Greetings:

The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at in.gov/medicaid/providers this week (publication date is noted for each item).

Bulletins

Provider Reference Modules

Medicaid Rehabilitation Option Services (see module for full list of updates) (posted Feb. 27, 2024)

• Added information about authorized representatives in the Intake Assessment and Development of the IICP section
• Updated the Required Components of the IICP section
• Clarified information in the Certification of the Diagnosis and the IICP section
• Added Service Parameters for Telehealth Delivery sections for Addiction Counseling, Behavioral Health Counseling and Therapy, Medication Training and Support, and Skills Training and Development
• Updated the Child Mental Health Wraparound, Behavioral and Primary Healthcare Coordination and Adult Mental Health Habilitation sections to add IAC and/or webpage references
• Updated the Verifying Member Eligibility for MRO Services section
• Updated the MRO Agency Contact Information section
• Updated the introductory text in Section 5: Prior Authorization, and updated references throughout the section to reflect procedures under the current FFS PA-UM contractor
• Updated the PA Submission section
• Updated responses in the PA Decision section
• Updated the Contact Information for MRO Claims section

Telehealth and Virtual Services (see module for full list of updates) (posted Feb. 29, 2024)

• Updated information in the Professional and Dental Claims for Telehealth Services section
• Added the Outpatient Institutional Claims for Telehealth Services subsection
• Removed the note about Appendix K authority from the Nonhealthcare Virtual Services section
• Added a note about MRO Skills Development and Training in the Special Considerations for Certain Services and Providers section
• Added the Applied Behavior Analysis Therapy Services via Telehealth section

Code Tables

The following code table updates are accessible from the Code Sets page:

Behavioral Health Services Codes (posted Feb. 29, 2024)

• See BT202425 for details about updates to the following tables:
  • Covered Procedure Codes for Behavioral Health Provider Specialties 616–621
  • Procedure Codes Included in the Psychiatric Service Limit of 20 Units per Provider per Year

Durable and Home Medical Equipment and Supplies Codes (posted Feb. 27, 2024)

• See BT202421 for details about updates to the following table:
  • Covered Procedure Codes for Durable Medical Equipment (DME) Providers (Specialty 250)

Emergency Department Autopay List (posted Feb. 29, 2024)

• See BT202373 for details

Family Planning Eligibility Program Codes

• See BT202425 for details about updates to the following table:
  • Procedure Codes for the Family Planning Eligibility Program

Medicaid Rehabilitation Option Services Codes (posted Feb. 27, 2024)

• All codes were reviewed

Obstetrical and Gynecological Services Codes (posted Feb. 27, 2024)

• See BT202323 for details about updates to the following table:
  • Long-Acting Reversible Contraception (LARC) Products Separately Reimbursable for Inpatient Hospitals and Birthing Centers, Outpatient Hospitals and ASCs, and FQHCs and RHCs

Preventive Care Services Excluded From Copayment for Healthy Indiana Plan and Presumptive Eligibility – Adult (posted Feb. 29, 2024)

• See BT202425 for details

Procedure Codes That Require Attachments (posted Feb. 29, 2024)

• See BT202425 for details

Procedure Codes That Require National Drug Codes (NDCs) (posted Feb. 29, 2024)

• See BT202425 for details

Renal Dialysis Services Codes (posted Feb. 29, 2024)

• See BT202425 for details about updates to the following table:
  • Procedure Codes Included in the Renal Dialysis Composite Rate

Revenue Codes With Special Procedure Code Linkages (posted Feb. 29, 2024)

• See BT202425 for details about updates to the following tables:
  • Procedure Codes Linked to Revenue Code 274 – Prosthetic/Orthotic Devices
  • Procedure Codes Linked to Revenue Code 636 – Drugs Requiring Detailed Coding

Telehealth and Virtual Services Codes (posted Feb. 29, 2024)

• All codes were reviewed
• See BT202425 for details about updates to the following table:
  • Medical Service Procedure Codes Covered for Telehealth

The following code table documents (posted Feb. 29, 2024) include updates to code descriptions only (revised in conjunction with the January 2024 HCPCS update):

• Chiropractic Services Codes
• COVID-19 Vaccination Codes for Medical Claims
• Medical Review Team Codes
• Podiatry Services Codes
• Transportation Services Codes
• Vision Services Codes

Check out these resources to stay up-to-date with the most recent changes at the IHCP. Thank you for your participation.

Best regards,

Indiana Health Coverage Programs