- Correction: The IHCP to Implement Change in Medicare Replacement Claim Submission
As previously announced, for claims received on or after June 27, 2013, the Indiana Health Coverage Programs (IHCP) will require a claim filing indicator of "16" when providers file Medicare replacement plan claims through an 837 electronic data interchange (EDI) transaction and on Web interChange. The provider should use the appropriate Medicare Replacement Plan payer ID when submitting claims. At this time Medicare Replacement Plan payer IDs cannot be validated through CMS.
- Coordination of Benefits Update Implemented For Pharmacy Claims
The Indiana Health Coverage Programs (IHCP) has reviewed and revised the policy for Other Coverage Codes on pharmacy claims and will now accept a value of “1” when the member has no other coverage. The pharmacy must perform due diligence in attempting to obtain third-party liability (TPL) information and direct the member to contact the HP TPL Unit at 1-800-457-4510. Questions regarding pharmacy claims should be directed to the Catamaran Clinical/Technical Help Desk at 1-855-577-6317.
- IHCP PBM Transition to Catamaran Corporation Affects Web-based Pharmacy Resources
Effective May 24, 2013, Catamaran Corporation will serve as the new Pharmacy Benefit Manager (PBM) and pharmacy claims processor for the Indiana Health Coverage Programs (IHCP). The transition requires changes to where web-based pharmacy information is located. Some pharmacy links and bookmarks to pharmacy reference materials will no longer work. However, new and archived pharmacy information will continue to be available through indianamedicaid.com during and after the transition.
- Sign Up Now for Second-Quarter IHCP Workshops
The Indiana Health Coverage Programs (IHCP) is offering one-day educational workshops to providers in second-quarter 2013. SIgn up today!
- Meaningful Use Attestations From Eligible Professional Regarding EHR Cannot Be Accepted Until July 1, 2013
Eligible Professionals should not attempt to submit Payment Year 2, Program Year 2013, Meaningful Use applications under the Electronic Health Records Incentive Program at this time! Medical Assistance Provider Incentive Repository (MAPIR) system changes are required before applications can be processed correctly.
- Hospital Assessment Fee
For the period May 1, 2013 – June 30, 2013, the Office of Medicaid Policy and Planning (OMPP) will recoup a portion of the increased reimbursement for outpatient hospital claims.
- The IHCP Is Ready to Test ICD-10 Claims with Vendors!
The IHCP is ready to begin testing system changes for ICD-10. Have your trading partners contact the IHCP testing team at INXIXTradingPartner@HP.com before beginning testing.