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 |