Alert: All bulletins 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. Bulletins posted prior to 2020 will continue to be available from the IHCP Bulletin Archive.
Indiana Health Coverage Programs (IHCP) Bulletins provide official notice of new and revised policies, program changes, and information about special initiatives. Bulletins are issued on an as-needed basis and typically publish on Tuesdays and Thursdays. 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 bulletins published from Jan. 1, 2020, through the present can be viewed from the table below. For historical purposes, bulletins issued before 2020 are accessible from the IHCP Bulletin Archive. You can use the following tool to search all bulletins published since Jan. 1, 2020, for a particular word or phrase. Optionally, you can also include banner pages 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 in the module.
Bulletin # | Date | Topic | Audience (Provider Type) |
|---|---|---|---|
| BT202324 | 03/21/2023 | 2023 IHCP Roadshow to be held in April and May | All |
| BT202323 | 03/14/2023 | FSSA announces CMS approval for LARC device carve-out for FQHC and RHC providers | FQHC/RHC |
| BT202322 | 03/09/2023 | IHCP announces changes to reimbursement for EMS providers | Transportation |
| BT202321 | 03/09/2023 | FSSA recommends managed care entities to serve future Indiana Pathways for Aging members | All |
| BT202320 | 03/09/2023 | IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2023 | DME/HME |
| BT202319 | 03/09/2023 | IHCP introduces new program for qualified members losing HIP eligibility | All |
| BT202318 | 03/09/2023 | IHCP rescinds temporary provider enrollment changes | All |
| BT202317 | 03/07/2023 | IHCP updates specified genetic testing policies | Ambulatory Surgical Center, Clinic, Hospital, Laboratory, Physician/Practitioner |
| BT202316 | 02/28/2023 | Additional updates made for select annual 2023 HCPCS codes | All |
| BT202315 | 02/28/2023 | Medicaid member eligibility review actions to resume | All |
| BT202314 | 02/28/2023 | Pharmacy updates approved by Drug Utilization Review Board February 2023 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner |
| BT202313 | 02/28/2023 | IHCP to allow enrollment for Medicare-only providers | All |
| BT202312 | 02/21/2023 | IHCP updates Notification of Pregnancy billing guidelines | Clinic, FQHC/RHC, Hospital, Physician/Practitioner |
| BT202311 | 02/07/2023 | IHCP announces EVV explanation of benefits recoupment codes | Waiver |
| BT202310 | 02/02/2023 | IHCP announces changes to reimbursement for EMS providers | Transportation |
| BT202309 | 01/31/2023 | FSSA announces changes to LARC device billing for FQHC and RHC providers | FQHC/RHC |
| BT202308 | 01/26/2023 | Coverage added for COVID-19 bivalent vaccines and administration for children as young as 6 months | All |
| BT202307 | 01/26/2023 | IHCP extends suspension of MCE PA requirements for respiratory assist devices | DME/HME |
| BT202306 | 01/26/2023 | Pharmacy updates approved by Drug Utilization Review Board January 2023 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner |
| BT202305 | 01/26/2023 | Coverage information corrected for annual 2023 HCPCS code 0739T | All |
| BT202304 | 01/24/2023 | IHCP announces end to member continuous eligibility | All |
| BT202303 | 01/19/2023 | IHCP eligibility requirements for former foster care youth are changing | Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Other |
| BT202302 | 01/12/2023 | IHCP updates blood lead testing policy | Clinic, FQHC/RHC, Laboratory, Physician/Practitioner |
| BT202301 | 01/10/2023 | Kepro to serve as new fee-for-service IHCP prior authorization and utilization management vendor | All |
| BT2022121 | 12/29/2022 | Coverage and billing information for the 2023 annual HCPCS codes update | All |
| BT2022120 | 12/29/2022 | Changes made to outlier reimbursement for eligible out-of-state children’s hospitals | Hospital |
| BT2022119 | 12/29/2022 | IHCP revises recently announced Preferred Diabetes Supply List updates | DME/HME; Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner |
| BT2022118 | 12/29/2022 | Pharmacy updates approved by Drug Utilization Review Board December 2022 | Ordering, Prescribing or Referring;Pharmacy/Prescribing;Physician/Practitioner |
| BT2022117 | 12/20/2022 | Managed care programs will follow the same utilization management hierarchy | All |
| BT2022116 | 12/15/2022 | IHCP removing coverage of COVID-19 treatment codes for bebtelovimab | All |
| BT2022115 | 12/15/2022 | IHCP to add coverage for nucleic acid amplification tests for bacterial vaginitis | Ambulatory Surgical Center; Clinic; FQHC/RHC; Hospital; Laboratory; Ordering, Prescribing or Referring; Physician/Practitioner |
| BT2022114 | 12/13/2022 | IHCP to begin recouping payments due to EVV noncompliance | Waiver |
| BT2022113 | 12/13/2022 | IHCP updates Preferred Diabetes Supply List | DME/HME; Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner |
| BT2022112 | 12/08/2022 | CMS announces new provider enrollment application fee for 2023 | All |
| BT2022111 | 12/01/2022 | IHCP revises dental coding update | Dentist |
| BT2022110 | 12/01/2022 | Pharmacy updates approved by Drug Utilization Review Board November 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner |
| BT2022109 | 11/29/2022 | IHCP updates coverage for behavioral health diagnosis codes | Behavioral Health |
| BT2022108 | 11/29/2022 | IHCP revises billing guidance for pediatric vaccine counseling services | All |
| BT2022107 | 11/29/2022 | Caregiver Coaching and Behavior Management service added for A&D waiver | Waiver |
