IHCP Banner Pages

BR202244

11/01/2022

Issue identified with claims submitted with multiple payers

All

BR202243

10/25/2022

Additional updates to October 2022 quarterly HCPCS codes C9101 and Q2056;
IHCP adds linkage of CPT 97803 to revenue code 940;
IHCP announces dental coding rate changes for limited orthodontic treatment;
IHCP to move CPT code 92610 to therapy services contract;
IHCP will reprocess or mass adjust claims for select MFP-CIH codes

All, Dentist, Hospital, Physician/Practitioner, Therapist, Waiver

BR202242

10/18/2022

IHCP applies check-related adjustments;
IHCP identifies issue with FQHC and RHC outpatient crossover claim denials;
IHCP will reprocess or mass adjust claims for HCPCS codes 0074A and 0094A;
Presumptive Eligibility rules clarified for backdating;
Reminder of Sandata portal virtual training for waiver and home health providers

All, Addiction Services, Behavioral Health, Clinic, FQHC/RHC, Home Health, Hospital, Physician/Practitioner, Other, Waiver

BR202241

10/11/2022

IHCP shares EVV home health reminders;
IHCP to mass reprocess or mass adjust claims for provider stand-alone specialty 835

Addiction Services, Behavioral Health, Home Health, Other

BR202240

10/04/2022

Providers may resubmit claims for HCPCS code J3070 that denied incorrectly

All

BR202239

09/27/2022

IHCP reminds providers to register for the 2022 IHCP Works annual seminar

All

BR202238

09/20/2022

This banner page has been canceled.

BR202237

09/13/2022

IHCP will reprocess or mass adjust claims for procedure codes Q5105 and Q5106;
Pricing updated for certain physician-administered drug codes;
Pricing updated for certain physician-administered vaccine codes

All

BR202236

09/06/2022

HCBS Provider Stabilization Grant impact;
IHCP reminds providers of timely PA requests;
IHCP removes PA requirements from the associated CPT procedure codes for spinal cord stimulators

All, Ambulatory Surgical Center, DME/HME, Hospital, Physician/Practitioner

BR202235

08/30/2022

IHCP clarifies age-range restrictions for Z00.00;
IHCP corrects rate for HCPCS codes M0222 and M0223

Clinic, Hospital, Physician/Practitioner

BR202234

08/23/2022

IHCP will mass reprocess claims for inpatient services that adjudicated incorrectly for POA diagnosis

Hospital

BR202233

08/16/2022

This banner page has been canceled.

BR202232

08/09/2022

IHCP to cover HCPCS code 90759;
IHCP reminds providers of plan of care requirement

Behavior Health, Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner

BR202231

08/02/2022

IHCP announces paid opportunity to participate in Aging and Disability Staff Stability Survey;
IHCP to cover HCPCS code 90759;
Sandata to host alternative EVV vendor townhalls for home health

Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Waiver, Home Health

BR202230

07/26/2022

IHCP removes prior authorization for electric breast pumps

DME/HME

BR202229

07/19/2022

Division of Aging announces service additions to the A&D Waiver;
Save the date for the 2022 IHCP Works Seminar

All, Waiver

BR202228

07/12/2022

This banner page has been canceled.

BR202227

07/05/2022

IHCP to mass adjust or mass reprocess claims for CPT codes 93593–93598;
Gainwell email addresses changing from @dxc to @gainwelltechnologies.com

All, Physician/Practitioner

BR202226

06/28/2022

FSSA reminds PRTF providers of rate changes for 2022;
IHCP issues reminder and general guidance to facilitate prior authorization submissions;
FSSA reminds waiver providers of the temporary rate for assisted living services ends June 30, 2022

All, Physician/Practitioner

BR202225

06/21/2022

IHCP to apply cost avoidance for members with LTC insurance and members enrolled in a PE benefit plan;
IHCP to host live webinar on age-specific diagnoses, June 30, 2022

All

BR202224

06/14/2022

IHCP updates documentation requirements for sterilization services, revises code set;
IHCP to mass adjust or mass reprocess claims for CPT codes 91132 and 91133;
IHCP corrects rates for HCPCS codes J1650, J9017, J9263 and Q0161;
IHCP advises long-term care providers of issue with June 2022 patient liabilities

All, Clinic, Physician/Practitioner, Radiology

BR202223

06/7/2022

IHCP to mass reprocess outpatient crossover claims that denied incorrectly;
IHCP will accept current Consent for Sterilization forms until CMS notifies of updated forms

Ambulatory Surgical Center, Anesthesiologist, Clinic, Hospital, Physician/Practitioner

BR202222

05/31/2022

IHCP provides results of review year 2021 CMS PERM, announces review year 2024 CMS PERM

All

BR202221

05/24/2022

IHCP to mass reprocess or mass adjust professional claims denied for EOB 4096;
IHCP to adjust claims for procedure code M0220;
IHCP adds coverage for canalith repositioning therapy

All, Ambulatory Surgical Center, Clinic, Hospital, Physician/Practitioner

BR202220

05/17/2022

Duplicate payer IDs on electronic claim submissions;
IHCP to update rate for A0090 in CoreMMIS;
IHCP adds codes to LTC DME;
IHCP excludes additional services from electronic visit verification requirement in 24-hour congregate settings;
Electronic outpatient crossover claim denials for missing coinsurance and deductible

