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IHCP Banner Pages

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
(Provider Type)

BR20230301/17/2023This banner page has been canceled. 
BR20230201/10/2023IHCP reminds providers of counseling requirementsPharmacy/Prescribing
BR20230101/03/2023This banner page has been canceled. 
BR20225212/27/2022Southeastrans officially changes its name to Verida, Inc.;
Updated Consent for Sterilization form available
All, Ambulatory Surgical Center, Anesthesiologist, Clinic, FQHC/RHC, Hospital, Physician/Practitioner
BR20225112/20/2022IHCP 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
BR20225012/13/2022IHCP 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
BR20224912/06/2022This 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

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

This banner page has been canceled.

 

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

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