| BT2022106 | 11/29/2022 | IHCP adds coverage for Moderna and Pfizer COVID-19 bivalent vaccine booster codes | All |
| BT2022105 | 11/29/2022 | IHCP adds coverage for Novavax COVID-19 booster vaccine | All |
| BT2022104 | 11/22/2022 | HCBS providers can apply for Direct Service Workforce Investment Grant by Dec. 22 | All |
| BT2022103 | 11/17/2022 | IHCP clarifies customized wheelchair billing for members residing in a nursing facility | All |
| BT2022102 | 11/17/2022 | IHCP announces pharmacy reimbursement updates for COVID-19 vaccine administration | Pharmacy/Prescribing |
| BT2022101 | 11/17/2022 | IHCP adds coverage for COVID-19 booster vaccines and administration | All |
| BT2022100 | 11/15/2022 | IHCP updates guidance for tobacco dependence individual and group counseling sessions | Transportation |
| BT202299 | 11/10/2022 | IHCP to add coverage for monkeypox testing and vaccine | Ambulatory Surgical Center; Audiologist; Chiropractor; Clinic; Dentist; End-Stage Renal Disease Clinic; FQHC/RHC; Hospital; Optometrist; Optician; Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Podiatrist; Therapist; Transportation; Waiver |
| BT202298 | 11/10/2022 | IHCP COVID-19 Response: Nov. 28 is new deadline for submitting “Sprinter” ambulance grant applications | Transportation |
| BT202297 | 11/08/2022 | IHCP expands and clarifies telehealth coverage | Addiction Services; Audiologist; Chiropractor; Clinic; Dentist; End-Stage Renal Disease Clinic; FQHC/RHC; Hospital; Behavioral Health; Optometrist; Optician; Ordering, Prescribing or Referring; Physician/Practitioner; Podiatrist; Therapist |
| BT202296 | 11/08/2022 | IHCP updates physician-administered drug PA criteria and diagnosis restrictions | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner |
11/01/2022 | IHCP updates prenatal tests and screening policies | Ambulatory Surgical Center, Chiropractor, Clinic, Dentist, FQHC/RHC, Hospital, Laboratory, Optometrist, Physician/Practitioner, Podiatrist, Therapist | |
11/01/2022 | Pharmacy updates approved by Drug Utilization Review Board October 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
11/01/2022 | PRTF leave days and billing clarified | Psychiatric Residential Treatment Facility | |
10/27/2022 | IHCP COVID-19 Response: IHCP announces HME/DME stabilization grants | DME/HME, Hearing Aid Dealer, Pharmacy/Prescribing | |
10/27/2022 | IHCP announces dental coding policy changes | Dentist | |
10/11/2022 | CMS releases new federal hospice rates for federal fiscal year 2023 | Hospice | |
10/06/2022 | IHCP to expand age ranges for Novavax COVID-19 vaccine and administration procedure codes | All | |
10/04/2022 | Annual update of ICD-10 codes is effective Oct. 1, 2022 | All | |
10/04/2022 | IHCP updates age ranges for Moderna COVID vaccine and administration codes | Clinic, Hospital, Physician/Practitioner | |
10/04/2022 | IHCP updates clinical trial policy | All | |
09/29/2022 | Coverage and billing information for the 2022 October quarterly HCPCS codes update | All | |
09/29/2022 | HCBS providers are eligible to apply for LTSS readiness grant by Oct. 21 | Waiver | |
09/29/2022 | 2023 annual ICD update delayed | All | |
09/29/2022 | Pharmacy updates approved by Drug Utilization Review Board September 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
09/27/2022 | IHCP announces second round of provider engagement sessions for HCBS LTSS providers | Waiver | |
09/27/2022 | IHCP to enroll donor milk banks | DME/HME | |
09/22/2022 | IHCP announces pharmacy reimbursement for COVID-19 bivalent booster administration | Pharmacy/Prescribing | |
09/20/2022 | IHCP expands stand-alone COVID-19 vaccine counseling for EPSDT-eligible members | Pharmacy/Prescribing | |
09/20/2022 | IHCP announces changes to future HIP reimbursement rates | All | |
09/15/2022 | IHCP announces EVV home health policy details | Home Health | |
09/15/2022 | IHCP announces new provider readiness training schedule for HCBS Long-Term Services and Supports Providers | Waiver | |
09/15/2022 | IHCP to reimburse HCPCS code Q0222 | Clinic, Hospital, Physician/Practitioner | |
09/08/2022 | HCBS Type II Sprinter ambulance grant | Transportation | |
08/30/2022 | IHCP announces update to Novavax COVID-19 vaccine pharmacy claim reimbursement | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
08/30/2022 | Pharmacy updates approved by Drug Utilization Review Board August 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
08/30/2022 | IHCP announces intent to implement Statewide Uniform PDL for all Medicaid pharmacy plans | All | |
08/30/2022 | IHCP to update age range for dental COVID-19 vaccine | Dental | |
08/25/2022 | 2022 IHCP Works annual seminar scheduled for October 11-13 in Indianapolis | All | |
08/25/2022 | IHCP to cover Novavax COVID-19 vaccine and administration | Ambulatory Surgical Center; Clinic; FQHC/RHC; Ordering, Prescribing or Referring (OPR); Pharmacy/Prescribing; Physician/Practitioner; Transportation | |
08/16/2022 | IHCP announces billing guidance for Paxlovid pharmacy claims | Pharmacy/Prescribing | |
08/16/2022 | IHCP updates PA criteria for HCPCS code J3399 (Zolgensma) | Hospital; Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
08/16/2022 | HIP reimbursement policy updated for members requiring admission to LTC facilities | Nursing Facility/Long-Term Care, Other | |
08/11/2022 | IHCP expands practitioners allowed to order speech pathology services | Home Health, Physician/Practitioner, Therapist | |
08/09/2022 | IHCP to cover COVID-19 vaccine for children as young as age 6 months | All | |
07/28/2022 | IHCP revises Hospital Assessment Fee adjustment factors for outpatient and inpatient rates | All | |
