News Summary

  • IHCP revises reimbursement policy for emergency transports in response to 9-1-1 dispatches

    08/08/2018 - Effective immediately, the IHCP is revising its policy regarding emergency transports resulting from 9-1-1 dispatches. The IHCP considers all transports to an emergency room in response to 9-1-1 dispatches to be emergent. For 9-1-1 dispatched trips to an emergency room, ambulance providers should bill the appropriate procedure codes for emergency ALS or BLS services, based on the types of services provided during the transport.

  • IHCP clarifies when to use Southeastrans for NEMT

    07/19/2018 - On June 1, 2018, the Indiana Health Coverage Programs (IHCP) began working with Southeastrans to manage all NEMT for Traditional Medicaid members. For clarification, for members with other means of transportation available to them, transportation should not be arranged through Southeastrans. The only time members should arrange NEMT for a Traditional Medicaid member through Southeastrans is when there are no other means of transportation available for that member.

  • DXC email addresses changing from @HPE to @DXC, now through September 18, 2018

    07/19/2018 - Now through September 18, 2018, all HPE email addresses (123456@hpe.com) will change to DXC email addresses (123456@dxc.com). After September 18, 2018, emails using the @hpe.com address will no longer be delivered.

  • IHCP clarifies coordination requirements with Southeastrans for facility transport scenarios

    07/12/2018 - The Indiana Health Coverage Programs (IHCP) works with Southeastrans to manage all nonemergency medical transportation (NEMT) for Traditional Medicaid members. The IHCP is clarifying when coordination through Southeastrans is required for certain types of facility-to-facility transports.

  • NEMT town hall presentations and FAQs available for reference

    07/10/2018 - The Indiana FSSA and its vendor, Southeastrans Inc., recently held a series of virtual town hall meetings to discuss changes related to the brokering of NEMT services for fee-for-service Medicaid members, which began June 1, 2018. The presentations and answers to FAQs from the meetings are available on the Southeastrans website at southeastrans.com or from the NEMT web page at indianamedicaid.com.

  • IHCP revises HAF adjustment factors for outpatient and inpatient rates

    07/02/2018 - Effective August 1, 2018, the Indiana Health Coverage Programs (IHCP) will revise the Hospital Assessment Fee (HAF) adjustment factors used for outpatient reimbursement and inpatient diagnosis-related group (DRG) reimbursement to eligible hospitals. These revised HAF factors apply within the fee-for-service (FFS) and managed care delivery systems, including reimbursement under the Healthy Indiana Plan (HIP), Hoosier Care Connect, and Hoosier Healthwise programs.

  • IHCP clarifies NEMT assignment information on Portal eligibility panels

    06/14/2018 - Beginning June 1, 2018, when verifying member eligibility, providers saw "Southeastrans" displayed under the Managed Care Assignment Details panel for fee-for service (FFS) members whose nonemergency medical transportation (NEMT) benefits are managed through Southeastrans. It is critical providers understand that this managed care assignment applies to NEMT services ONLY; the member continues to receive other services as FFS.

  • IHCP corrects claim submission process for FFS NEMT

    06/13/2018 - Previously issued billing guidance for transportation providers rendering nonemergency medical transportation (NEMT) services to fee-for-service (FFS) members brokered through Southeastrans (SET), included errors. Providers other than emergency medical services (EMS) providers, should NOT bill using a CMS-1500 claim form, as previously instructed. See the full news item for corrected guidance.

  • Medicare Part D prescription drug copayment issue corrected

    04/12/2018 - Some Medicare Part D prescription drug copayments calculated incorrectly beginning January 1, 2018. As a result, certain IHCP members dually eligible for Medicaid and Medicare were asked to pay higher copayments for their prescriptions than should have been required. The Medicare Part D copayment issue has been corrected. Medicare Part D Plans will work with PBMs and pharmacies to ensure claim adjustments are made so that pharmacies and members are reimbursed appropriately.