All; Hospital; Nursing Facility/Long Term Care; Ordering, Prescribing, or Referring; Transportation

BR202219

05/10/2022

IHCP to mass reprocess or mass adjust claims for COVID-19 vaccine and administration codes;
IHCP corrects rate for HCPCS code J9273

Clinic; FQHC/RHC; Hospital; Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner

BR202218

05/03/2022

IHCP to limit CPT code 92620 to one per 36 months;
IHCP updates billing requirements for intraocular stents;
IHCP to adjust claims for procedure code 0034A;
IHCP removing coverage of COVID-19 treatment codes for sotrovimab

All, Ambulatory Surgical Center, Audiologist, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Optometrist

BR202217

04/26/2022

IHCP end-dating HCPCS A2003;
IHCP will accept current Consent for Sterilization forms until CMS notifies of updated forms

Ambulatory Surgical Center, Behavioral Health, Clinic, Hospital, Physician/Practitioner

BR202216

04/19/2022

IHCP removes same-day billing restriction for IOT and OTP services;
OMPP updates dental codes for Package E and Package B;
IHCP adding coverage for CPT codes 90671 and 90677

All, Clinic, Dentist, FQHC/RHC

BR202215

04/12/2022

IHCP to add coverage for HCPCS code E2313;
IHCP to add coverage for HCPCS code E0986;
FSSA OMPP needs public comment on the 2022 Quality Strategy Plan

All, DME/HME

BR202214

04/5/2022

IHCP promotes minority maternal health learning opportunity;
IHCP removes references to “partial sterilization”

All

BR202213

03/29/2022

Medicaid to deny prescriptions for dually eligible members opting out of Medicare Part D

All

BR202212

03/22/2022

This banner page has been canceled.

BR202211

03/15/2022

IHCP to host live webinar on evaluation and management for clinic and outpatient coding, March 31, 2022

All

BR202210

03/8/2022

This banner page has been canceled.

BR202209

03/01/2022

IHCP reminds providers of documentation signature requirements and best practices;
IHCP will add noncovered procedure codes to Professional Fee Schedule

All

BR202208

02/22/2022

IHCP to cover HCPCS code J1437

Clinic, FQHC/RHC, Hospital, Laboratory, Physician/Practitioner

BR202207

02/15/2022

IHCP corrects required PA form information for acute care hospital non-elective inpatient admission;
IHCP reminds providers to check member eligibility;
IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2022

All, DME/HME

BR202206

02/08/2022

IHCP announces procedure codes linked to revenue code 636; 
IHCP to allow CLIA certificate of waiver for CPT code 86328, accept resubmitted claims;
IHCP updates Professional Fee Schedule notes for select codes;
IHCP updates rate for J0172

All, Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Pharmacy/Prescribing, Laboratory, Waiver

BR202205

02/01/2022

Updated PA documentation submission for Zolgensma

All

BR202204

01/25/2022

This banner page has been canceled.

BR202203

01/18/2022

IHCP updates pricing for CPT 49215 code no longer inpatient-only, claims may be resubmitted;
IHCP to allow CLIA certificate of waiver for CPT codes 87400, 87420 and 87430, accepts resubmitted claims;
IHCP corrects rate for HCPCS code J0741;
IHCP to mass adjust DME claims that adjudicated incorrectly in CoreMMIS;
IHCP reminds providers to use the most accurate procedure and diagnosis code

All; Ambulatory Surgical Center; Clinic; DME/HME; FQHC/RHC; Hospital; Laboratory; Ordering, Prescribing, or Referring; Physician/Practitioner

BR202202

01/11/2022

IHCP to adjust electronic crossover claims;
IHCP posts prerecorded webinar on 2021 annual audit findings and tips

All

BR202201

01/04/2022

This banner page has been canceled.

BR202152

12/28/2021

IHCP updates POS codes for telehealth services

All

BR202151

12/21/2021

IHCP identifies psychotherapy and evaluation and management services on same day;
Mass reprocessing for IHCP to mass reprocess inpatient services that adjudicated incorrectly due to present on admission status;
IHCP clarifies third-party liability cost avoidance announcement, specifies applicable services;
IHCP to mass reprocess or mass adjust claims for select COVID-19 procedure codes

All; Hospital; Ambulatory Surgical Center; Clinic; FQHC/RHC; Hospital; Pharmacy/Prescribing; Physician/Practitioner; Podiatrist; School Corporation; Transportation; Waiver

BR202150

12/14/2021

IHCP clarifies COVID-19 vaccination pharmacy claims process using the ordering pharmacist’s NPI;
IHCP updates HAF exemption information on the Outpatient Fee Schedule

All, Pharmacy/Prescribing

BR202149

12/07/2021

IHCP to mass reprocess or mass adjust claims for HCPCS Code 90621 that denied incorrectly;
IHCP to host live webinar on clinical documentation practices for proper payment;
IHCP updates Inpatient Hospital Services Code Set

All

BR202148

11/30/2021

IHCP updates pricing for CPT codes in the outpatient setting, adds linkages to revenue codes

All

BR202147

11/23/2021

IHCP to revise rates for select DME and medical supply items based on 2022 Medicare rates;
IHCP to revise rates for select clinical laboratory services based on 2022 Medicare rates;
IHCP updates podiatry billing guidance for orthopedic or therapeutic footwear