07/28/2022 | IHCP temporarily suspends MCE PA requirements for respiratory assist devices | DME/HME | |
07/28/2022 | IHCP adds coverage for CT colonography screenings | Clinic, Hospital, Physician/Practitioner, Radiology | |
07/21/2022 | OMPP clarifies care coordination policies with MCEs | All | |
07/19/2022 | IHCP COVID-19 Response: August 12 is new deadline for HCBS wheelchair van and lift grant applications | Transportation | |
07/19/2022 | IHCP establishes new Presumptive Eligibility rules for backdating and who can fill out an application | Behavioral Health, Clinic, FQHC/RHC, Hospital, Physician/Practitioner, Other | |
07/19/2022 | IHCP clarifies prior authorization criteria for specialized car seats and car beds | DME/HME; Ordering, Prescribing, or Referring; Physician/Practitioner | |
07/19/2022 | IHCP updates FQHC and RHC encounter codes | FQHC/RHC | |
07/14/2022 | IHCP allows new POS code for FQHCs and RHCs July 21 | FQHC/RHC | |
07/07/2022 | IHCP authorizes palivizumab RSV prophylaxis for high-risk IHCP members | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
06/30/2022 | Coverage and billing information for the July 2022 quarterly HCPCS codes update | All | |
06/30/2022 | Reimagining training materials for provider readiness in the transition to MLTSS | Home Health, Nursing Facility/Long Term Care, Waiver, DME/HME | |
06/30/2022 | IHCP adds additional coverage in response to SEA 284 telehealth billing guidance | Behavioral Health | |
06/30/2022 | IHCP announces date of full enforcement of EVV for personal care services and other updates | Waiver | |
06/28/2022 | IHCP to cover COVID-19 vaccine counseling as part of EPSDT benefit | Physician/Practitioner | |
06/28/2022 | Pharmacy updates approved by Drug Utilization Review Board June 2022 | Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
06/16/2022 | IHCP COVID-19 Response: IHCP announces HCBS wheelchair van and lift grants – apply by July 22 | Transportation | |
06/16/2022 | IHCP updates PA criteria for HCPCS code Q2042 (Kymriah) | Hospital; Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
06/07/2022 | IHCP adds coverage for G2213 for opioid treatment in the emergency department | Addiction Services, Clinic, Physician/Practitioner, Psych Residential Treatment Facility, Rehabilitation Facility | |
05/31/2022 | IHCP revises home oxygen PA criteria | DME/HME, Home Health | |
05/31/2022 | Pharmacy updates approved by Drug Utilization Review Board May 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
05/26/2022 | IHCP revises bariatric surgery PA criteria | Hospital, Physician/Practitioner | |
05/19/2022 | IHCP announces final 2022 telehealth and virtual services code set | All | |
05/17/2022 | IHCP establishes billing and prior authorization requirements for RPM services | All | |
05/17/2022 | Additional COVID-19 vaccine and administration codes covered for Moderna second booster shots | All | |
05/10/2022 | IHCP COVID-19 Response: Deadline extended to May 23 to submit application for HCBS ambulance grants | Transportation | |
05/05/2022 | IHCP rescinds additional service locations per COVID-19 waiver – effective June 6 | Hospital, Nursing Facility/Long-Term Care, Psych Residential Treatment Facility, Rehabilitation Facility | |
04/28/2022 | IHCP announces additional HCBS managed care training opportunities | Home Health, Nursing Facility/Long-Term Care, Waiver, DME | |
04/26/2022 | IHCP COVID-19 Response: Deadline extended to May 9 to submit application for HCBS ambulance grants | Transportation | |
04/26/2022 | FSSA clarifies virtual case management services per SEA 284 | Behavioral Health, Waiver | |
04/26/2022 | IHCP clarifies service limitations for chiropractic services | Chiropractor | |
04/21/2022 | IHCP updates reimbursement policy regarding aducanumab (Aduhelm) coverage | Ordering, Prescribing, or Referring; Physician/Practitioner | |
04/14/2022 | Manual pricing reimbursement information for select April 2022 quarterly HCPCS codes | Clinic, DME/HME, Optometrist, Optician | |
04/12/2022 | Additional providers may order diabetes self-management and training services | Clinic, Hospital, Physician/Practitioner, Podiatrist | |
03/31/2022 | Coverage and billing information for the April 2022 quarterly HCPCS code update | All | |
03/31/2022 | FSSA extends postpartum coverage period to 12 months | All | |
03/31/2022 | Pharmacy updates approved by Drug Utilization Review Board March 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
03/31/2022 | Pharmacy claim processing clarified for administration of third and booster doses of COVID-19 vaccine | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
03/31/2022 | 2022 IHCP Roadshow to be held May 4 and 5 | All | |
03/24/2022 | IHCP COVID-19 Response: IHCP announces HCBS bariatric ambulance grants to Indiana | Transportation | |
03/22/2022 | IHCP clarifies prior authorization for certain DME or HME supplies and services | DME/HME | |
03/15/2022 | IHCP announces spring/summer HCBS business acumen training schedule | Waiver | |
03/10/2022 | FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members | All | |
03/03/2022 | IHCP to cover additional COVID-19 vaccine and administration codes | All | |
03/01/2022 | IHCP updates PA policy for AED and WCD devices | DME/HME | |
03/01/2022 | Pharmacy updates approved by Drug Utilization Review Board February 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
03/01/2022 | IHCP rescinds certain temporary COVID-19 policy changes | All | |
02/24/2022 | OMPP is making changes to billing and reimbursement for TBI facility services | Rehabilitation Facility | |
