Alert: All banner pages posted on or after Jan. 1, 2020, have been moved from their previous location to this webpage, to allow for an improved, comprehensive search tool. Please update your bookmarks accordingly. Banner pages posted prior to 2020 will continue to be available from the IHCP Banner Page Archive.
The Indiana Health Coverage Programs (IHCP) Banner Page provides official notice of changes to claim processing and billing, as well as details about provider education opportunities and program reminders. The IHCP Banner Page is published weekly, on Tuesdays. To ensure that you don't miss important information, sign up to receive email alerts when new publications, such as bulletins, banner pages or provider reference modules, are posted to the IHCP website.
All banner pages published from Jan. 1, 2020, through the present can be viewed from the table below. For historical purposes, banner pages issued before 2020 are accessible from the IHCP Banner Page Archive. You can use the following tool to search all banner pages published since Jan. 1, 2020, for a particular word or phrase. Optionally, you can also include bulletins and/or provider reference modules in your search.
Note: IHCP policies and procedures are subject to change. The most current information about a topic can be found in the related provider reference module or in publications issued after the effective date noted on the module.
Banner Page # | Date | Topics | Audience |
|---|---|---|---|
| BR202303 | 01/17/2023 | This banner page has been canceled. | |
| BR202302 | 01/10/2023 | IHCP reminds providers of counseling requirements | Pharmacy/Prescribing |
| BR202301 | 01/03/2023 | This banner page has been canceled. | |
| BR202252 | 12/27/2022 | Southeastrans officially changes its name to Verida, Inc.; Updated Consent for Sterilization form available | All, Ambulatory Surgical Center, Anesthesiologist, Clinic, FQHC/RHC, Hospital, Physician/Practitioner |
| BR202251 | 12/20/2022 | IHCP adds coverage for thyroid cancer genetic tests; IHCP to adjust claims for CPT code 81270 in the outpatient setting; New search tool allows providers to quickly find IHCP information they need | All, Ambulatory Surgical Center, Anesthesiologist, Clinic, FQHC/RHC, Hospital, Physician/Practitioner |
| BR202250 | 12/13/2022 | IHCP identifies issue with telehealth professional claim denials for select procedure codes; IHCP to adjust claims for COVID-19 booster vaccines and administration codes 0124A, 0134A, 91312 and 91313; IHCP to adjust claims for Moderna and Pfizer COVID bivalent codes 0144A, 0154A, 91314 and 91315; IHCP to adjust claims for Novavax COVID booster code 0044A | All, FQHC/RHC |
| BR202249 | 12/06/2022 | This banner page has been canceled. | |
| BR202248 | 11/29/2022 | The IHCP continues reprocessing of crossover claims | All |
| BR202247 | 11/22/2022 |
CMS Payment Error Rate Measurement reviews have begun; HME/DME Stabilization Grant deadline extended to Dec. 2, 2022; IHCP expands coverage of unattended sleep studies; IHCP will separate oxygen reimbursement from NEMT; Procedure codes 95805, 95806 and 95807 linked to revenue codes 920 and 929 | All, Ambulatory Surgical Center, Clinic, DME/HME, Home Health, Hospital, Physician/Practitioner, Transportation |
| BR202246 | 11/15/2022 |
FSSA extends the HCBS Provider Readiness Grant deadline; IHCP to allow additional diagnosis codes to preventive pediatric care | Clinic, Hospital, Behavioral Health, Physician/Practitioner, Waiver |
| BR202245 | 11/08/2022 |
CMS good faith exemption extends EVV implementation for home health services; IHCP publishes Medicaid Therapy Services Prior Authorization Checklist; IHCP to adjust electronic crossover claims | All, Home Health |
11/01/2022 | Issue identified with claims submitted with multiple payers | All | |
