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Banner # Date Topics Type
BR201953 12/31/2019 This banner page has been canceled.
BR201952 12/24/2019 This banner page has been canceled.
BR201951 12/17/2019 IHCP to mass reprocess or mass adjust claims for incontinence supplies that may have denied incorrectly; IHCP to remove age restriction on structured family caregiving waiver services under the A&D HCBS program, and accept resubmitted claims; CMS good faith exemption extends EVV soft launch All, DME, Waiver
BR201950 12/10/2019 IHCP will reimburse claims for NARCAN® when billed on CMS-1500 or UB-04 claim form; IHCP to mass reprocess or mass adjust claims for ABA services that may have denied incorrectly; IHCP to mass reprocess claims for ICD-10 diagnosis code Z99.89 that may have denied incorrectly; IHCP to mass reprocess or mass adjust claims for anesthesia services that denied incorrectly, and add Anesthesia Services Codes for CRNAs; IHCP adds procedure codes for speech therapy services to Telemedicine Services Codes All, Anesthesiologist, ASC, Hospital, Mental Health, Physician/Practitioner, Waiver
BR201949 12/3/2019 IHCP provider payment dates during the holidays All
BR201948 11/26/2019 Providers may resubmit outpatient claims billed with ICD-10 diagnosis code K35.80 that denied incorrectly; IHCP to remove gender restriction on ICD-10 diagnosis code Z79.890 and accept resubmitted claims; IHCP clarifies VFC and private stock vaccine reimbursement, effective January 1, 2020; IHCP to update CoreMMIS to capture fields present on standard national claim forms; New Program Integrity provider training available – Renal Dialysis Services Billing Guidelines All, Physician/Practitioner
BR201947 11/19/2019 IHCP to mass reprocess claims for PASRR services that may have denied inappropriately; IHCP to mass reprocess or mass adjust claims for outpatient services that may have denied inappropriately; CMS announces new provider enrollment application fee for 2020 ASC, Clinic, End-Stage Renal Disease Clinic, Hospital, Nursing Facility/Long Term Care, Physician-Practitioner, Public Health Agency
BR201946 11/12/2019 IHCP to cover HCPCS code Q5107 (Mvasi); Pricing updated for HCPCS code B4100 on professional claims; IHCP reminds providers of limit on reimbursement for infusion services in an outpatient setting All, DME, Clinic, End Stage Renal Disease, Hospital
BR201945 11/5/2019 IHCP to cover HCPCS code J7332; IHCP corrects rate for HCPCS code Q5106; IHCP to update age range for coverage of CPT code 90651 (HPV vaccine); IHCP intends to enroll additional behavioral health professionals; IHCP to enhance Portal for uploading unlimited provider enrollment attachments; IHCP to present live webinar about the provider enrollment process, December 3, 2019 All, Clinic, Hospital, Mental Health, Physician/Practitioner
BR201944 10/29/2019 IHCP to cover HCPCS code J1095 (Dexycu); IHCP to cover CPT code 22858; IHCP adds CPT code 64615 to Injections, Vaccines, and Other Physician-Administered Drugs Codes; IHCP clarifies billing requirements for mental health therapy services in outpatient facilities; Outpatient HAF applied to IHCP allowed amount, effective December 1, 2019; IHCP to present live webinar for VFC providers, November 12, 2019 All, Clinic, Hospital, Mental Health, Physician/Practitioner
BR201943 10/22/2019 This banner page has been canceled.
BR201942 10/15/2019 IHCP corrects anesthesia code sets update Anesthesiologist
BR201941 10/8/2019 IHCP to cover Zolgensma; IHCP clarifies billing for telemedicine services; Updated Medicaid Third-Party Liability Accident/Injury Questionnaire; IHCP corrects ICD-10 annual codes update; IHCP delays updates to rates and rate methodology for DME, HME, and eyeglasses frame and lens All, Clinic, Dentist, DME/HME, FQHC/RHC, Hospital, Optician, Optometrist, Physician/Practitioner, Podiatrist
BR201940 10/1/2019 IHCP announces IEP-related nursing services rate for calendar year 2020; IHCP adds procedure codes 73700 and Q4038 to the Podiatry Services Code Set Home Health, Podiatrist, School Corporation
BR201939 9/24/2019 IHCP to cover HCPCS code C9041; IHCP to mass void or mass adjust claims for ABA therapy services; IHCP to mass adjust certain claims for physician-administered drug procedures that paid inappropriately; IHCP to allow reimbursement of acquisition of body components in the outpatient setting; IHCP to update reimbursement of certain organ acquisition services in the outpatient setting; PE approval letters to include HIPAA notification and resources; IHCP will collect origination and destination address information from encounter claims; IHCP reminds providers of provider agreement during enrollment; Portal enhancement for allowing certain out-of-state providers to perform telemedicine services All, ASC, Clinic, End Stage Renal Disease Clinic, Hospital, MCEs, Mental Health, Physician/Practitioner, Transportation
BR201938 9/17/2019 CPT codes 77048 and 77049 reimbursable in the outpatient setting; IHCP to apply claim-processing limit on reimbursement of injection services; IHCP amends the qualifier required in certain fields of CMS-1500 claim form for atypical providers; PERM review process and requests for provider medical records; IHCP reminds providers about IHCP members’ MCE choice and process All, ASC, Clinic, Hospital, Radiology
BR201937 9/10/2019 IHCP to remove age restriction from diagnosis code L21.0, and mass reprocess claims Hospital, Physician/Practitioner
BR201936 9/3/2019 IHCP to update rates and rate methodology for DME, HME, and eyeglasses frame and lens; IHCP increases rates for wheelchair van transportation procedure code A0130 with or without modifiers DME/HME, Optometrist, Optician, Transportation
BR201935 8/27/2019 IHCP to correct for overpayment of medical paper claims submitted with TPL/Medicare attachment forms; IHCP clarifies coverage qualifications for partial hospitalization; IHCP to update the anesthesia code sets; IHCP postpones Portal enhancement for allowing certain out-of-state providers to perform telemedicine services All, Anesthesiologist, Mental Health, Optometrist, Physician/practitioner, Podiatrist, Psychiatric Residential Treatment Facility
BR201934 8/20/2019 IHCP to apply claim-processing limit on reimbursement of treatment room revenue codes All, ASC, Clinic, End Stage Renal Disease Clinic, FQHC/RHC, Home Health, Hospital, Mental Health, Personal Care, Physician/Practitioner, Psychiatric Residential Treatment Facility

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