02/22/2022 | IHCP to resume RSV season limits for palivizumab PA requests | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
02/15/2022 | Changes made to MRO services in response to HEA 1468 | Behavioral Health | |
02/10/2022 | FQHC/RHC supplemental (wraparound) manual payment requests end for managed care claims | FQHC/RHC | |
02/08/2022 | IHCP revises VFC program policy for pharmacies | Pharmacy/Prescribing | |
02/03/2022 | Outpatient reimbursement information updated for select annual 2022 HCPCS codes | Ambulatory Surgical Center, Clinic, End-Stage Renal Disease Clinic, Hospital | |
02/01/2022 | IHCP to reimburse pharmacy providers for select COVID-19 tests | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
02/01/2022 | Pharmacy updates approved by Drug Utilization Review Board January 2022 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
01/25/2022 | IHCP covers additional COVID-19 treatment codes M0220, M0221 and Q0220 | Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Physician/Practitioner | |
01/20/2022 | IHCP excludes electronic visit verification requirement in 24-hour congregate settings | Waiver | |
01/20/2022 | IHCP COVID-19 Response: IHCP updates procedure code for remdesivir administration | Clinic, Hospital, Physician/Practitioner | |
01/11/2022 | IHCP COVID-19 Response: IHCP announces HCBS stabilization grants | Behavioral Health, Home Health, School Corporation, Waiver | |
01/05/2022 | IHCP COVID-19 Response: IHCP revises remdesivir administration reimbursement policy | Hospital; Ordering, Prescribing or Referring (OPR); Pharmacy/Prescribing; Physician/Practitioner | |
01/04/2022 | Pharmacy updates approved by Drug Utilization Review Board December 2021 | Pharmacy/Prescribing, Physician/Practitioner | |
12/30/2021 | Coverage and billing information for the 2022 annual HCPCS codes update | All | |
12/30/2021 | IHCP requests feedback for proposed 2022 telehealth and virtual services code set | All | |
12/30/2021 | DMHA announces changes to child mental health wraparound access site policy | Waiver | |
12/30/2021 | Drug coverage policy clarified for members enrolled in managed care requiring admission to LTC facilities | Pharmacy, Prescribing | |
12/21/2021 | IHCP clarifies MCE network participation request effective date policy | All | |
12/14/2021 | Changes to reimbursement for eligible out-of-state children’s hospitals | All | |
12/07/2021 | Quarterly cost sharing cap to include M.E.D. Works premiums in January 2022 | All | |
12/02/2021 | IHCP to implement third-party liability cost avoidance on prenatal care claims | Physician/Practioner | |
12/02/2021 | Pharmacy updates approved by Drug Utilization Review Board November 2021 | Pharmacy, Prescribing | |
11/30/2021 | IHCP establishes MCE network participation request effective date policy | All | |
11/23/2021 | Additional changes being made to CIH and FSW services, effective Jan. 1, 2022 | Waiver | |
11/23/2021 | IHCP adds coverage for COVID-19 laboratory service codes 0240U and 0241U | Clinic, Hospital, Laboratory | |
11/16/2021 | IHCP to cover COVID-19 vaccine for children ages 5 through 11 | Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Pharmacy/Prescribing, Physician/Practitioner, Podiatrist, School Corporation, Transportation, Waiver | |
11/16/2021 | IHCP to cover Covid-19 vaccine booster shots | Ambulatory Surgical Center, Clinic, FQHC/RHC, Hospital, Pharmacy/Prescribing, Physician/Practitioner, Podiatrist, School Corporation, Transportation, Waiver | |
11/16/2021 | IHCP clarifies billing requirements for enrolled behavioral health professionals supervising plans of treatment | Behavioral Health | |
11/04/2021 | IHCP updates PA criteria for HCPCS code Q2041 (Yescarta) | Physician/Practitioner | |
11/04/2021 | CMS announces new provider enrollment application fee for 2022 | All | |
11/02/2021 | IHCP adds coverage for COVID-19 vaccine counseling, effective Nov. 2, 2021 | Ambulatory Surgical Center, Clinic, Hospital, Physician/Practitioner, Other | |
10/28/2021 | Pharmacy updates approved by Drug Utilization Review Board October 2021 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
10/21/2021 | CMS releases new federal hospice rates for federal fiscal year 2022 | Hospice | |
10/14/2021 | IHCP corrects ICD-10 codes for Presumptive Eligibility for Pregnant Women | All | |
10/14/2021 | IHCP Presumptive Eligibility benefits, coverage categories and effective dates | All | |
10/05/2021 | IHCP announces the Indiana Pregnancy Promise Program | All, Behavioral Health, Physician/Practitioner | |
09/30/2021 | Coverage and billing information for the October 2021 HCPCS code update | All | |
09/30/2021 | Pharmacy updates approved by Drug Utilization Review Board September 2021 | Ordering, Prescribing, or Referring; Pharmacy/Prescribing | |
09/28/2021 | IHCP COVID-19 Response: Virtual services reimbursed during COVID-19 public health emergency | Waiver | |
09/28/2021 | FQHC/RHC wraparound supplemental dental claim processing change | FQHC, RHC | |
09/23/2021 | Annual update of ICD-10 codes is effective Oct. 1, 2021 | All | |
09/20/2021 | IHCP COVID-19 Response: Reimbursement temporarily increased for COVID-19 Ready nursing facilities | Nursing Facility, Long-Term Care | |
09/16/2021 | IHCP to implement PreCheck MyScript® for FFS pharmacy benefit | All, Pharmacy, Prescribing | |
09/14/2021 | IHCP updates PA and billing requirements for urine drug testing, effective Oct. 15, 2021 | All | |
09/08/2021 | IHCP COVID-19 Response: IHCP temporarily reinstates PA policy for LTAC and AIR facility admissions | Hospital, Other | |
09/08/2021 | IHCP COVID-19 Response: IHCP reinstates temporary PA changes for managed care SNF admissions | Nursing Facility/Long-Term Care | |