10/25/2022 | Additional updates to October 2022 quarterly HCPCS codes C9101 and Q2056; | All, Dentist, Hospital, Physician/Practitioner, Therapist, Waiver | |
10/18/2022 | IHCP applies check-related adjustments; | All, Addiction Services, Behavioral Health, Clinic, FQHC/RHC, Home Health, Hospital, Physician/Practitioner, Other, Waiver | |
10/11/2022 | IHCP shares EVV home health reminders; | Addiction Services, Behavioral Health, Home Health, Other | |
10/04/2022 | Providers may resubmit claims for HCPCS code J3070 that denied incorrectly | All | |
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. | |
09/13/2022 | IHCP will reprocess or mass adjust claims for procedure codes Q5105 and Q5106; | All | |
09/06/2022 | HCBS Provider Stabilization Grant impact; | All, Ambulatory Surgical Center, DME/HME, Hospital, Physician/Practitioner | |
08/30/2022 | IHCP clarifies age-range restrictions for Z00.00; | Clinic, Hospital, Physician/Practitioner | |
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. | |
08/09/2022 | IHCP to cover HCPCS code 90759; | Behavior Health, Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner | |
08/02/2022 | IHCP announces paid opportunity to participate in Aging and Disability Staff Stability Survey; | Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Waiver, Home Health | |
07/26/2022 | IHCP removes prior authorization for electric breast pumps | DME/HME | |
07/19/2022 | Division of Aging announces service additions to the A&D Waiver; | All, Waiver | |
BR202228 | 07/12/2022 | This banner page has been canceled. | |
07/05/2022 | IHCP to mass adjust or mass reprocess claims for CPT codes 93593–93598; | All, Physician/Practitioner | |
06/28/2022 | FSSA reminds PRTF providers of rate changes for 2022; | All, Physician/Practitioner | |
06/21/2022 | IHCP to apply cost avoidance for members with LTC insurance and members enrolled in a PE benefit plan; | All | |
06/14/2022 | IHCP updates documentation requirements for sterilization services, revises code set; | All, Clinic, Physician/Practitioner, Radiology | |
06/7/2022 | IHCP to mass reprocess outpatient crossover claims that denied incorrectly; | Ambulatory Surgical Center, Anesthesiologist, Clinic, Hospital, Physician/Practitioner | |
05/31/2022 | IHCP provides results of review year 2021 CMS PERM, announces review year 2024 CMS PERM | All | |
05/24/2022 | IHCP to mass reprocess or mass adjust professional claims denied for EOB 4096; | All, Ambulatory Surgical Center, Clinic, Hospital, Physician/Practitioner | |
05/17/2022 | Duplicate payer IDs on electronic claim submissions; | All; Hospital; Nursing Facility/Long Term Care; Ordering, Prescribing, or Referring; Transportation | |
05/10/2022 | IHCP to mass reprocess or mass adjust claims for COVID-19 vaccine and administration codes; | Clinic; FQHC/RHC; Hospital; Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
05/03/2022 | IHCP to limit CPT code 92620 to one per 36 months; | All, Ambulatory Surgical Center, Audiologist, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Optometrist | |
04/26/2022 | IHCP end-dating HCPCS A2003; | Ambulatory Surgical Center, Behavioral Health, Clinic, Hospital, Physician/Practitioner | |
04/19/2022 | IHCP removes same-day billing restriction for IOT and OTP services; | All, Clinic, Dentist, FQHC/RHC | |
04/12/2022 | IHCP to add coverage for HCPCS code E2313; | All, DME/HME | |
04/5/2022 | IHCP promotes minority maternal health learning opportunity; | All | |
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. | |
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. | |
03/01/2022 | IHCP reminds providers of documentation signature requirements and best practices; | All | |
02/22/2022 | IHCP to cover HCPCS code J1437 | Clinic, FQHC/RHC, Hospital, Laboratory, Physician/Practitioner | |
