- IHCP transitions certain members from Hoosier Healthwise to Traditional Medicaid
Effective May 1, 2017, the IHCP will serve enrolling adult refugees eligible for coverage under the low-income parent/caretaker aid category through Traditional Medicaid rather than through Hoosier Healthwise. As a result, these members will receive services via the fee-for-service delivery system, rather than under a managed care health plan. Providers are reminded to check member eligibility to know which delivery system applies for PA and billing purposes.
- PA authorization number is case-sensitive in the Provider Healthcare Portal
The Indiana Health Coverage Programs (IHCP) informs providers that the field for the authorization number used to search and review prior authorization (PA) requests in the Provider Healthcare Portal is case-sensitive. Alpha characters in the authorization number must be keyed in UPPER CASE. If the authorization number is keyed incorrectly, providers will receive an “authorization not found” error message.
- Income limit calculating incorrectly for presumptive eligibility applications
The Indiana Health Coverage Programs (IHCP) has identified that the federal poverty level (FPL) income limit calculation for determining presumptive eligibility is computing incorrectly. As a result some applicants are either being denied eligibility altogether or being approved only for limited coverage under the Family Planning Eligibility Program in error. The IHCP is working on a permanent solution to this issue. Refer to the full article for an interim solution.
- IHCP to deactivate CoreMMIS email box
Effective April 14, 2017, the Indiana Health Coverage Programs (IHCP) will deactivate the email@example.com email box, which was established to help answer providers' questions and resolve issues related to the implementation of CoreMMIS. Providers will need to resume the standard inquiry methods for requesting assistance and resolving issues.
- HPE merges with CSC to form DXC Technology
Effective April 3, 2017, the Enterprise Services Division of Hewlett Packard Enterprises (HPE) has merged with information-technology corporation CSC to form a new company, DXC Technology.
- Hoosier Care Connect members reassigned to Anthem and MHS health plans
As of April 1, 2017, all Hoosier Care Connect (HCC) members previously enrolled with MDwise will have been reassigned to either Managed Health Services (MHS) or to Anthem. Providers are reminded they must check member eligibility and managed care entity (MCE) assignment through the IHCP eligibility verification system (EVS) – either through the Provider Healthcare Portal or through the Interactive Voice Response (IVR) system.
- IHCP now accepting Year 1 Attestations for Program Year (PY) 2016
The Indiana Health Coverage Program (IHCP) is now accepting Year 1 applications in the Medical Assistance Provider Incentive Repository (MAPIR). For PY 2016, eligible professionals/eligible hospitals, and critical access hospitals (EPs/EHs/CAHs) will have until May 1, 2017, to attest to meaningful use (MU) and adopting, implementing, upgrading (AIU).
- OPR Provider Search Tool now available
Indiana Health Coverage Programs (IHCP) providers that render services to Medicaid members must verify IHCP enrollment of the ordering, prescribing, or referring (OPR) provider before service or supplies are rendered. A comprehensive OPR Search Tool is now available on indianamedicaid.com
- IHCP reminds providers lead screening is required for children
The Indiana Health Coverage Programs (IHCP), in collaboration with the Indiana State Department of Health (ISDH), reminds providers that screening for blood lead toxicity is a federal requirement for all children enrolled in Medicaid. See full article for more details.