| Banner # | Date | Topics | Type | | BR201913 | 3/26/2019 | IHCP to mass reprocess or mass adjust additional claims for services that denied inappropriately; IHCP reminds providers of reimbursement guidelines for infusion services; restriction will be implemented in CoreMMIS | ASC, Clinic, Hospital, DME, HME, Transportation |
| BR201912 | 3/19/2019 | Procedure codes 95976, 95977, and 95983 linked to revenue codes 920 and 929; IHCP revises reimbursement guidelines for BRCA genetic testing services; IHCP clarifies billing for psychotherapy, evaluation, and management services on the same day | ASC, Hospital, Laboratory, Mental Health, Psychiatric Residential Treatment Facility |
| BR201911 | 3/12/2019 | IHCP to cover CPT code 87506 in the outpatient setting; IHCP updates Professional Fee Schedule and clarifies how to find ASC pricing on the provider website; IHCP includes certain procedure codes in the renal dialysis composite rate | ASC, Clinic, End Stage Renal Disease Clinic, Hospital |
| BR201910 | 3/5/2019 | IHCP corrects rate for CPT code 80410; IHCP to present live webinar for mental health providers, March 14, 2019 | Hospital, Laboratory, Mental Health |
| BR201909 | 2/26/2019 | Providers may resubmit medical claims for HCPCS code E0154 that denied incorrectly; Providers may resubmit claims for certain DME services that denied incorrectly; IHCP to assign ASC pricing indicator to CPT code 22856; Procedure codes 95808, 95810, and 95811 linked to revenue codes 920, and 929 and assigned maximum fee pricing; IHCP reminds providers of early refill requirements for pharmacy claims reimbursement; IHCP reminds providers of requirements for medically accepted indication for drug reimbursement; IHCP corrects revenue code for billing with procedure codes 99217 – 99220 published in Banner Page BR201908 | ASC, DME, Hospital, Mental Health, Pharmacy |
| BR201908 | 2/19/2019 | IHCP to remove ASC pricing indicator from CPT codes 36591, 36592, and 36593;
IHCP reminds providers of existing policy for procedure codes appended with anesthesia modifiers; IHCP clarifies basic instructions for SUD billing of certain services; IHCP to enhance Portal for viewing high volumes of claims associated with a payment; IHCP will accept current Consent for Sterilization forms until CMS notifies of updated forms | All, ASC, Clinic, Hospital, Mental Health, Physician |
| BR201907 | 2/12/2019 | IHCP to enhance security on the Provider Healthcare Portal; New program integrity behavioral health and ABA documentation guidelines now available | All, Mental Health |
| BR201906 | 2/5/2019 | DXC Technology to mail 2018 IRS 1099-MISC tax forms to providers; IHCP to mass adjust certain claims for drugs due to a processing error | All |
| BR201905 | 1/29/2019 | IHCP clarifies billing guidance for consumable DME and HME supplies | DME, HME |
| BR201904 | 1/22/2019 | IHCP to update procedure code rates for Money Follows the Person - Aged and Disabled Waiver services; Sign up now for spring 2019 IHCP provider workshops | All, Waiver |
| BR201903 | 1/15/2019 | IHCP to mass adjust additional institutional claims to apply Hospital Assessment Fee adjustment factors | Hospital |
| BR201902 | 1/8/2019 | IHCP to mass reprocess FQHC and RHC claims for HCPCS code T1015 that may have denied inappropriately | Clinic, Podiatrist |
| BR201901 | 1/1/2019 | This banner page has been canceled. | |
| BR201852 | 12/25/2018 | This banner page has been canceled. | |
| BR201851 | 12/18/2018 | IHCP to mass adjust claims to which patient liability deductions were applied incorrectly; IHCP clarifies guidance regarding NEMT services for members eligible for both Medicaid and Medicare | All, transportation |
| BR201850 | 12/11/2018 | IHCP to assign ASC pricing indicator to CPT code 96379; IHCP clarifies billing guidance for Intensive Outpatient Program services; IHCP reminds providers of the 180-day timely filing limit for FFS claims | All, ASC, Hospital, Mental Health |
| BR201849 | 12/4/2018 | IHCP to revise rates for select clinical laboratory services based on 2019 Medicare rates; IHCP corrects rate for HCPCS code C9031; IHCP reminds dental providers that transition to the ADA 2012 claim form will be fully implemented January 1, 2019;
IHCP requests providers submit enrollment transactions via the Portal | All, Advanced Practice Nurse, ASC, Chiropractor, Dental, Hospital, Laboratory, Mental Health, Optometrist, Pharmacy, Physician, Physician Assistant, Podiatrist, Public Health Agency, Radiology |
| BR201848 | 11/27/2018 | IHCP to mass adjust claims for certain hospital services that processed without the 3% reduction applied; IHCP to change type of bill code for small ICF/IID claims effective January 1, 2019 | Hospice, Hospital |
| BR201847 | 11/20/2018 | IHCP clarifies guidance for billing service intensity add-on payments with hospice services; Providers may resubmit claims for Family Planning Eligibility Program members that denied incorrectly; IHCP reminds providers that Hoosier Care Connect hospice benefits will be responsibility of the enrolling health plans; New program integrity self-disclosure protocol training now available | All, Clinic, Hospice, OPR, Physician, Public Health Agency |
| BR201846 | 11/13/2018 | IHCP revises policy regarding outpatient mental health services limitations for certain procedure codes; IHCP reminds providers of the 180-day timely filing limit for FFS claims; IHCP reminds providers of cost-sharing obligation limit for Medicaid members; Portal enhanced to display Right Choices Program PMP when verifying member eligibility | All, Mental Health |