02/15/2022 | IHCP corrects required PA form information for acute care hospital non-elective inpatient admission; | All, DME/HME | |
02/08/2022 | IHCP announces procedure codes linked to revenue code 636; | All, Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Pharmacy/Prescribing, Laboratory, Waiver | |
02/01/2022 | Updated PA documentation submission for Zolgensma | All | |
BR202204 | 01/25/2022 | This banner page has been canceled. | |
01/18/2022 | IHCP updates pricing for CPT 49215 code no longer inpatient-only, claims may be resubmitted; | All; Ambulatory Surgical Center; Clinic; DME/HME; FQHC/RHC; Hospital; Laboratory; Ordering, Prescribing, or Referring; Physician/Practitioner | |
01/11/2022 | IHCP to adjust electronic crossover claims; | All | |
BR202201 | 01/04/2022 | This banner page has been canceled. | |
12/28/2021 | IHCP updates POS codes for telehealth services | All | |
12/21/2021 | IHCP identifies psychotherapy and evaluation and management services on same day; | All; Hospital; Ambulatory Surgical Center; Clinic; FQHC/RHC; Hospital; Pharmacy/Prescribing; Physician/Practitioner; Podiatrist; School Corporation; Transportation; Waiver | |
12/14/2021 | IHCP clarifies COVID-19 vaccination pharmacy claims process using the ordering pharmacist’s NPI; | All, Pharmacy/Prescribing | |
12/07/2021 | IHCP to mass reprocess or mass adjust claims for HCPCS Code 90621 that denied incorrectly; | All | |
11/30/2021 | IHCP updates pricing for CPT codes in the outpatient setting, adds linkages to revenue codes | All | |
11/23/2021 | IHCP to revise rates for select DME and medical supply items based on 2022 Medicare rates; | All; DME/HME; Podiatry Services | |
11/16/2021 | IEP-related nursing services rate remains unchanged for calendar year 2022; | All, School Corporation, Optometrist, Optician, Clinic, DME/HME, Hospital | |
11/09/2021 | IHCP modifies EVV to remove unauthorized services exception; | All, Waiver, Clinic, FQHC/RHC, Hospital, OPR, Pharmacy/Prescribing, Physician/Practitioner, Podiatrist | |
11/02/2021 | Providers may resubmit claims for HCPCS code J2182 that denied incorrectly; | All; Ambulatory Surgical Center; Clinic; FQHC/RHC; Prescribing or Referring; Physician/Practitioner; End-Stage Renal Disease Clinic; Hospital | |
10/26/2021 | FSSA hosts MLTSS webinar Nov. 2; | Ambulatory Surgical Center; FQHC/RHC; Hospital; Nursing Facility/Long Term Care | |
10/19/2021 | Sandata to host webinar for alternative EVV vendors; | All; Physician/Practitioner; Waiver | |
BR202141 | 10/12/2021 | This banner page has been canceled. | |
10/05/2021 | Correction to procedure code 0632T, code remains noncovered | All | |
09/28/2021 | IHCP to host live webinar on FADS audit process and new vendor update; | Ambulatory Surgical Center; Clinic; FQHC/RHC; Hospital; Ordering, Prescribing or Referring; Physician/Practitioner; All | |
09/21/2021 | IHCP to cover HCPCS code C9047; | All, Ambulatory Surgical Center, Hospital, Clinic, End Stage Renal Disease Clinic, FQHC/RHC, Ordering, Prescribing or Referring, Physician/Practitioner | |
09/14/2021 | IHCP clarifies that scope of occupational therapy practice may include behavioral health services; | Behavioral Health, Therapist, Waiver | |
09/07/2021 | IHCP updates pricing for certain procedure codes in the outpatient setting; | All, ASC, Hospital, Pharmacy/Prescribing | |
08/31/2021 | IHCP to cover HCPCS code K1005 | DME/HME | |
08/24/2021 | IHCP adds codes to Podiatry Services Codes; | ASC, Clinic, FQHC/RHC, Hospital, OPR, Physician/Practitioner, Podiatrist | |
08/17/2021 | Reimbursement update for HCPCS codes K1013, K1014 and K1015 in the outpatient setting; | ASC, Hospital, Waiver | |
