| Bulletin # | Date | Topics | Type | | BT200340 | 06/13/2003 | Hoosier Healthwise Mandatory Managed Care Organization Transition. The OMPP continued Hoosier Healthwise mandatory RBMC enrollment in eight additional counties. | All |
| BT200339 | 06/09/2003 | Positron Emission Tomography (PET) Scan Coverage -- This bulletin clarifies the coverage criteria and billing procedures for this service. All claims with dates of service after 04/01/03, must be billed using G codes. | Radiology |
| BT200337 | 06/06/2003 | This bulletin announces the implementation of PA for therapeutic duplication ProDUR alerts effective July 1, 2003. The first two therapeutic classes are ACES and ARBS. | Pharmacy and Prescribing Practitioners |
| BT200336 | 06/06/2003 | This bulletin notifies providers of changes to reimbursement for oxygen and oxygen equipment reimbursed by the IHCP. | All Providers |
| BT200335 | 06/03/2003 | A focused review was conducted of prior authorization requests for motorized/power wheelchairs using HCPCS codes E1210 through E1213. Research revealed that programmable electronics are part of the base equipment and not separately reimbursable. | DME, Home Health Care, Hospitals, Med Clinics and Physicians |
| BT200334 | 06/03/2003 | The OMPP recently reviewed the policy for billing of apnea monitors, noninvasive pulse oximetry, pneumograms, and trend event monitoring. National codes are now available for billing of these services. | All Providers |
| BT200338 | 06/02/2003 | This bulletin notifies IHCP providers about recent code changes and fee schedule adjustments to medical and surgical supply HCPCS codes. | Pharmacy, DME and Medical Supply Providers |
| BT200333 | 06/02/2003 | Phase 9 of the Preferred Drug List | All Providers |
| BT200332 | 06/02/2003 | Beginning July 1, 2003, the DFC will allow medical expenses to meet spenddown if the allowable expenses are not subject to payment by a third party, such as Medicare or other insurance. | All Providers |
| BT200331 | 05/30/2003 | Detailed explanation of rule changes and the imact of the changes on hospice providers for IHCP hospice authorization, hospice provider enrollment, and hospice review. | All Hospice |
| BT200329 | 05/30/2003 | Limited chiropractic services to 50 visits per rolling 12-month period for members effective July 1, 2003. | All Members |
| BT200330 | 05/22/2003 | Myers and Stauffer, on behalf of the OMPP, conducted reviews of services rendered by pharmacy providers. The purpose of the reviews was to gauge provider compliance with applicable statutes, regulations, policies, and procedures. | All Pharmacy |
| BT200328 | 05/20/2003 | HIPAA Provider Workshops - Registration form modified 5/23/03 | All Providers, Clearinghouses, Billing Services, and VANs |
| BT200327 | 05/13/2003 | Additional codes have been approved by the OMPP meeting the criteria for a valid encounter. This allows claims submitted with HCPCS code T1015 to reimburse a rate associated with the PPS rate implemented on 04/01/03. | FQHCs and RHCs |
| BT200326 | 05/12/2003 | After May 31, 2003, the IHCP will only pay for two visits to a new dentist in a rolling 12-month period and one oral exam every six months. This bulletin also covers members in nursing or group homes and has information for parents or guardians. | All Members |
| BT200325 | 05/06/2003 | Claims submission procedures for Medicare Part A, B, and C demonstrating the proper billing and reimbursement for both CMS-1500 and UB-92 claim forms. | All |
| BT200324 | 05/05/2003 | The OMPP, along with the DAP and IDA, agreed to changes in the $600 dental cap for adults. Surgical and periodontal serves will be separated from the $600 cap. | All dental, FQHC and RHC |
| BT200323 | 05/01/2003 | New rules modifying the IHCP coverage for chiropractic services for all members. Effective July 1, 2003, reimbursement is limited to a total of 50 office visits and spinal manipulation or physical med treatments per member per rolling 12-month period. | Chiropractors and Chiropractic Clinics |
| BT200320 | 04/15/2003 | MDS Supportive Docuemntation Guidelines RUG-III, Ver 5.12, 34 Grouper. Update the IHCP-certified nusring facilities about the requirements for MDS supportive documentation. | Certified Nursing Facilities |
| BT200322 | 04/04/2003 | This bulletin notifies providers of approved additions and deletions to the capped rental, and frequent and substantial servicing categories by the IHCP, effective May 19, 2003. | All DME, Home Health Care, Hosp, Med Clinics, & Physicians |