09/08/2021 | IHCP COVID-19 Response: PA changes temporarily reinstated for some DME/HME supplies and services | DME/HME | |
09/08/2021 | IHCP COVID-19 Response: IHCP reinstates inpatient SUD and psychiatric admission policy changes | Behavioral Health, Psych | |
09/07/2021 | IHCP COVID-19 Response: IHCP temporarily revises time frames for certain PA approvals | All | |
09/07/2021 | 2021 IHCP Works seminar to be held virtually Oct. 5-7 | All | |
09/07/2021 | Presumptive Eligibility changing for pregnant adults who were formerly in foster care | PE certified | |
08/31/2021 | Pharmacy update approved by Drug Utilization Review Board August 2021 | Pharmacy, Prescribing | |
08/30/2021 | IHCP temporarily reinstates revisions to PA process for acute care hospital non-elective inpatient admissions | All | |
08/24/2021 | IHCP updates PEPW and PE applications to include option for text messages; revises acceptance letters | Clinic, FQHC/RHC, Physician/Practitioner, Waiver, Other | |
08/24/2021 | IHCP to reimburse administration for third dose of specified COVID-19 vaccines | Clinic, FQHC/RHC, Hospital, Pharmacy/Prescribing, Physician/Practitioner, Waiver, EMS, Other | |
08/17/2021 | IHCP updates cervical arthroplasty PA criteria | Physician/Practitioner | |
08/17/2021 | IHCP covers additional COVID-19 treatment codes M0249, M0250 and Q0249 | All | |
08/12/2021 | IHCP announces additional providers may submit PA requests | All | |
08/05/2021 | Licensed addiction counselor associates able to provide counseling in an OTP, effective Sept. 5 | Behavioral Health | |
08/05/2021 | IHCP clarifies rescinded COVID-19 policies | All, Home Health, Transportation | |
08/03/2021 | FSSA reminds PRTF providers of rate changes for 2021 | Psych Residential Treatment Facility | |
08/03/2021 | IHCP pharmacy benefits resumes pre-COVID-19 policies | Ordering, Prescribing, or Referring; Pharmacy/Prescribing | |
07/29/2021 | IHCP announces limited opportunity for new independent external reviews | All | |
07/27/2021 | IHCP revises the NPI reporting requirements for enrolling providers | All | |
07/27/2021 | Pharmacy updates approved by Drug Utilization Review Board July 2021 | Pharmacy/Prescribing | |
07/27/2021 | IHCP rescinds temporary provider enrollment COVID policies | All | |
07/22/2021 | CMS clarifies that MCEs can continue to bypass NCCI edit causing NOP claims to deny | All | |
07/20/2021 | OMPP announces Targeted Probe Education program | All | |
07/20/2021 | IHCP updates Outpatient Fee Schedule | All | |
07/13/2021 | IHCP aligns PA criteria for nusinersen (Spinraza) | Ordering, Prescribing, or Referring; Pharmacy/Prescribing; Physician/Practitioner | |
07/08/2021 | Coverage and billing information for the July 2021 HCPCS code update | All | |
07/08/2021 | OMPP announces due dates and reinstatement penalties for LTC providers | Nursing Facility, Long-Term Care, ICF/IID | |
07/06/2021 | IHCP informs pharmacy providers of the billing specifications for prescription origin codes | Pharmacy, Prescribing | |
07/06/2021 | Providers may now request palivizumab RSV prophylaxis for high-risk IHCP members | Pharmacy, Prescribing | |
07/01/2021 | IHCP rescinds certain COVID-19 policy changes | All | |
07/01/2021 | Pharmacy updates approved by Drug Utilization Review Board June 2021 | OPR, Pharmacy/Prescribing, Physician/Practitioner | |
06/29/2021 | Save the date for the 2021 IHCP Works Seminar | All | |
06/24/2021 | IHCP to end 3 percent reduction in reimbursement for hospital services | Hospital | |
06/24/2021 | IHCP to end 3 percent rate reduction in reimbursement for nursing facilities | Nursing facility, Long-term care | |
06/24/2021 | Home health rates for state fiscal years 2022 and 2023 are effective July 1, 2021 | Home Health | |
06/22/2021 | Notification of Pregnancy code and modifier (99354 TH) denying for NCCI MUE | Physician/Practitioner | |
06/17/2021 | IHCP clarifies effective dates for telehealth policy updates | All | |
06/15/2021 | FQHC/RHC wraparound supplemental professional claim processing to change July 1 | FQHC/RHC | |
06/10/2021 | IHCP clarifies physical medical care requirements for behavioral health professionals | Behavioral Health | |
06/08/2021 | IHCP announces policy update for telehealth services | All | |
06/03/2021 | IHCP updates FQHC and RHC encounter codes | FQHC, RHC | |
06/01/2021 | Pharmacy updates approved by Drug Utilization Review Board May 2021 | Pharmacy, Prescribing | |
05/28/2021 | IHCP introduces new process for submitting Policy Consideration requests | All | |
05/27/2021 | IHCP announces changes to 2022 contracts for Medicare Advantage plans focused on dually eligible members | All | |
05/25/2021 | Expanded scope of licensed behavioral health professionals to certify a mental health diagnosis | Behavioral Health | |
05/18/2021 | IHCP COVID-19 Response: IHCP announces EMS provider relief; apply by July 31, 2021 | EMS, Transportation | |
05/04/2021 | IHCP clarifies PA criteria for HCPCS code J0791 | Physician/Practitioner | |
04/27/2021 | Pharmacy updates approved by Drug Utilization Review Board April 2021 | Pharmacy, Prescribing | |
04/22/2021 | Rates corrected for certain DME codes | DME/HME | |
04/20/2021 | Pharmacies required to use Compound Ingredient Drug Cost field; reimbursement methodology updated | Pharmacy, Prescribing | |
04/13/2021 | 2021 IHCP Roadshow kicks off April 27 | All | |
04/08/2021 | IHCP provides billing guidance for attendant care transportation options | Waiver | |
04/08/2021 | DDRS waiver providers to provide COVID-19 vaccines to eligible FSW and CIH waiver members | Waiver | |
