Banner # | Date | Topics | Type | BR201737 | 9/12/2017 | CoreMMIS corrected to properly adjudicate certain neonate inpatient claims; IHCP to cover HCPCS code C9489; IHCP to mass adjust or mass reprocess certain dental claims that denied for EOB 4211; IHCP clarifies billing for services during the presumptive eligibility period; IHCP clarifies billing for PASRR and MRT services; Place of Service Code field required for pharmacy claims; IHCP makes Applied Behavioral Analysis PA Checklist available; Marriott is accepting reservations for the 2017 IHCP Annual Provider Seminar | All, Pharmacy, Dental, Hospitals |
BR201736 | 9/5/2017 | This banner page has been canceled. | |
BR201735 | 8/29/2017 | Clarification of IHCP TPL/Medicare Special Attachment Form instructions; Code Sets corrected for provider specialties 200 – Audiologists, and 220– Hearing Aid Dealers | All, Audiologist, Hearing Aid Dealer |
BR201734 | 8/22/2017 | Member eligibility verification to include MCE delivery network; IHCP notifies pharmacy providers of address change for submitting manual FFS claims | All, Pharmacy |
BR201733 | 8/15/2017 | IHCP makes updates to lab codes subject to HAF; Mark your calendars for the IHCP 2017 Annual Provider Seminar | All, Hospitals |
BR201732 | 8/8/2017 | IHCP to update CLIA procedure codes and mass adjust claims; IHCP updates list of dental codes that require a tooth number for billing; IHCP clarifies requirements regarding the treatment of assets for nursing facility providers | All, Dental |
BR201731 | 8/1/2017 | IHCP to cover HCPCS code S0073- Aztreonam, injection, 500 mg; IHCP to mass-adjust or mass-reprocess claims for crisis intervention services; IHCP providers experiencing delays with provider enrollment transactions; IHCP extends deadline to update rendering provider linkages for proper claim adjudication to January 1, 2018; Providers may resubmit claims that denied inappropriately for EOB 2504 | All |
BR201730 | 7/25/2017 | CMS approves deactivation of NCCI MUE for A0425;IHCP adds diagnosis codes for services covered under the Family Planning Eligibility Program;IHCP to revise the DME and medical supply items included in the LTC facility per diem rate;IHCP to reimburse for certain procedures rendered by LCACs | All, Transportation, LTC Facilities |
BR201729 | 7/18/2017 | Income limits now calculating correctly for presumptive eligibility applications; IHCP makes pharmacy benefit information readily accessible
on provider website | All |
BR201728 | 7/11/2017 | IHCP establishes a Podiatry Services Code Set; Authorization numbers for PA requests are no longer case-sensitive in the Provider Healthcare Portal | All, podiatrist |
BR201727 | 7/4/2017 | This banner page has been canceled. | |
BR201726 | 6/27/2017 | Providers may resubmit claims denied for EOB codes 1003 and 1004 | All |
BR201725 | 6/20/2017 | Transportation providers are reminded of IHCP guidance for billing ALS/BLS oxygen services; IHCP adds billing restrictions to dental anesthesia codes; IHCP updates dental codes that require tooth numbers when billing | All, Transportation, Dental |
BR201724 | 6/13/2017 | IHCP issues new billing guidance for partial hospitalization services for managed care programs; IHCP reminds providers to include the member’s ICD-10 diagnosis code on update requests to approved MRO benefit packages; Providers may resubmit claims for CPT code 99292 that denied incorrectly | All, MRO, Hospital, Mental Health |
BR201723 | 6/6/2017 | Sign up for 2017 second-quarter provider workshops | All |
BR201722 | 5/30/2017 | IHCP to mass adjust nursing facility, hospice, and PRTF claims for members with patient liability; IHCP reminds nursing facilities of Myers and Stauffer’s secure web portal; IHCP will no longer provide separate outpatient reimbursement for certain physician-administered drugs | All, Nursing Facility, PRTF, Hospice |
BR201721 | 5/23/2017 | IHCP addresses issues with MRO, AMHH, BPHC, and CMHW benefit packages; IHCP will mass reprocess or mass adjust claims for psychiatric therapy services that may have inappropriately adjudicated; Effective January 1, 2018, paper claims must be submitted on NUCC red claim forms; IHCP is addressing system issues with batch 270/271 eligibility transactions | All, MRO, AMHH, BPHC, CMHW |
BR201720 | 5/16/2017 | Transportation code A0425 denying for NCCI MUE; POA indicator issues corrected in CoreMMIS and the Portal; IHCP identifies top 20 EOB denial codes; Save the date for the 2017 second-quarter IHCP provider workshops | All, Transportation, Hospital |
BR201719 | 5/9/2017 | IHCP clarifies requirements for provider criminal background checks; IHCP recognizes additional certified training course for physicians administering topical fluoride varnish services; Home health providers may resubmit claims for therapy services that denied incorrectly; IHCP allows providers until September 1, 2017, to update rendering provider linkages to support proper claim adjudication; IHCP to revise the DME and medical supply items included in the LTC facility per diem rate | All, Home Health, LTC Facility, Clinic |
BR201718 | 5/2/2017 | IHCP to update MRT procedure codes; IHCP updates FQHC and RHC encounter codes; IHCP to mass adjust and mass reprocess waiver claims; PA authorization number is case-sensitive in the Provider Healthcare Portal; IHCP to add HCPCS codes as DME/HME items with capped rentals; IHCP transitions certain members from Hoosier Healthwise to Traditional Medicaid; IHCP to mass adjust outpatient crossover claims billed by LTC providers for therapy services included in per diem | All, FQHC/RHC, Waiver, LTC |