News Summary

  • IHCP will mass reprocess dental claims that may have denied incorrectly

    11/29/2017 - The IHCP has identified a claim-processing issue that affects FFS dental claims processed from November 22, 2017, through November 28, 2017. Claims for CDT® codes processed during this time frame may have inappropriately denied with EOB 4013 – This procedure is not covered for this date of service. The claims processing system has been corrected, and affected claims will be mass reprocessed. Watch IHCP publications and for information about when mass reprocessing will occur.

  • Taxonomy codes for rendering providers not required on claims

    11/17/2017 - The IHCP reminds providers that taxonomy codes for rendering providers are not required on claims. If a taxonomy code for a rendering provider is submitted on a claim, the taxonomy code will not be validated. National Provider Identifiers (NPIs) for rendering providers are still required on all fee-for-service (FFS) and managed care claims.

  • Rendering provider linkages erroneously end dated in CoreMMIS

    11/17/2017 - The IHCP has identified a small population of rendering providers whose group linkages were end dated in the CoreMMIS system as a result of a system defect. The system defect has been corrected and DXC Technology is working to reinstate the rendering linkages to the appropriate groups. DXC is also working with the managed care entities to ensure that all provider linkages are updated to avoid gaps in effective dates. All corrections should be completed by Tuesday, November 21, 2017.

  • IHCP implements taxonomy code requirement changes

    11/14/2017 - The IHCP will implement the changes to taxonomy code requirements for attending, operating, and OPR providers announced in BT201768, effective November 29, 2017. As stated in BT201768, these changes apply to all fee-for-service (FFS) and managed care claims, regardless of submission format, and are retroactive to dates of claim submission on or after February 13, 2017.

  • IHCP provider enrollment inventory at normal levels

    10/10/2017 - The Indiana Health Coverage Programs (IHCP) has reduced the inventory for provider enrollment transactions to normal levels. Providers who have submitted transactions should respond to IHCP communication requesting corrections or missing documentation or, if no communication was received, check the status of their transactions through the Portal or through Customer Service.

  • IHCP extends deadline to update rendering provider linkages to January 1, 2018

    07/27/2017 - In banner page BR201719, the IHCP announced that EOB 1010 would temporarily be converted to a “post-and-pay” status to allow providers time to submit enrollment updates to appropriately link rendering providers to group locations. This temporary conversion was originally scheduled to end as of August 31, 2017. The IHCP is extending this temporary workaround through December 31, 2017.

  • IHCP reminds providers how to interpret PA status information

    07/25/2017 - As stated in BR201715, PA status codes displayed on the Portal and used in the IVR comply with the HIPAA 278 transaction standards and provide only a high-level, standardized description of the actual working status of the PA request. To help providers, the IHCP has created a crosswalk table showing the standard response categories reported on the Portal and through the IVR with the administrative working statuses associated with each standard response category.

  • IHCP addresses system problems with MRO, AMHH, BPHC, and CMHW benefit packages

    05/18/2017 - With the implementation of CoreMMIS, the Indiana Health Coverage Programs is aware of various challenges associated with member benefit packages for Medicaid Rehabilitation Option (MRO), Adult Mental Health Habilitation (AMHH), Behavioral and Primary Healthcare Coordination (BPHC), and Child Mental Health Wraparound (CMHW) services. See the full article for information on the current status of the identified issues.