04/01/2021 | Coverage and billing information for the April 2021 HCPCS codes update | All | |
04/01/2021 | CMS approves FSSA request for attendant care transportation options | Waiver | |
03/30/2021 | Additional codes covered for COVID-19 vaccine and treatment | All | |
03/30/2021 | Pharmacy updates approved by Drug Utilization Review Board March 2021 | Pharmacy, Prescribing | |
03/30/2021 | IHCP clarifies rental periods of DME capped rental items submitted on or after April 1, 2021 | DME/HME | |
03/30/2021 | UnitedHealthcare begins as a new MCE for Hoosier Care Connect on April 1, 2021, with open network | All | |
03/30/2021 | Corrected outpatient reimbursement information provided for select annual 2021 HCPCS codes | All | |
03/25/2021 | COVID-19 vaccine administration billing for FQHC and RHC providers clarified | FQHC, RHC | |
03/23/2021 | IHCP announces new revised E/M codes for office visits | All, Chiropractor, Clinic, Mental Health, Physician/Practitioner, Podiatrist | |
03/23/2021 | Case/care manager information is available in eligibility information for waiver and MRO benefits | HCBS waiver, MRO | |
03/23/2021 | Reimbursement updates for COVID vaccine administration | All | |
03/11/2021 | Third-Party Liability Disallowance Project supports proper billing of Medicaid claims | All | |
03/04/2021 | Additional billing instructions presented for EMS treat-no-transport and naloxone administration | Transportation, EMS | |
03/02/2021 | Pharmacy updates approved by Drug Utilization Review Board February 2021 | Pharmacy, Prescribing | |
03/02/2021 | IHCP announces special selection period for Hoosier Care Connect members | All | |
02/25/2021 | Compounds submitted with unidentifiable ingredients to be rejected; what pharmacies need to do | Pharmacy, Prescribing | |
02/25/2021 | FSSA announces the addition of COVID-19 vaccine administration billing for FQHC and RHC providers | FQHC, RHC | |
02/25/2021 | IHCP updates Preferred Diabetes Supply List | Pharmacy, Prescribing | |
02/16/2021 | IHCP clarifies drugs carved-out of managed care and PA criteria | Ordering, Prescribing, or Referring (OPR); Pharmacy/Prescribing; Physician/Practitioner | |
02/09/2021 | Coverage and billing information for the 2021 annual HCPCS codes update | All | |
02/09/2021 | Certain denied claims may be resubmitted by March 31 for A&D HCBS case management services | Waiver | |
02/09/2021 | FSSA to resume standard rules for calculating patient and waiver liability March 1, 2021 | All | |
01/26/2021 | IHCP to update rates for certain DME and medical supply items effective February 1, 2021 | All, DME | |
01/21/2021 | Reimbursement updates for COVID vaccine administration | All, Pharmacy, Prescribing | |
01/21/2021 | IHCP clarifies coverage for substance use treatment | Behavioral Health | |
01/21/2021 | Advance care planning criteria will remain the same for calendar year 2021 | Nursing Facility, Long-Term Care | |
01/14/2021 | IHCP update for COVID-19 vaccination pharmacy claims ordered and administered by pharmacists | Pharmacy, Prescribing | |
01/12/2021 | IHCP reimburses EMS provider agencies for COVID-19 vaccines administered by basic EMTs | All, Ambulance | |
12/31/2020 | IHCP announces updates for ICD-10 codes, effective January 1, 2021 | All | |
12/29/2020 | IHCP to continue EVV post and pay | Home Health, Waiver | |
12/22/2020 | FSSA announces CMS approval to BPHC service | Waiver | |
12/17/2020 | IHCP receives COVID-19 vaccine HCPCS update from CMS and AMA | All | |
12/17/2020 | IHCP to update rates for certain DME and medical supply items | DME/HME | |
12/15/2020 | IHCP to reimburse pharmacy providers for COVID-19 vaccine administration | Pharmacy, Prescribing | |
12/15/2020 | IHCP clarifies enrollment and billing requirements for newly added behavioral health professionals | Behavioral Health | |
12/15/2020 | 2021 annual HCPCS update delayed | All | |
12/10/2020 | FSSA selects managed care entities to serve Hoosier Care Connect members | All | |
12/10/2020 | IHCP EVV implementation policy and FAQs provided as personal care service deadline nears | HCBS, Home Health | |
12/01/2020 | IHCP announces procedure codes for newly enrolled behavioral health professionals | Behavioral Health | |
12/01/2020 | Pharmacy updates approved by Drug Utilization Review Board November 2020 | Pharmacy, Prescribing | |
12/01/2020 | CMS announces new provider enrollment application fee for 2021 | All | |
11/24/2020 | Additional HCPCS 2020 code updates announced | All | |
11/12/2020 | IHCP will reimburse EMS provider agencies for administration of vaccines | Paramedics, Advanced EMTs | |
11/10/2020 | IHCP COVID-19 Response: IHCP announces FFS home health provider relief; apply by November 30 | Home Health | |
11/05/2020 | IHCP clarifies HIP Maternity benefits | All | |
10/27/2020 | October 31 deadline set for nursing facility cost report and schedule submissions | Nursing Facility, Long-Term Care | |
10/27/2020 | Pharmacy updates approved by Drug Utilization Review Board October 2020 | Pharmacy, Prescribing | |
10/15/2020 | IHCP announces review year 2021 CMS PERM resumes activity | All | |
10/13/2020 | IHCP updates Preferred Diabetes Supply List | Pharmacy, Prescribing, DME/HME | |
10/06/2020 | IHCP updates policy regarding treatment of spinal stenosis | Ambulatory Surgical Center, Clinic, Hospital, Physician/Practitioner | |
10/01/2020 | October 2020 quarterly HCPCS code updates announced | All | |
09/29/2020 | 2020 IHCP Works Seminar to be held virtually October 13-15 | All | |
09/29/2020 | IHCP to enroll licensed behavioral health professionals | Mental Health, Psychiatric Residential Treatment Facility | |