08/10/2021 | IHCP to cover HCPCS code G0498 (chemotherapy infusion pump); | ASC, Clinic, FQHC/RHC, Hospital, OPR, Pharmacy/Prescribing, Physician/Practitioner | |
08/03/2021 | IHCP to cover HCPCS codes G2170 and G2171; | ASC, Clinic, ESR Disease Clinic, FQHC/RHC, Hospital, Laboratory, OPR, Physician/Practitioner, Radiology | |
07/27/2021 | IHCP to revise limit on reimbursement of injection services, mass reprocess or mass adjust claims; | All, Home Health | |
07/20/2021 | IHCP revises Hospital Assessment Fee adjustment factors for outpatient and inpatient rates; | All | |
07/13/2021 | Reminder of new Gainwell Technologies post office mailing addresses; | All, Behavioral Health | |
07/06/2021 | IHCP email inboxes for providers’ questions and feedback | All | |
06/29/2021 | IHCP to mass reprocess or mass adjust claims for optometrist services that denied incorrectly; | All, FQHC/RHC, Laboratory, Optometrist | |
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 | |
06/15/2021 | IHCP to cover HCPCS codes M0244 and M0246 for treatment of COVID-19; | All, Clinic, Hospital, Physician/Practitioner | |
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; | All, Addiction Services, ASC, Clinic, Hospital, Mental Health, Physician/Practitioner, Therapist | |
BR202122 | 06/01/2021 | This banner page has been canceled. | |
05/25/2021 | Reimbursement updates for COVID-19 monoclonal antibody infusion administration; | All, ASC, Clinic, FQHC/RHC, Hospital, Laboratory, Nursing Facility/Long Term Care, Ordering, Prescribing, or Referring, Pharmacy/Prescribing, Physician/Practitioner | |
05/18/2021 | IHCP COVID-19 Response: IHCP announces HCBS waiver assisted living provider relief, apply by July 31, 2021; | End Stage Renal Disease Clinic, Home Health, Hospital, Mental Health, Nursing Facility/Long Term Care, Waiver | |
05/11/2021 | IHCP to mass reprocess claims for certain behavioral health services that denied incorrectly; | 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. | |
04/27/2021 | Providers can submit meaningful use attestations for Program Year 2021, beginning May 3, 2021; | All, Waiver | |
04/20/2021 | IHCP revises pricing and billing guidance for HCPCS code P9603; | All, Home Health, Hospice, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner | |
04/13/2021 | Prior authorization for PADs administered to dually eligible members; | All, Addiction Services, Mental Health | |
04/06/2021 | IHCP provider communications survey | All | |
03/30/2021 | IHCP to cover CPT codes 93985 and 93986, mass reprocess or mass adjust claims; | All, ASC, Clinic, DME/HME, End Stage Renal Disease Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Radiology | |
03/23/2021 | Reminders about billing for DME and HME services | DME/HME | |
03/16/2021 | Billing and reimbursement updates for COVID-19 laboratory testing codes, claims that paid incorrectly; | All, ASC, Clinic, FQHC/RHC, Laboratory, Hospital, Pharmacy/Prescribing, Physician/Practitioner | |
03/09/2021 | IHCP to mass reprocess or mass adjust claims for HCPCS code J2796 that denied incorrectly; | All, ASC, Clinic, FQHC/RHC, Home Health, Hospital, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner | |
03/02/2021 | IHCP will mass adjust claims for HCPCS code C9066 that paid incorrectly; | All | |
02/23/2021 | IHCP to mass reprocess outpatient claims for surgical services that denied incorrectly; | ASC, Hospital, Waiver | |
02/16/2021 | IHCP updates Professional Fee Schedule for coverage of HCPCS code E0766 | DME/HME | |
02/09/2021 | IHCP to mass adjust 837 electronic claims with Medicare information; | All, Dental, Waiver | |
02/02/2021 | Gainwell Technologies to mail 2020 IRS 1099-MISC tax forms to providers; | All | |
01/26/2021 | Gainwell Technologies to mail 2020 IRS 1099-MISC tax forms to providers; | All, Home Health, Hospice, Nursing Facility/Long Term Care | |