All; DME/HME; Podiatry Services

BR202146

11/16/2021

IEP-related nursing services rate remains unchanged for calendar year 2022;
IHCP adds prosthetic device coverage for HCPCS codes L8701 and L8702;
IHCP to add 66821 to optometry services code set;
IHCP updates pricing for certain procedure codes in the outpatient setting, effective immediately

All, School Corporation, Optometrist, Optician, Clinic, DME/HME, Hospital

BR202145

11/09/2021

IHCP modifies EVV to remove unauthorized services exception;
Inpatient DRG claim denials;
IHCP to update reimbursement for HCPCS codes S0145, S0190 and S0191;
IHCP adds coverage for CPT codes 90619 and 90697, effective Oct. 27, 2021

All, Waiver, Clinic, FQHC/RHC, Hospital, OPR, Pharmacy/Prescribing, Physician/Practitioner, Podiatrist

BR202144

11/02/2021

Providers may resubmit claims for HCPCS code J2182 that denied incorrectly;
IHCP follows national guidelines for revenue codes 761 and 762;
IHCP to remove prior authorization for 99473 and 99474;
IHCP to update maximum number of units of service for CPT codes 11103, 11105 and 11107;
Assisted Living temporary rate adjustment, effective Jan. 1, 2022 through June 30, 2022

All; Ambulatory Surgical Center; Clinic; FQHC/RHC; Prescribing or Referring; Physician/Practitioner; End-Stage Renal Disease Clinic; Hospital

BR202143

10/26/2021

FSSA hosts MLTSS webinar Nov. 2;
Certain procedure codes no longer inpatient-only, reimbursement of claims that denied

Ambulatory Surgical Center; FQHC/RHC; Hospital; Nursing Facility/Long Term Care

BR202142

10/19/2021

Sandata to host webinar for alternative EVV vendors;
Outpatient Fee Schedule correction for A4555 and E0766;
IHCP removes prior authorization requirement for developmental testing codes 96112 and 96113;
IHCP updates Outpatient Fee Schedule- prior authorization;
IHCP announces procedure code links to revenue code 260;
Certain procedure codes now inpatient only, no longer reimbursable in outpatient setting

All; Physician/Practitioner; Waiver

BR202141

10/12/2021

This banner page has been canceled.

BR202140

10/05/2021

Correction to procedure code 0632T, code remains noncovered

All

BR202139

09/28/2021

IHCP to host live webinar on FADS audit process and new vendor update;
IHCP updates coverage for CPT 81528;
IHCP clarifies policy regarding home health staff traveling with members;
IHCP updates Outpatient Fee Schedule

Ambulatory Surgical Center; Clinic; FQHC/RHC; Hospital; Ordering, Prescribing or Referring; Physician/Practitioner; All

BR202138

09/21/2021

IHCP to cover HCPCS code C9047;
New EOB for HMS adjustments;
Prior authorization no longer required for outpatient claims for CPT 94668;
IHCP reminds providers of medical record documentation general requirements and best practices

All, Ambulatory Surgical Center, Hospital, Clinic, End Stage Renal Disease Clinic, FQHC/RHC, Ordering, Prescribing or Referring, Physician/Practitioner

BR202137

09/14/2021

IHCP clarifies that scope of occupational therapy practice may include behavioral health services;
IHCP requests providers to resubmit claims that paid incorrectly for waiver services with rate increases

Behavioral Health, Therapist, Waiver

BR202136

09/07/2021

IHCP updates pricing for certain procedure codes in the outpatient setting;
IHCP updates pricing for CPT codes in the outpatient setting, adds linkages to revenue codes;
IHCP reminds pharmacy providers of requirements for signature logs and proof of prescription deliveries

All, ASC, Hospital, Pharmacy/Prescribing

BR202135

08/31/2021

IHCP to cover HCPCS code K1005

DME/HME

BR202134

08/24/2021

IHCP adds codes to Podiatry Services Codes;
IHCP to mass reprocess or mass adjust claims for certain injection and other services that denied incorrectly;
COVID-19 vaccine and vaccine administration procedure codes awaiting FDA approval

ASC, Clinic, FQHC/RHC, Hospital, OPR, Physician/Practitioner, Podiatrist

BR202133

08/17/2021

Reimbursement update for HCPCS codes K1013, K1014 and K1015 in the outpatient setting;
IHCP announces assisted living reimbursement rates increase, mass adjusts claims that paid incorrectly;
IHCP increases CIH Waiver and FSW rates, FSW annual cap, and mass adjusts claims that paid incorrectly

ASC, Hospital, Waiver

BR202132

08/10/2021

IHCP to cover HCPCS code G0498 (chemotherapy infusion pump);
IHCP applies ASC pricing to certain outpatient surgical services no longer IPO, accepts resubmitted claims;
IHCP reminds FQHC and RHC providers to bill for one unit of code T1015 on a claim

ASC, Clinic, FQHC/RHC, Hospital, OPR, Pharmacy/Prescribing, Physician/Practitioner

BR202131

08/03/2021

IHCP to cover HCPCS codes G2170 and G2171;
Reimbursement update for COVID-19 treatment code Q0247 (Sotrovimab);
IHCP revises Hospital Assessment Fee adjustment factor for inpatient psychiatric LOC rate;
IHCP to allow CLIA certificate of waiver for CPT codes 87637 and 87811, accept resubmitted claims;
IHCP corrects Outpatient Fee Schedule for certain laboratory, drug and vaccine procedure codes rates;
IHCP corrects Outpatient Fee Schedule for CPT codes 92274, 93985 and 93986

