Indiana Health Coverage Programs (IHCP) Banner Pages posted from 1998 through 2019 are archived on this page for historical purposes. For other archived publications within this date range, see the IHCP Bulletins Archive and the IHCP Newsletter Archive.

Note: To view and search newer banner pages, published on or after Jan. 1, 2020, see the IHCP Banner Pages page at in.gov/medicaid/providers.

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Banner # Date Topics Type
BR201845 11/6/2018 Clarification regarding physician-administered drugs carved out of managed care; CMS updates NCCI medically unlikely edits for HCPCS code J1726 Makena; IHCP to mass reprocess or mass adjust professional claims that adjudicated incorrectly in CoreMMIS All, ASC, DME, Hospital, Physician, Waiver
BR201844 10/30/2018 IHCP revises revenue codes for billing hospice services; IHCP to mass reprocess or mass adjust BPHC services claims that may have inappropriately denied; IHCP corrects system to apply unit limits on certain ABA therapy codes billed without modifiers; IHCP to assign ASC pricing indicators to cardiac catheterization-related procedure codes All, ASC, Clinic, Hospice, Hospital, Mental Heath, Physician
BR201843 10/23/2018 IHCP enhances Portal to allow electronic submission of CHOWs for extended care facilities; Code set corrected for provider specialty 250 – DME/Medical Supply Dealer DME, Extended Care Facility
BR201842 10/16/2018 IHCP announces IEP-related nursing services rate for calendar year 2019 School corporation
BR201841 10/9/2018 This banner page has been canceled.
BR201840 10/2/2018 IHCP will reimburse for FluMist in the 2018-2019 flu season; IHCP removes gender restriction on ICD-10-CM code Z85.3; IHCP reminds hospice providers of face-to-face physician encounter requirement All, Hospice, Physician, Advanced Practice Nurse
BR201839 9/25/2018 Services rendered during the retroactive eligibility period for a Hoosier Healthwise member will be covered fee-for-service; IHCP enhances Portal with a pop-up message when a procedure code is entered on a PA request that does not typically require PA; IHCP updates the security policy on the Provider Healthcare Portal; IHCP to implement Portal enhancement for converting OPR and rendering provider classifications; IHCP corrects procedure code published in Banner Page BR201834 All, ASC, Hospital, OPR
BR201838 9/18/2018 IHCP to mass reprocess or mass adjust professional claims that denied inappropriately; IHCP to mass reprocess or mass adjust claims for services that denied inappropriately; IHCP eligibility verification systems to include tooth sealant information to support dental benefit limits; Procedure codes reimbursable in the outpatient setting and linked to revenue code 636 ASC, Dentist, DME, Hospital, Physician, Transportation
BR201837 9/11/2018 IHCP to mass adjust or mass reprocess outpatient claims for CPT code 95250 that may have denied inappropriately; OPR provider revalidation is quick and easy on the Portal; IHCP delays Portal enhancement for converting OPR and rendering provider classifications; Reminder: DXC email addresses changing from @HPE to @DXC All, Ambulatory Surgical Center, Clinic, Hospital, OPR
BR201836 9/4/2018 IHCP to reimburse cochlear device separately from outpatient implantation; HCPCS code L3923 covered in the outpatient setting and linked to revenue code 274 ASC, DME, Hospital, Physician, Podiatrist, Rehabilitation Facility
BR201835 8/28/2018 IHCP eligibility verification systems return clearer messages regarding member copayments; IHCP enhances Portal process for converting OPR and rendering provider classifications All, OPR
BR201834 8/21/2018 IHCP to cover HCPCS code J9320; HCPCS codes for certain brachytherapy services to be covered in the outpatient setting; IHCP to assign ASC pricing indicator to CPT code 21044; Providers may resubmit institutional claims for certain procedure codes that denied inappropriately; IHCP clarifies HCPCS code K0010 is noncovered; IHCP will mass reprocess crossover physician claims that may have denied inappropriately; HCPCS codes J2860 and J7503 linked to revenue code 636; IHCP to assign maximum fee pricing to CPT codes for outpatient services; IHCP to assign maximum fee pricing to procedure codes 88344 and G0416; HCPCS code J2724 linked to revenue codes 636; IHCP corrects system to apply tooth number restrictions on certain dental claims; IHCP revises EOB descriptions related to audit to enforce limits on clubhouse psychosocial rehabilitation services All, ASC, Dentist, DME, Hospital, Physician, Waiver
BR201833 8/14/2018 IHCP to mass reprocess or mass adjust transportation services claims that adjudicated incorrectly; IHCP implements claim-processing edit to enforce reimbursement limitations on clubhouse psychosocial rehabilitation services; IHCP to mass reprocess or mass adjust certain claims that denied incorrectly for exceeding PA units; IHCP enhances Portal to allow submission of electronic dental PA requests; Additional information to be required when providers revalidate enrollments on the Portal All, Dentist, Hospital, School Corporation, Transportation, Waiver
BR201832 8/7/2018 IHCP to cover CPT code 90750; IHCP will no longer allow outpatient reimbursement for certain procedure codes; IHCP to allow outpatient reimbursement for certain procedure codes; IHCP assigns maximum-fee pricing for HCPCS codes A9517 and A9563; IHCP to mass reprocess or mass adjust outpatient claims that may have adjudicated incorrectly; IHCP to assign ASC pricing indicators to certain surgical procedure codes; CPT 92941 no longer reimbursable in the outpatient setting; IHCP updates FQHC and RHC encounter codes All, ASC, FQHC, Hospital, OPR, Physician, RHC
BR201831 7/31/2018 Procedure codes assigned maximum fee pricing and linked to revenue code 636; HCPCS code J0606 linked to revenue code 636; IHCP to mass reprocess or mass adjust claims for radiology services codes that denied incorrectly; New modifiers created for use when billing 340B drugs; Prior authorization is no longer required for HCPCS code J1726; IHCP corrects CPT code 27477 description published in Banner Page BR201825; IHCP clarifies when to use Southeastrans for NEMT; DXC email addresses changing from @HPE to @DXC; Mark your calendar for the 2018 IHCP Annual Provider Seminar All, Clinic, Hospital, Pharmacy, Physician, Radiology
BR201830 7/24/2018 This banner page has been canceled.
BR201829 7/17/2018 IHCP clarifies coordination requirements with Southeastrans for facility transport scenarios; NEMT town hall presentations and FAQs available for reference; Portal enhancements allow providers to view dental, professional, and institutional claim attachments; Applied Behavioral Analysis PA Checklist updated All, Behavioral Health, Mental Health, Transportation
BR201828 7/10/2018 IHCP to cover CPT code C9492; IHCP to update pricing for CPT codes 99601 and 99602; IHCP clarifies policies regarding nonemergency medical transportation services rendered to members with retroactive eligibility; IHCP removes certain procedure codes from the renal dialysis composite rate All, APN, ESRD Clinic, Hospital, Physician, Physician Asst, Transportation
BR201827 7/3/2018 IHCP to cover CPT code 93050; IHCP to cover CPT code 65785; New program integrity audit process training now available; IHCP links additional procedure codes to specialty 140 - Podiatrist All, Podiatrist
BR201826 6/26/2018 IHCP to cover CPT code 0398T; ASC pricing indicator assigned to CPT code 27447; New skin substitute HCPCS codes linked to revenue code 636; CPT codes 77425, 80500, and 80502 assigned maximum fee pricing; IHCP enforces restrictions on dental services through new system audits; Claim number required for claim administrative review requests and claim appeals All, Ambulatory Surgical Center, Hospital, Physician, Dental

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