01/19/2021 | Gainwell Technologies to mail 2020 IRS 1099-MISC tax forms to providers; | All, DME/HME, Physician/Practitioner | |
01/12/2021 | IHCP to mass reprocess or mass adjust professional claims for transportation services | Transportation | |
01/05/2021 | IHCP to mass reprocess or mass adjust claims for HCPCS code J1610 that denied incorrectly | Physician/Practitioner | |
12/29/2020 | IHCP to change revenue code required for billing with procedure codes U0001-U0004; | All | |
12/22/2020 | IHCP adds procedure codes to physical therapist assistant code set; | All, Home Health, Therapist, Waiver | |
12/15/2020 | IHCP to cover HCPCS code B4105; | All, ASC, Clinic, DME/HME, Hospital, Transportation, Waiver | |
12/08/2020 | Countdown to EVV implementation for personal care providers: T-minus 3 weeks | Home Health, Waiver | |
12/01/2020 | IHCP to mass reprocess claims for certain inpatient services that denied incorrectly | Hospital | |
11/24/2020 | Nursing facilities must complete CMS COVID-19 training to receive 4.2% rate increase | Nursing Facility/Long Term Care | |
11/17/2020 | Providers may resubmit claims for HCPCS code J9201 that denied incorrectly; | All, ASC, Clinic, Hospital, Waiver | |
11/10/2020 | IHCP to cover CPT code 90694; | Clinic, Home Health, Hospital, Nursing Facility/Long Term Care, Pharmacy/Prescribing, Physician/Practitioner, Waiver | |
11/03/2020 | IHCP announces IEP-related nursing services rate for calendar year 2021; | Physician/Practitioner, School Corporation, Waiver | |
10/27/2020 | FSSA updates annual limits and rates for certain A&D and TBI waiver services, mass adjusts claims | Waiver | |
10/20/2020 | IHCP to allow CPT 92549 as reimbursable for provider specialty 200 – Audiologist; | All, Audiologist, Radiology, Waiver | |
10/13/2020 | IHCP to update CoreMMIS for members in both programs – family planning eligibility and QMB; | All, Clinic, Home Health, Hospital, Physician/Practitioner, Waiver | |
10/06/2020 | IHCP to cover CPT codes 81206, 81207, and 81208 for the treatment of chronic myelogenous leukemia (CML); | All, Hospice, Physician/Practitioner, Waiver | |
09/29/2020 | IHCP to cover HCPCS codes A4555 and E0766 for the treatment of Glioblastoma Multiforme (GBM); | DME/HME, Mental Health, Psych Residential Treatment Facility, Waiver | |
09/22/2020 | IHCP adds procedure codes to podiatry services code set; | ASC, Podiatrist | |
09/15/2020 | IHCP updates reimbursement rate for HCPCS code C9803, mass adjusts claims that paid incorrectly; | All, ASC, DME/HME, Home Health, Nursing Facility/Long Term Care, Physician/Practitioner, Radiology, Waiver | |
09/08/2020 | IHCP to cover HCPCS code Q5121; | All, DME/HME, Hospital, Waiver | |
09/01/2020 | IHCP to cover HCPCS code J0121; | All, ASC, Clinic, FQHC/RHC, Hospital, Nursing Facility/Long Term Care | |
08/25/2020 | IHCP to mass reprocess or mass adjust school corporation claims for NEMT services that denied incorrectly; | All, Nursing Facility/Long Term Care, School Corporation, Waiver | |
08/18/2020 | IHCP responds to members’ concerns about losing Medicaid benefits during the public health emergency; | Home Health, Nursing Facility/Long Term Care, Waiver | |
08/11/2020 | Midlevel practitioners eligible under prospective payment system for FQHC and RHC services; | All, FQHC/RHC | |
08/04/2020 | IHCP announces updates to EVV requirements for documenting services | Waiver | |
07/28/2020 | IHCP updates personal care services procedure codes that require EVV | Waiver | |
07/21/2020 | IHCP reminds providers of EVV dates and personal care services procedure codes that require EVV | Waiver | |
07/14/2020 | New Program Integrity provider education training – Modifier 59 and 25 Billing Requirements; | All | |