ASC, Clinic, ESR Disease Clinic, FQHC/RHC, Hospital, Laboratory, OPR, Physician/Practitioner, Radiology

BR202130

07/27/2021

IHCP to revise limit on reimbursement of injection services, mass reprocess or mass adjust claims;
IHCP announces Sandata Knowledge Center and Ticket Portal;
IHCP modifies EVV to remove GPS distance exception;
Reminder for providers to avoid submitting duplicate claims

All, Home Health

BR202129

07/20/2021

IHCP revises Hospital Assessment Fee adjustment factors for outpatient and inpatient rates;
Reminder of new fraud and abuse detection system vendor and mailing address

All

BR202128

07/13/2021

Reminder of new Gainwell Technologies post office mailing addresses;
IHCP to host webinar on principles for ethical and compassionate opioid tapering

All, Behavioral Health

BR202127

07/06/2021

IHCP email inboxes for providers’ questions and feedback

All

BR202126

06/29/2021

IHCP to mass reprocess or mass adjust claims for optometrist services that denied incorrectly;
IHCP to update processing of FQHC and RHC encounter claims, beginning July 1, 2021;
IHCP updates provider self-disclosure process and requirements;
IHCP updates Professional Fee Schedule for physician interpretation of laboratory codes

All, FQHC/RHC, Laboratory, Optometrist

BR202125

06/22/2021

IHCP updates billing guidance for tobacco dependence counseling, adds coverage of CPT 99406 and CDT D1320; Reimbursement update for COVID-19 treatment code M0245 in the outpatient setting

ASC, Behavioral Health, Clinic, Dentist, ESRD Clinic, FQHC/RHC, Hospital, Optometrist, OPR, Pharmacy/Prescribing, Physician/Practitioner, Psych Residential Treatment Facility, Rehabilitation Facility, Therapist

BR202124

06/15/2021

IHCP to cover HCPCS codes M0244 and M0246 for treatment of COVID-19;
Reminder of updated Gainwell Technologies post office mailing addresses;
IHCP to mass reprocess or mass adjust claims for psychotherapy services that denied incorrectly;
IHCP announces new fraud and abuse detection system vendor and mailing address;
IHCP will mass adjust claims for inpatient services that paid incorrectly;
IHCP updates guidance for sterilization services, revises code set

All, Clinic, Hospital, Physician/Practitioner

BR202123

06/08/2021

IHCP clarifies coverage of IOT services rendered by licensed behavioral health professionals, accepts resubmitted claims; Providers may resubmit outpatient crossover claims for HCPCS codes C9761 and C9769 that denied incorrectly;
IHCP links procedure codes to revenue code 260;
IHCP updates Professional Fee Schedule for CPT codes reported with modifier 53

All, Addiction Services, ASC, Clinic, Hospital, Mental Health, Physician/Practitioner, Therapist

BR202122

06/01/2021

This banner page has been canceled.

BR202121

05/25/2021

Reimbursement updates for COVID-19 monoclonal antibody infusion administration;
Prior authorization no longer required for HCPCS code Q4244;
IHCP to allow CLIA certificate of waiver for CPT code 87636;
IHCP clarifies IRS W-9 requirements for provider enrollment transactions

All, ASC, Clinic, FQHC/RHC, Hospital, Laboratory, Nursing Facility/Long Term Care, Ordering, Prescribing, or Referring, Pharmacy/Prescribing, Physician/Practitioner

BR202120

05/18/2021

IHCP COVID-19 Response: IHCP announces HCBS waiver assisted living provider relief, apply by July 31, 2021;
IHCP COVID-19 Response: BDDS modifies ICF/IID therapeutic and hospital leave;
IHCP to mass adjust claims for end-stage renal disease services that paid incorrectly;
Sandata to host webinar for alternate EVV vendors

End Stage Renal Disease Clinic, Home Health, Hospital, Mental Health, Nursing Facility/Long Term Care, Waiver

BR202119

05/11/2021

IHCP to mass reprocess claims for certain behavioral health services that denied incorrectly;
IHCP to mass reprocess claims for FQHC services that denied incorrectly;
Providers may resubmit, or void and replace claims for FSW service A9279 U7 U5 UA;
IHCP will add noncovered CPT code 0011M to fee schedules;
IHCP to allow modifier HE to bypass NCCI Procedure-to-Procedure edits, mass reprocess or mass adjust claims;
IHCP to cover CPT code 50590 in the outpatient setting, accept resubmitted claims;
IHCP updates pricing on outpatient procedure codes that were previously inpatient-only, applies NCCI MUE;
IHCP revises age restriction on HCPCS codes M0239 and M0243, accepts resubmitted claims;
IHCP end dates coverage for HCPCS codes Q0239 and M0239 (Bamlanivimab);
Updates to specifications for alternate EVV systems;
Reminder of updated Gainwell Technologies post office mailing addresses

All, Behavioral Health, Psych Residential Treatment Facility, Rehabilitation Facility, Clinic, ESRD Clinic, Home Health, Hospital, Nursing Facility, LTC, Pharmacy, Prescribing, Physician/Practitioner, Ambulatory Surgical Center, OPR, Waiver, FQHC/RHC

BR202118

05/04/2021

This banner page has been canceled.