09/29/2020 | CMS releases new federal hospice rates for fiscal year 2021 | Hospice | |
09/24/2020 | IHCP COVID-19 Response: IHCP announces revised billing guidance for telemedicine services | All | |
09/24/2020 | Pharmacy updates approved by Drug Utilization Review Board September 2020 | Pharmacy, Prescribing | |
09/24/2020 | Annual update of ICD-10 codes is effective October 1, 2020 | All | |
09/17/2020 | IHCP COVID-19 Response: NF temporary reimbursement rate extended and temporary resident add-on clarified | Nursing Facility | |
09/10/2020 | IHCP announces corrections to DRG inpatient hospital reimbursement rates | Hospital, Rehabilitation Facility | |
09/01/2020 | IHCP updates FQHC and RHC encounter codes | FQHC, RHC | |
09/01/2020 | Alternate EVV vendors must begin integration by October 1, 2020 | Home Health, HCBS Waiver | |
09/01/2020 | IHCP updates podiatry policy | All, Podiatrist | |
09/01/2020 | Pharmacy updates approved by Drug Utilization Review Board August 2020 | Pharmacy, Prescribing | |
09/01/2020 | FSSA will amend BPHC program, pending CMS approval | Waiver | |
08/27/2020 | IHCP COVID-19 Response: IHCP clarifies policy on PA process for acute care hospital inpatient admissions | Hospital | |
08/27/2020 | IHCP announces requirement for pharmacies to use Quantity Prescribed (460-ET) field | Pharmacy, Prescribing | |
08/25/2020 | Enrollment requirement change for nursing home transportation providers | Transportation | |
08/18/2020 | Additional information provided for the July 2020 quarterly HCPCS codes updates | All | |
07/23/2020 | Pharmacy update approved by Drug Utilization Review Board July 2020 | Pharmacy, Prescribing | |
07/21/2020 | IHCP updates policy for HIP members transitioning to FFS when moving into a nursing facility | Nursing Facility, Long-Term Care | |
07/21/2020 | IHCP announces updated changes to DRG grouper and cost-to-charge ratios | Hospital, Rehabilitation Facility | |
07/21/2020 | IHCP corrects rate reduction error on outpatient reimbursement | Hospital | |
07/21/2020 | IHCP COVID-19 Response: IHCP updates Pharmacy benefit PA expiration dates | Pharmacy, Prescribing | |
07/16/2020 | Enrollment as Transportation Network Company (TNC) will not require fingerprinting and background check | Transportation | |
07/09/2020 | IHCP COVID-19 Response: IHCP provides update on telemedicine policy | All, Therapist | |
07/02/2020 | IHCP announces update to transportation policy for minors | Transportation | |
06/30/2020 | July 2020 quarterly HCPCS code updates announced | All | |
06/30/2020 | FSSA changes rates and services for the FSW and CIH Waiver | Waiver | |
06/30/2020 | IHCP revises direct service provider requirement for IOT of members with SUD diagnosis | Mental Health, Therapist | |
06/30/2020 | New transportation provider specialty – Transportation Network Company (TNC), and how to enroll | Transportation | |
06/30/2020 | Portal enhanced for Family Member transportation provider enrollment | Transportation | |
06/25/2020 | IHCP revises Hospital Assessment Fee adjustment factors for outpatient and inpatient rates | Ambulatory Surgical Center, Clinic, Hospital | |
06/25/2020 | Pharmacy updates approved by Drug Utilization Review Board June 2020 | Pharmacy, Prescribing | |
06/25/2020 | IHCP announces changes to DRG grouper and inpatient hospital reimbursement rates | Hospital, Rehabilitation Facility | |
06/23/2020 | FFS prior authorization telephone number change | All | |
06/23/2020 | IHCP COVID-19 Response: Certain respiratory inhalers resume pre-COVID-19 requirements | Pharmacy, Prescribing | |
06/18/2020 | IHCP COVID-19 Response: IHCP will update COVID-19 policy changes | All | |
06/16/2020 | FSSA clarifies amendment to the AMHH State Plan benefit | Waiver | |
06/11/2020 | IHCP COVID-19 Response: Managed care claim timely filing returns to 90 days | All | |
06/11/2020 | IHCP COVID-19 Response: COVID-19 policy FAQs as of June 11, 2020 | All | |
06/09/2020 | IHCP pharmacy benefits resumes pre-COVID-19 process for early refill requests June 1, 2020 | Pharmacy, Prescribing | |
06/04/2020 | Correction made to lifetime cap in A&D and TBI waiver services | Waiver | |
05/28/2020 | IHCP COVID-19 Response: Reimbursement updates for 86328 and 86769 | Hospital, Laboratory | |
05/28/2020 | IHCP COVID-19 Response: IHCP publishes CMS revisions to transportation modifiers | Transportation | |
05/28/2020 | IHCP COVID-19 Response: BDDS modifies therapeutic leave for ICF/IID services | Waiver | |
05/28/2020 | Participant-directed attendant care and home care services available for A&D Waiver July 1, 2020 | Waiver | |
05/26/2020 | IHCP COVID-19 Response: Newly released code added and coverage updated for Medicare crossover claims | All | |
05/19/2020 | IHCP provides billing guidance to EMS provider agencies for naloxone administration | Emergency Services, Ambulance | |
05/19/2020 | IHCP COVID-19 Response: IHCP issues summary of recently released COVID-19-related codes | All | |
05/14/2020 | IHCP COVID-19 Response: Additional COVID-19-related HCPCS and reimbursement updates made | All | |
05/07/2020 | IHCP announces EVV policy updates | Home Health, HCBS | |
05/07/2020 | IHCP announces changes to DRG grouper | Hospital, Rehabilitation Facility | |
04/30/2020 | IHCP will reimburse EMS provider agencies for administration of naloxone | EMS | |
04/28/2020 | IHCP COVID-19 Response: Additional HCPCS April 2020 quarterly code updates announced | All | |
04/28/2020 | IHCP COVID-19 Response: IHCP adds coverage of certain services for Medicare crossover claims | All | |
04/28/2020 | IHCP COVID-19 Response: Temporary changes allowed for signature requirements | All | |