07/07/2020 | New Program Integrity provider training – Vision Services Documentation and Billing Requirements | Optometrist | |
06/30/2020 | IHCP updates FQHC and RHC encounter codes | FQHC/RHC | |
06/23/2020 | IHCP encourages Medicaid and CHIP providers to apply for CARES Act Provider Relief Fund by July 20, 2020; | All, Home Health, Waiver | |
06/16/2020 | IHCP to cover HCPCS codes Q5112 and Q5113 | All | |
06/09/2020 | IHCP corrects gender restrictions on certain diagnosis codes; | All | |
06/02/2020 | Providers may resubmit professional crossover claims for HCPCS code J7186 that denied incorrectly; | All, ASC, Clinic, Hospital, Physician/Practitioner | |
05/26/2020 | IHCP to cover CPT code 44705; IHCP to mass reprocess institutional claims submitted via 837I electronic transaction that denied incorrectly; | All, Home Health, Hospital, Nursing Facility/Long Term Care, Physician, Waiver | |
05/19/2020 | IHCP to mass reprocess or mass adjust claims for outpatient services that denied inappropriately; | All, ASC, Clinic, Dentist, DME/HME, Hospital | |
BR202019 | 05/12/2020 | This banner page has been canceled. | |
05/05/2020 | IHCP reminds waiver providers of changes for nonmedical transportation and enforces billing | Transportation, Waiver | |
04/28/2020 | IHCP to mass adjust outpatient and outpatient crossover claims for hospital services that paid incorrectly; | Hospital, Laboratory, Nursing Facility/Long Term Care, Physician/Practitioner, Therapist, Waiver | |
04/21/2020 | IHCP COVID-19 Response: IHCP clarifies billing guidance for services rendered through telemedicine | All | |
04/14/2020 | IHCP to cover HCPCS code D5999; | Dentist, DME/HME, Home Health, Waiver | |
BR202014 | 04/07/2020 | This banner page has been canceled. | |
03/31/2020 | IHCP to cover HCPCS code Q5116; | ASC, Clinic, End Stage Renal Disease Clinic, DME/HME, FQHC/RHC, Home Health, Hospice, Optometrist, Physician/Practitioner, Therapist, Waiver | |
03/24/2020 | IHCP to cover HCPCS code Q5118; | ASC, Clinic, End Stage Renal Disease Clinic, FQHC/RHC, Hospital, Physician/Practioner | |
03/17/2020 | IHCP to cover COVID–19 diagnostic testing without copayments for members; | Hospice, Hospital, Physician/Practitioner | |
03/10/2020 | IHCP to extend 3% reduction in reimbursement for hospital services, and mass adjust claims that paid incorrectly; | All, ASC, Chiropractor, FQHC/RHC, Hospital, Nursing Facility/Long Term Care, Physician/Practitioner | |
03/03/2020 | IHCP covers CPT code 87507 for outpatient services under CHIP, and accepts resubmitted claims; | ASC, Audiologist, Chiropractor, Clinic, Dentist, DME/HME, FQHC/RHC, Home Health, Hospital, Laboratory, Mental Health, Optometrist, Physician/Practitioner, Podiatrist, Therapist, Waiver | |
02/25/2020 | IHCP to cover CPT codes 81420 and 81507; | All, ASC, Clinic, FQHC/RHC, Hospital, Laboratory, Physician/Practitioner | |
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 | |
02/11/2020 | PERM FY 2017 federal audit findings and requirements to maintain records; | All, Home Health | |
02/04/2020 | IHCP to remove PA requirement for billing dental codes D5282 and D5283 for members under age 21; | All, Dentist, Nursing Facility/Long Term Care | |
01/28/2020 | IHCP will add adjustment reason codes as valid for proof of primary insurer denied or zero-paid claims | All | |
01/21/2020 | IHCP to cover HCPCS codes Q5114, and Q5115; | All, ASC, Clinic, Hospital, Mental Health, Nursing Facility/Long Term Care, Physician/Practitioner, Psychiatric Residential Treatment Facility, Waiver | |
01/14/2020 | IHCP to integrate prior authorization customer service line into the IVR system; | All, Clinic, Physician | |
01/07/2020 | IHCP to mass reprocess or mass adjust claims for cardiac catheterization-related procedures that priced incorrectly; | ASC, DME, HME, Transportation |