BR202117

04/27/2021

Providers can submit meaningful use attestations for Program Year 2021, beginning May 3, 2021;
IHCP end dates Family Supports Waiver activity therapy service, H2032 U7 U5

All, Waiver

BR202116

04/20/2021

IHCP revises pricing and billing guidance for HCPCS code P9603;
IHCP updates reimbursement and billing guidance for HCPCS code J7169 (Andexxa);
IHCP will add procedure codes to Professional Fee Schedule

All, Home Health, Hospice, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner

BR202115

04/13/2021

Prior authorization for PADs administered to dually eligible members;
IHCP to modify behavioral health enrollment applications;
Gainwell Technologies post office mailing addresses update

All, Addiction Services, Mental Health

BR202114

04/06/2021

IHCP provider communications survey

All

BR202113

03/30/2021

IHCP to cover CPT codes 93985 and 93986, mass reprocess or mass adjust claims;
IHCP to cover CPT codes 27130 and 33858 in the outpatient setting, mass reprocess or mass adjust claims;
HCPCS code B4187 pricing update;
IHCP to link procedure codes for outpatient observation stays to revenue code 762, accept resubmitted claims;
Professional Fee Schedule update for HCPCS code R0075

All, ASC, Clinic, DME/HME, End Stage Renal Disease Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Radiology

BR202112

03/23/2021

Reminders about billing for DME and HME services

DME/HME

BR202111

03/16/2021

Billing and reimbursement updates for COVID-19 laboratory testing codes, claims that paid incorrectly;
IHCP reminds providers not to bill Medicaid members, with some exceptions

All, ASC, Clinic, FQHC/RHC, Laboratory, Hospital, Pharmacy/Prescribing, Physician/Practitioner

BR202110

03/09/2021

IHCP to mass reprocess or mass adjust claims for HCPCS code J2796 that denied incorrectly;
Reimbursement updates for certain COVID laboratory procedure codes;
Gainwell Technologies post office mailing addresses update;
IHCP to host virtual 2021 Roadshow

All, ASC, Clinic, FQHC/RHC, Home Health, Hospital, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner

BR202109

03/02/2021

IHCP will mass adjust claims for HCPCS code C9066 that paid incorrectly;
Gainwell Technologies post office mailing addresses update

All

BR202108

02/23/2021

IHCP to mass reprocess outpatient claims for surgical services that denied incorrectly;
FSSA seeks public comment on HCBS settings that require heightened scrutiny

ASC, Hospital, Waiver

BR202107

02/16/2021

IHCP updates Professional Fee Schedule for coverage of HCPCS code E0766

DME/HME

BR202106

02/09/2021

IHCP to mass adjust 837 electronic claims with Medicare information;
IHCP to cover CDT code D4261, accept resubmitted claims;
IHCP to mass reprocess or mass adjust claims for day habilitation services

All, Dental, Waiver

BR202105

02/02/2021

Gainwell Technologies to mail 2020 IRS 1099-MISC tax forms to providers;
Health information technology environmental scan survey for providers

All

BR202104

01/26/2021

Gainwell Technologies to mail 2020 IRS 1099-MISC tax forms to providers;
IHCP to mass adjust professional and professional crossover claims that paid incorrectly;
Changes to NCPDP Version D.0 Transaction Payer Sheet for electronic transactions;
IHCP to mass adjust claims for hospice services with retroactive rates;
IHCP to host three webinars for updates on EVV implementation

All, Home Health, Hospice, Nursing Facility/Long Term Care

BR202103

01/19/2021

Gainwell Technologies to mail 2020 IRS 1099-MISC tax forms to providers;
Providers may resubmit claims for HCPCS code A5083 that denied incorrectly;
Providers may resubmit claims for HCPCS code J0515 that denied incorrectly;
Annual update to ICD-10 codes for BPHC services;
IHCP will add noncovered procedure codes to Professional Fee Schedule;
FSSA requests provider feedback via survey about workforce capacity for treatment of SUD

All, DME/HME, Physician/Practitioner

BR202102

01/12/2021

IHCP to mass reprocess or mass adjust professional claims for transportation services

Transportation

BR202101

01/05/2021

IHCP to mass reprocess or mass adjust claims for HCPCS code J1610 that denied incorrectly

Physician/Practitioner

BR202052

12/29/2020

IHCP to change revenue code required for billing with procedure codes U0001-U0004;
IHCP announces updates to procedure codes exempt from HAF, mass adjusts claims;
IHCP announces effective date for Moderna vaccine HCPCS codes

All

BR202051

12/22/2020

IHCP adds procedure codes to physical therapist assistant code set;
IHCP encourages providers to share information on Hepatitis C initiative;
Countdown to EVV implementation for personal care providers: T-minus 1 week and 2 days

