Banner # | Date | Topics | Type | BR201805 | 1/30/2018 | IHCP reminds providers of processes and requirements for appealing pharmacy audit determinations; IHCP reminds pharmacy providers of FDA storage and handling requirements; New Provider Profile information in the Portal | All, Pharmacy |
BR201804 | 1/23/2018 | IHCP to mass adjust or mass reprocess claims for certain mental health codes that may have denied inappropriately; Sign up now for spring 2018 IHCP provider workshops | All, Mental Health, Psychiatrist |
BR201803 | 1/16/2018 | IHCP to cover HCPCS code Q2043; IHCP to mass adjust or mass reprocess claims for certain ocular implant DME codes that may have denied inappropriately | All, Durable Medical Equipment, Physician |
BR201802 | 1/9/2018 | New ambulance transportation training now available; Physician-administered drug codes updated with 2018 annual HCPCS updates | All, Transportation, Physician |
BR201801 | 1/2/2018 | IHCP to cover HCPCS codes J0887 and J0888; Providers may resubmit claims for CPT code 99292 that denied incorrectly | All, Physician |
BR201752 | 12/26/2017 | This banner page has been canceled. | |
BR201751 | 12/19/2017 | IHCP to mass adjust or mass reprocess certain claims that adjudicated incorrectly in CoreMMIS | All, Ambulatory Surgical Center, Durable Medical Equipment, Laboratory, Physician |
BR201750 | 12/12/2017 | IHCP to mass adjust or mass reprocess claims for prenatal services that may have adjudicated incorrectly due to visit limitation audits; Save the date for the 2018 Spring IHCP provider workshops | All, Clinic, Obstetric nurse practitioner, Obstetrician/gynecologist |
BR201749 | 12/5/2017 | IHCP reminds providers of January 1 deadline to update rendering provider linkages; IHCP will mass reprocess dental claims that may have denied incorrectly; Modifier AA - Anesthesia services performed personally by anesthesiologist linked to anesthesia CPT codes | All, Anesthesiologist, Dentist |
BR201748 | 11/28/2017 | IHCP reminds providers paper claims must be submitted on NUCC red claim forms effective January 1, 2018; IHCP to revise rates for select durable medical equipment and medical supplies based on 2018 Medicare rates; Providers may resubmit claims billed with certain podiatry services diagnosis codes that may have denied incorrectly; Providers may resubmit claims billed with certain surgical services diagnosis codes that may have denied incorrectly; Prior authorization is now required for HCPCS code C9484; IHCP delays date for implementing enhanced provider profile information on the Portal | All, Podiatrist, Durable Medical Equipment |
BR201747 | 11/21/2017 | Providers may resubmit certain claims for HCPCS code J3590 that may have denied incorrectly; IHCP to accept and process replacement claims for B4157 that may have paid incorrectly; Providers may resubmit claims for HCPCS codes C9491 and C9493 that may have denied incorrectly; IHCP announces IEP-related nursing services rate for calendar year 2018; IHCP updates attachment requirements for certain procedure codes; Taxonomy codes for rendering providers not required on claims; IHCP implements taxonomy code requirement changes; Update on CoreMMIS implementation issues with MRO, AMHH, BPHC, and CMHW benefit packages; IHCP will no longer publish one of the vision services code tables on the provider website | All, Mental Health, CMHC, Optician, Optometrist |
BR201746 | 11/14/2017 | IHCP reminds providers that hepatitis C drugs are “carved out” of managed care and covered FFS; IHCP to revise rates for select clinical laboratory services based on 2018 Medicare rates; IHCP clarifies guidance regarding managed care members transitioning from IMDs to state-operated facilities | Pharmacy, Prescribing, Laboratory, Mental Health, All |
BR201745 | 11/7/2017 | IHCP will remove age restrictions on certain diagnosis codes and mass reprocess claims that denied inappropriately; IHCP reminds providers of January 1 deadline to update rendering provider linkages; IHCP delays changes to taxonomy code requirements on claims for attending, operating, and OPR providers; IHCP corrects inpatient hospital services code table on website | All, OPR, Hospital, Mental Health |
BR201744 | 10/31/2017 | IHCP standardizes written communications with providers and members; IHCP unveils new look for indianamedicaid.com website | All |
BR201743 | 10/24/2017 | IHCP assigns maximum-fee pricing to CPT codes 77065, 77066, and 77067; IHCP to mass adjust or mass reprocess claims for HCPCS code H0035 that denied incorrectly; IHCP links CPT code 0474T to revenue code 940 and updates pricing; IHCP to update outpatient reimbursement methodology for cardiology revenue codes | All, Ambulatory Surgical Center, Institutional |
BR201742 | 10/17/2017 | Diabetes management codes linked to additional provider specialties; IHCP to add allowable diagnosis codes for chiropractic services; Prior authorization is no longer required for CPT codes 92592 and 92593; IHCP provider enrollment inventory at normal levels; IHCP reminds providers of claim requirements for coverage of emergency services; | All, Audiologist, Chiropractor, Podiatrist, Optometrist |
BR201741 | 10/10/2017 | IHCP to update CLIA certificate of waiver for code 87633; IHCP to add attachment requirement when billing HCPCS code S8121; IHCP clarifies IRS W-9 requirements for provider enrollment transactions; IHCP offers new provider education training-Non-emergency transportation training now posted; IHCP revises date for viewing new Provider Profile information in the Portal; IHCP clarifies process for OPR providers to change their enrollment status | All, OPR, Laboratory, Transportation |
BR201740 | 10/3/2017 | IHCP to mass adjust nursing facility; hospice and PRTF claims for patient liability; IHCP to mass reprocess LTC claims that denied inappropriately; IHCP to reprocess or mass adjust claims for psychiatric therapy services that adjudicated incorrectly; IHCP will not reimburse for FluMist for the 2017-2018 flu season; Providers now able to view additional profile information in the Portal | All, Mental Health, LTC, Waiver |
BR201739 | 9/26/2017 | IHCP reminds providers how to interpret PA status | All |
BR201738 | 9/19/2017 | IHCP to mass adjust MFP-A&D assisted living services claims; IHCP corrects CLIA classification and scope of mass adjustment of claims for CPT code 80305; IHCP clarifies enrollment requirements for providing OTP-specific services | All, Laboratory, Addiction services, OPR |