| General Information Modules |
| Introduction to the IHCP |
July 1, 2020 |
5.0 |
| Interactive Voice Response System |
November 1, 2019 |
4.0 |
| Prior Authorization |
December 1, 2019 |
4.0 |
| Provider and Member Utilization Review |
October 1, 2019 |
4.0 |
| Provider Enrollment |
March 1, 2019 |
4.0 |
| Provider Healthcare Portal |
October 1, 2019 |
4.0 |
| Eligibility and Benefits Modules |
| Member Eligibility and Benefit Coverage |
April 1, 2019 |
4.0 |
| Presumptive Eligibility |
June 1, 2020 |
5.0 |
| Right Choices Program |
May 1, 2020 |
3.0 |
| Claims and Billing Procedures Modules |
| Claim Submission and Processing |
July 1, 2019 |
4.0 |
| Claim Adjustments |
April 1, 2020 |
5.0 |
| Claim Administrative Review and Appeals |
November 1, 2019 |
4.0 |
| Electronic Data Interchange |
April 1, 2020 |
5.0 |
| Financial Transactions and Remittance Advice |
November 1, 2019 |
4.0 |
| National Correct Coding Initiative |
February 1, 2020 |
4.0 |
| Third-Party Liability |
June 1, 2020 |
5.0 |
| Service- and Provider-Specific Modules |
| Anesthesia Services |
October 1, 2019 |
4.0 |
| Chiropractic Services |
June 1, 2020 |
5.0 |
| Clinical Trials |
September 1, 2020 |
3.0 |
| Dental Services |
June 1, 2020 |
5.0 |
| Diabetes Self-Management Training Services |
March 1, 2020 |
4.0 |
| Durable and Home Medical Equipment and Supplies |
May 1, 2018 |
3.0 |
| Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)/HealthWatch Services |
January 1, 2019 |
3.0 |
| Emergency Services |
September 1, 2020 |
5.0 |
| Evaluation and Management Services |
August 1, 2020 |
5.0 |
| Family Planning Services |
October 1, 2020 |
5.0 |
| Federally Qualified Health Centers and Rural Health Clinics |
October 1, 2020 |
5.0 |
| Genetic Testing |
June 1, 2018 |
3.0 |
| Hearing Services |
August 1, 2020 |
5.0 |
| Home and Community-Based Services Billing Guidelines |
February 1, 2020 |
4.0 |
| Home Health Services |
December 1, 2019 |
4.0 |
| Hospice Services |
March 1, 2020 |
4.0 |
| Hospital Assessment Fee |
September 1, 2020 |
5.0 |
| Injections, Vaccines, and Other Physician-Administered Drugs |
July 1, 2020 |
5.0 |
| Inpatient Hospital Services |
March 1, 2020 |
4.0 |
| Laboratory Services |
June 1, 2020 |
5.0 |
| Long-Term Care |
March 1, 2019 |
4.0 |
| Medical Practitioner Reimbursement |
October 1, 2017 |
2.0 |
| Mental Health and Addiction Services |
May 1, 2017 |
2.0 |
| Obstetrical and Gynecological Services |
October 1, 2020 |
5.0 |
| Oncology Services |
February 1, 2020 |
2.0 |
| Out-of-State Providers |
February 1, 2020 |
4.0 |
| Outpatient Facility Services |
August 1, 2020 |
5.0 |
| Pharmacy Services |
July 1, 2020 |
5.0 |
| Podiatry Services |
February 1, 2020 |
4.0 |
| Radiology Services |
February 7, 2020 |
4.0 |
| Renal Dialysis Services |
December 1, 2020 |
5.0 |
| School Corporation Services |
August 1, 2020 |
5.0 |
| Surgical Services |
August 1, 2019 |
4.0 |
| Telemedicine and Telehealth Services |
October 1, 2019 |
4.0 |
| Therapy Services |
October 1, 2020 |
5.0 |
| Transportation Services |
October 1, 2018 |
3.0 |
| Vision Services |
February 1, 2020 |
4.0 |
| Program-Specific Modules |
| 590 Program |
November 1, 2019 |
4.0 |
Division of Aging
Home and Community-Based Services Waivers |
July 1, 2020 |
6.0 |
Division of Disability and Rehabilitative Services
Home and Community-Based Services Waivers |
July 16, 2020 |
8.0 |
Division of Mental Health and Addiction
Adult Mental Health Habilitation Services |
April 1, 2020 |
5.0 |
Division of Mental Health and Addiction
Behavioral and Primary Healthcare Coordination Service |
October 1, 2020 |
7.0 |
Division of Mental Health and Addiction
Child Mental Health Wraparound Services |
July 1, 2019 |
4.0 |
| Family Planning Eligibility Program |
October 1, 2020 |
5.0 |
| Healthy Indiana Plan |
July 1, 2019 |
2.0 |
| Medicaid Rehabilitation Option Services |
September 1, 2018 |
3.0 |