All, Home Health, Therapist, Waiver

BR202050

12/15/2020

IHCP to cover HCPCS code B4105;
IHCP to mass reprocess or mass adjust inpatient claims for certain ICD-10 procedure codes that denied incorrectly;
IHCP to mass reprocess or mass adjust professional claims for certain medical supplies that denied inappropriately;
Providers may resubmit claims for FSW and MFP-FSW services that denied incorrectly;
Certain procedure codes no longer inpatient-only, reimbursement of claims that denied;
IHCP to update mileage rate for HCPCS code A0090;
IHCP will add noncovered procedure codes to Professional Fee Schedule;
IHCP to update case management code T1016 billed with modifier HH as noncovered;
Sandata EVV webinar (virtual training) sessions available January 2021

All, ASC, Clinic, DME/HME, Hospital, Transportation, Waiver

BR202049

12/08/2020

Countdown to EVV implementation for personal care providers: T-minus 3 weeks

Home Health, Waiver

BR202048

12/01/2020

IHCP to mass reprocess claims for certain inpatient services that denied incorrectly

Hospital

BR202047

11/24/2020

Nursing facilities must complete CMS COVID-19 training to receive 4.2% rate increase

Nursing Facility/Long Term Care

BR202046

11/17/2020

Providers may resubmit claims for HCPCS code J9201 that denied incorrectly;
IHCP to mass reprocess or mass adjust outpatient claims for HCPCS code Q5101 that denied incorrectly;
IHCP to mass reprocess or mass adjust claims for TBI waiver service T2039 U7 that denied incorrectly

All, ASC, Clinic, Hospital, Waiver

BR202045

11/10/2020

IHCP to cover CPT code 90694;
IHCP to cover HCPCS code J9118;
IHCP to mass adjust claims for nursing facility $115 per resident daily add-on that paid incorrectly;
IHCP to revise rates for select clinical laboratory services based on 2021 Medicare rates;
Countdown to EVV implementation for personal care providers: T-minus 7 weeks

Clinic, Home Health, Hospital, Nursing Facility/Long Term Care, Pharmacy/Prescribing, Physician/Practitioner, Waiver

BR202044

11/03/2020

IHCP announces IEP-related nursing services rate for calendar year 2021;
Issue with reimbursement of claims for day habilitation services

Physician/Practitioner, School Corporation, Waiver

BR202043

10/27/2020

FSSA updates annual limits and rates for certain A&D and TBI waiver services, mass adjusts claims

Waiver

BR202042

10/20/2020

IHCP to allow CPT 92549 as reimbursable for provider specialty 200 – Audiologist;
IHCP to mass reprocess MRT claims for procedure codes that denied inappropriately;
Providers can submit meaningful use attestations for Program Year 2020, beginning November 2, 2020;
Corrections to rates and services for Family Supports Waiver;
DXC Technology U.S. State and Local Health and Human Services to become Gainwell Technologies

All, Audiologist, Radiology, Waiver

BR202041

10/13/2020

IHCP to update CoreMMIS for members in both programs – family planning eligibility and QMB;
HHS announces phase 3 of CARES Act Provider Relief Fund;
Countdown to EVV implementation for personal care providers: T-minus 11 weeks;
IHCP requests provider feedback through EVV survey

All, Clinic, Home Health, Hospital, Physician/Practitioner, Waiver

BR202040

10/06/2020

IHCP to cover CPT codes 81206, 81207, and 81208 for the treatment of chronic myelogenous leukemia (CML);
IHCP to mass reprocess or mass adjust claims for HCPCS code J2270 that denied incorrectly;
IHCP reminds personal care providers that alternate EVV vendors are required to begin integration by October 1, 2020;
FSSA announces updates to Security Risk Assessment Tool

All, Hospice, Physician/Practitioner, Waiver

BR202039

09/29/2020

IHCP to cover HCPCS codes A4555 and E0766 for the treatment of Glioblastoma Multiforme (GBM);
IHCP to mass reprocess or mass adjust claims for TBI waiver services that denied incorrectly;
IHCP to revise provider enrollment types for mental health and addiction services

DME/HME, Mental Health, Psych Residential Treatment Facility, Waiver

BR202038

09/22/2020

IHCP adds procedure codes to podiatry services code set;
HHS guidance for naloxone administration during the public health emergency

ASC, Podiatrist

BR202037

09/15/2020

IHCP updates reimbursement rate for HCPCS code C9803, mass adjusts claims that paid incorrectly;
IHCP to mass reprocess or mass adjust professional claims for PET scan procedures that denied inappropriately;
Providers may resubmit professional claims for procedure code C9132 that denied incorrectly;
Providers may resubmit FSW claims for day habilitation services that denied inappropriately;
Pricing updated for HCPCS codes E2216, E2217, and E2218;
IHCP to revise pricing for certain "unspecified" procedure codes billed on professional claims;
IHCP to host webinar about updates on EVV implementation, September 24, 2020;
Countdown to EVV implementation for personal care providers: T‑minus 15 weeks

All, ASC, DME/HME, Home Health, Nursing Facility/Long Term Care, Physician/Practitioner, Radiology, Waiver

BR202036

09/08/2020

IHCP to cover HCPCS code Q5121;
IHCP to mass reprocess or mass adjust claims for HCPCS code J2469 that denied incorrectly;
IHCP to mass adjust claims for hospital inpatient services that paid incorrectly;
IHCP clarifies age range restrictions on procedure and diagnosis codes;
IHCP to revise age restrictions on certain procedure codes;
IHCP to update age restrictions on ICD-10 diagnosis codes for body mass index;
Providers may resubmit claims for HCPCS code V2629 that denied inappropriately;
IHCP to mass reprocess claims for TBI waiver services that denied inappropriately