04/28/2020 | IHCP COVID-19 Response: IHCP announces temporary provider enrollment recertification change | All | |
04/23/2020 | IHCP COVID-19 Response: IHCP allows EMS providers to receive minimum BLS reimbursement | Ambulance | |
04/23/2020 | IHCP COVID-19 Response: Ambulance providers to be reimbursed for response and treatment, no transport | Ambulance | |
04/23/2020 | Virtual 2020 IHCP Roadshow presentations now available, Q&A webinars the week of April 27, 2020 | All | |
04/23/2020 | Copays no longer required for tobacco cessation drugs | Pharmacy, Prescribing | |
04/21/2020 | IHCP COVID-19 Response: Telemedicine FAQs as of April 21 | All | |
04/21/2020 | IHCP COVID-19 Response: IHCP provides coding guidance for COVID-19 | All | |
04/21/2020 | IHCP COVID-19 Response: IHCP revises managed care health plan PA policies for SNF admissions | Skilled Nursing Facility | |
04/21/2020 | IHCP COVID-19 Response: IHCP temporarily revises PA policy for LTAC and AIR facility admissions | Nursing Facility/Long-Term Care | |
04/16/2020 | IHCP COVID-19 Response: COVID-19 policy FAQs as of April 16 | All | |
04/16/2020 | IHCP COVID-19 Response: IHCP makes updates to pharmacy benefits | Pharmacy, Prescribing | |
04/14/2020 | IHCP COVID-19 Response: Diagnosis code Z03.818 added to Emergency Department Autopay List | All | |
04/09/2020 | IHCP COVID-19 Response: IHCP revises policies for certain behavioral health services | Behavioral Health | |
04/09/2020 | Waiver attendant care providers get extension for transporting members to medical appointments | Waiver | |
04/08/2020 | IHCP COVID-19 Response: IHCP revises home health prior authorization and telemedicine policies | Home Health | |
04/07/2020 | IHCP COVID-19 Response: IHCP announces additional temporary changes for provider enrollment | All | |
04/07/2020 | IHCP COVID-19 Response: Additional HCPCS code updates announced | All | |
04/07/2020 | IHCP COVID-19 Response: Facility fees, modifier GT usage, and HCBS clarified for telemedicine billing | All | |
04/07/2020 | IHCP COVID-19 Response: IHCP extends timely filing limit on managed care claims | All | |
04/02/2020 | IHCP COVID-19 Response: IHCP revises policy for in-state ground transportation | Transportation | |
04/02/2020 | IHCP COVID-19 Response: IHCP responds to telemedicine FAQs as of April 1, 2020 | All | |
04/02/2020 | IHCP COVID-19 Response: IHCP revises Medicaid policies | All | |
04/02/2020 | Hoosier Healthwise brand gets new look | All | |
03/31/2020 | IHCP temporarily removes prior authorization for certain DME or HME supplies and services | DME/HME | |
03/31/2020 | IHCP temporarily revises PA process for acute care hospital inpatient admissions | All | |
03/31/2020 | IHCP announces temporary changes to provider enrollment | All | |
03/31/2020 | CMS releases new ICD-10 diagnosis codes; IHCP adds codes to Emergency Department Autopay List | All, Physician/Practitioner | |
03/31/2020 | April 2020 quarterly HCPCS code updates announced | All | |
03/24/2020 | New transportation provider specialty to include nursing homes as transportation providers | Transportation | |
03/24/2020 | Certain denied claims may be resubmitted by May 31 for A&D HCBS case management services | Waiver | |
03/24/2020 | IHCP removes hospital lock-in requirements from Right Choices Program | Hospital | |
03/24/2020 | IHCP updates ACP criteria for nursing facilities | Nursing Facility/Long-Term Care | |
03/19/2020 | IHCP issues telemedicine billing guidance for providers during COVID-19 outbreak | All | |
03/19/2020 | IHCP changes pharmacy benefits and Emergency Department Autopay List in response to COVID-19 | Emergency Services, Managed Care, Pharmacy/Prescribing | |
03/17/2020 | FSSA will change rates and services for the FSW and CIH Waiver, pending CMS approval | Waiver | |
03/10/2020 | IHCP revises policy regarding certain transplant procedures | Physician/Practitioner | |
03/10/2020 | IHCP clarifies billing for HIP chiropractic services | Chiropractor | |
BT202017 | 03/10/2020 | OBSOLETE | |
03/05/2020 | IHCP updates Preferred Diabetes Supply List | Pharmacy/Prescribing, DME/HME | |
03/03/2020 | IHCP to implement third-party liability cost avoidance on prenatal care claims | All | |
02/27/2020 | Pharmacy updates approved by Drug Utilization Review Board February 2020 | Pharmacy, Prescribing | |
02/27/2020 | FSSA announces amendment to the Adult Mental Health Habilitation program | AMHH, Mental Health | |
02/25/2020 | IHCP revises policy for augmentative and alternative communication devices | DME/HME | |
02/18/2020 | Additional information related to the 2020 annual HCPCS codes update | All | |
02/11/2020 | IHCP expands coverage for genetic testing for breast cancer recurrence | Physician/Practitioner | |
01/30/2020 | IHCP changes requirements for MCE emergency services claim processing | Managed Care, Emergency | |
01/28/2020 | Pharmacy update approved by Drug Utilization Review Board January 2020 | Pharmacy, Prescribing | |
01/23/2020 | Changes to location and time for January 24 provider meeting | All | |
01/23/2020 | FSSA changes rate and methodology for A&D and TBI waiver services | Waiver | |
01/21/2020 | FSSA announces amendment to the CMHW Program | Mental Health | |
01/16/2020 | IHCP announces new IHCP Roadshow in 2020 | All | |
01/09/2020 | IHCP gains federal approval to reimburse for acute SMI stays in IMDs | Psych Residential Treatment Facility | |
01/07/2020 | IHCP revises policy for radiology services | Radiology | |
01/07/2020 | Pharmacy update approved by Drug Utilization Review Board December 2019 | Pharmacy, Prescriber |