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).

News and Announcements

IHCP Live: Understanding the New HCBS Provider Certification Process (posted April 18, 2024)

Bulletins

Provider Reference Modules

Dental Services (posted April 25, 2024) (see module for full listing of changes)

• Updated Table 1 – Dental Limits Returned by the EVS and the EOBs for Related Claim Denials
• Updated the Prior Authorization for Dental Services section
• Updated the Behavior Management Services section
• Added the COVID-19 Vaccine Administration section
• Updated the Dentures – Complete and Partial section and subsections
• Updated the Extractions section
• Updated the age for D1206 in the Fluoride Treatment (Topical) section
• Updated the Medicament Application/Silver Diamine Fluoride section
• Updated the Frenulectomy (Frenectomy or Frenotomy) section
• Updated the Orthodontics section and Prior Authorization Requirements for Orthodontics subsection
• Updated the Periodontal Maintenance section
• Updated the limits in the Periodontal Scaling and Root Planing, and Full-Mouth Debridement or Scaling section

Durable and Home Medical Equipment and Supplies (posted April 23, 2024) (see the module for full list of changes)

• Added notes throughout regarding new MSRP and cost invoice requirements
• Updated provider enrollment information in the Introduction section
• Updated the Written Orders Required for Medical Equipment and Supplies section, and updated references to allowable ordering practitioners throughout the module
• Updated the Prior Authorization Requirements for Medical Equipment and Supplies section
• Added the Breast Milk section
• Updated the Breast Milk Storage Bags section
• Added the Car Seats and Car Beds section
• Added note about pharmacy billing in the Diabetes Testing Supplies section and updated the following subsections: Quantity Limits for Diabetes Testing Supplies and Preferred Diabetes Supply List
• Updated the Enteral and Parenteral Nutrition section and subsection
• Updated the Oxygen and Home Oxygen Equipment section and subsections
• Updated the Respiratory Assist Devices section and subsections

Code Tables

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

Dental Services Codes (posted April 23, 2024)

• All codes were reviewed
• See BT202435 for details about updates to the following table:
  • Dental Procedure Codes That Require a Tooth Number on the Claim
• Added the following table:
  • Dental Procedure Codes for Coronavirus Disease 2019 (COVID-19) Vaccination

Durable and Home Medical Equipment and Supplies Codes (posted April 25, 2024)

• All codes were reviewed
• See BT2023153 for details about updates to the following table:
  • Procedure Codes for Respiratory Assist Devices and Supplies

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