All, DME/HME, Hospital, Waiver

BR202035

09/01/2020

IHCP to cover HCPCS code J0121;
IHCP to mass reprocess outpatient claims for certain surgical services that denied incorrectly;
IHCP to cover laboratory pathology codes;
Providers may resubmit outpatient claims for procedure code 88344 that denied inappropriately;
Nursing facility assessments to include required MDS 3.0 item set fields;
2020 IHCP Works Seminar dates changed to October 13, 14, and 15

All, ASC, Clinic, FQHC/RHC, Hospital, Nursing Facility/Long Term Care

BR202034

08/25/2020

IHCP to mass reprocess or mass adjust school corporation claims for NEMT services that denied incorrectly;
IHCP to mass adjust claims for assisted living services that paid incorrectly;
Providers may resubmit professional claims for HCPCS code C9055 that denied incorrectly;
IHCP COVID-19 Response: IHCP clarifies billing for nursing facility resident daily add-on, and mass adjusts claims;
IHCP updates CoreMMIS and fee schedules for noncovered procedure codes;
IHCP end dates certain noncovered procedure codes

All, Nursing Facility/Long Term Care, School Corporation, Waiver

BR202033

08/18/2020

IHCP responds to members’ concerns about losing Medicaid benefits during the public health emergency;
Countdown to EVV implementation for personal care providers: T‑minus 19 weeks

Home Health, Nursing Facility/Long Term Care, Waiver

BR202032

08/11/2020

Midlevel practitioners eligible under prospective payment system for FQHC and RHC services;
IHCP clarifies guidance on resolving claims for transgender members;
IHCP introduces 2020 IHCP Works Seminar;
IHCP to host webinar for personal care and home health providers about EVV implementation, August 20, 2020

All, FQHC/RHC

BR202031

08/04/2020

IHCP announces updates to EVV requirements for documenting services

Waiver

BR202030

07/28/2020

IHCP updates personal care services procedure codes that require EVV

Waiver

BR202029

07/21/2020

IHCP reminds providers of EVV dates and personal care services procedure codes that require EVV

Waiver

BR202028

07/14/2020

New Program Integrity provider education training – Modifier 59 and 25 Billing Requirements;
IHCP to give trainings on new naloxone reimbursement policy, beginning July 21, 2020

All

BR202027

07/07/2020

New Program Integrity provider training – Vision Services Documentation and Billing Requirements

Optometrist

BR202026

06/30/2020

IHCP updates FQHC and RHC encounter codes

FQHC/RHC

BR202025

06/23/2020

IHCP encourages Medicaid and CHIP providers to apply for CARES Act Provider Relief Fund by July 20, 2020;
Countdown to EVV implementation for personal care providers: T-minus 27 weeks;
Webcast to explain the CARES Act Provider Relief Fund application process

All, Home Health, Waiver

BR202024

06/16/2020

IHCP to cover HCPCS codes Q5112 and Q5113

All

BR202023

06/09/2020

IHCP corrects gender restrictions on certain diagnosis codes;
IHCP fee-for-service prior authorization provider satisfaction survey

All

BR202022

06/02/2020

Providers may resubmit professional crossover claims for HCPCS code J7186 that denied incorrectly;
IHCP COVID-19 Response: Updated policies will apply throughout the public health emergency

All, ASC, Clinic, Hospital, Physician/Practitioner

BR202021

05/26/2020

IHCP to cover CPT code 44705;
IHCP to mass adjust institutional claims that overpaid for medical education payments;

IHCP to mass reprocess institutional claims submitted via 837I electronic transaction that denied incorrectly;
IHCP COVID-19 Response: IHCP temporarily covers COVID-19 related services under family planning programs;
IHCP COVID-19 Response: Temporary reimbursement rates increase for COVID-19 Ready nursing facilities;
Countdown to EVV implementation for personal care providers: T-minus 31 weeks

All, Home Health, Hospital, Nursing Facility/Long Term Care, Physician, Waiver

BR202020

05/19/2020

IHCP to mass reprocess or mass adjust claims for outpatient services that denied inappropriately;
IHCP corrects published rates for HCPCS code T4544, and accepts resubmitted claims;
IHCP webinar to request suggestions for 2020 IHCP Annual Provider Seminar;
IHCP corrects statement about document affected by coverage of HCPCS code D5999

All, ASC, Clinic, Dentist, DME/HME, Hospital

BR202019

05/12/2020

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BR202018

05/05/2020

IHCP reminds waiver providers of changes for nonmedical transportation and enforces billing

Transportation, Waiver

BR202017

04/28/2020

IHCP to mass adjust outpatient and outpatient crossover claims for hospital services that paid incorrectly;
IHCP COVID-19 Response: IHCP increases nursing facility reimbursement rates by 4.2%, and mass adjusts claims;
IHCP COVID-19 Response: IHCP reimburses for certain laboratory tests billed with procedure codes 87635 and U0002, and accepts resubmitted claims;
IHCP notifies providers that claim-processing system will require highest level of specificity for ICD-10-CM codes;
IHCP to amend PA and billing requirements for therapy services on professional claims;
IHCP delays implementing third-party liability cost avoidance on prenatal care claims;
Countdown to EVV implementation for personal care providers: T-minus 35 weeks

Hospital, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner, Therapist, Waiver

BR202016

04/21/2020

IHCP COVID-19 Response: IHCP clarifies billing guidance for services rendered through telemedicine

All

BR202015

04/14/2020

IHCP to cover HCPCS code D5999;
Changes to FSW and CIH Waiver rates and services postponed for 90 days;
Sandata EVV webinar (virtual training) sessions available May – November 2020;
Sandata EVV self-paced training now available

Dentist, DME/HME, Home Health, Waiver

BR202014

04/07/2020

This banner page has been canceled.

