RHC, Laboratory, Hospital, Pharmacy/Prescribing, Physician/Practitioner
BR202110 3/9/2021 IHCP to mass reprocess or mass adjust claims for HCPCS code J2796 that denied incorrectly; Reimbursement updates for certain COVID laboratory procedure codes; Gainwell Technologies post office mailing addresses update; IHCP to host virtual 2021 Roadshow All, ASC, Clinic, FQHC/RHC, Home Health, Hospital, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner
BR202109 3/2/2021 IHCP will mass adjust claims for HCPCS code C9066 that paid incorrectly; Gainwell Technologies post office mailing addresses update All
BR202108 2/23/2021 IHCP to mass reprocess outpatient claims for surgical services that denied incorrectly; FSSA seeks public comment on HCBS settings that require heightened scrutiny ASC, Hospital, Waiver
BR202107 2/16/2021 IHCP updates Professional Fee Schedule for coverage of HCPCS code E0766 DME/HME
BR202106 2/9/2021 IHCP to mass adjust 837 electronic claims with Medicare information; IHCP to cover CDT code D4261, accept resubmitted claims; IHCP to mass reprocess or mass adjust claims for day habilitation services All, Dental, Waiver

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