BR202013

03/31/2020

IHCP to cover HCPCS code Q5116;
IHCP to revise billing guidance for HCPCS code T4544, and accept resubmitted claims;
IHCP mass reprocesses and mass adjusts claims for ABA services that denied incorrectly;
IHCP to include CPT code 0514T for optometrist services;
IHCP amends alternate EVV solution specifications and reminds providers about establishing the data interface;
Countdown to EVV implementation for personal care providers: T‑minus 39 weeks

ASC, Clinic, End Stage Renal Disease Clinic, DME/HME, FQHC/RHC, Home Health, Hospice, Optometrist, Physician/Practitioner, Therapist, Waiver

BR202012

03/24/2020

IHCP to cover HCPCS code Q5118;
Virtual IHCP Roadshow to replace in-person event

ASC, Clinic, End Stage Renal Disease Clinic, FQHC/RHC, Hospital, Physician/Practioner

BR202011

03/17/2020

IHCP to cover COVID–19 diagnostic testing without copayments for members;
IHCP reminds providers to include occurrence code 42 on institutional claims

Hospice, Hospital, Physician/Practitioner

BR202010

03/10/2020

IHCP to extend 3% reduction in reimbursement for hospital services, and mass adjust claims that paid incorrectly;
IHCP clarifies reimbursement of FQHC and RHC claims for HCPCS code T1015, and will mass reprocess claims;
IHCP to require prior authorization for certain outpatient services;
FSSA clarifies billing process for assisted living facility services;
IHCP to host IHCP Live webinar about emergency services, March 24, 2020;
Sign up now for the 2020 IHCP Roadshow;
IHCP reminds providers about HIP member benefit limitations on therapy services

All, ASC, Chiropractor, FQHC/RHC, Hospital, Nursing Facility/Long Term Care, Physician/Practitioner

BR202009

03/03/2020

IHCP covers CPT code 87507 for outpatient services under CHIP, and accepts resubmitted claims;
Portal enhancement for allowing multiple provider types in a rendering provider profile;
Sandata EVV self-paced training now available

ASC, Audiologist, Chiropractor, Clinic, Dentist, DME/HME, FQHC/RHC, Home Health, Hospital, Laboratory, Mental Health, Optometrist, Physician/Practitioner, Podiatrist, Therapist, Waiver

BR202008

02/25/2020

IHCP to cover CPT codes 81420 and 81507;
IHCP corrects updates to obstetrical and gynecological services policies

All, ASC, Clinic, FQHC/RHC, Hospital, Laboratory, Physician/Practitioner

BR202007

02/18/2020

IHCP establishes PA criteria for Zolgensma;

IHCP reminds providers of option to void and replace FFS claims

All, Pharmacy/Prescribing, Physician/Practitioner

BR202006

02/11/2020

PERM FY 2017 federal audit findings and requirements to maintain records;
Changes to the process for faxing prior authorization requests and supporting documents;
IHCP reminds providers of new prior authorization customer service line via the IVR system;
IHCP corrects limit on daily rate billing for assisted living services under code T2031

All, Home Health

BR202005

02/04/2020

IHCP to remove PA requirement for billing dental codes D5282 and D5283 for members under age 21;
IHCP corrects reimbursement rates for nursing facility services and will mass adjust claims that paid incorrectly;
IHCP integrates prior authorization customer service line into the IVR system

All, Dentist, Nursing Facility/Long Term Care

BR202004

01/28/2020

IHCP will add adjustment reason codes as valid for proof of primary insurer denied or zero-paid claims

All

BR202003

01/21/2020

IHCP to cover HCPCS codes Q5114, and Q5115;
IHCP removes age restriction on adult day services for A&D and TBI waivers, accepts resubmitted claims;
IHCP assigns maximum fee pricing to CPT codes for outpatient services, accepts resubmitted claims;
IHCP to mass reprocess claims for skilled nursing facility services that may have denied incorrectly;
FSSA to host provider meeting on January 24, including information on new Medicaid waiver for SMI

All, ASC, Clinic, Hospital, Mental Health, Nursing Facility/Long Term Care, Physician/Practitioner, Psychiatric Residential Treatment Facility, Waiver

BR202002

01/14/2020

IHCP to integrate prior authorization customer service line into the IVR system;
IHCP corrects dates associated with CHW claims that denied incorrectly

All, Clinic, Physician

BR202001

01/07/2020

IHCP to mass reprocess or mass adjust claims for cardiac catheterization-related procedures that priced incorrectly;
IHCP updates procedure code/modifier combinations reimbursable for EMS hospital-to-hospital NEMT transfers, and mass reprocesses claims that denied inappropriately;
New Program Integrity provider education training – Durable Medical Equipment Documentation and Billing Requirements

ASC, DME, HME, Transportation