ARTICLE
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 2024 IHCP Provider Communications Survey (posted April 16, 2024) IHCP Live: May EVV Townhall (posted April 18, 2024) Bulletins Bulletin Number Title Audience (Provider Type) Publication Date BT202457 IHCP corrects procedure code 0398T for professional claims, effective Jan. 1, 2024 Physician/Practitioner May 2, 2024 BT202456 IHCP provides instructions for OMPP HCBS Certification Portal Waiver May 2, 2024 BT202455 Gainwell Technologies announces new P.O. Box addresses Provider type, Provider type April 30, 2024 BT202454 Pharmacy updates approved by Drug Utilization Review Board April 2024 Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner April 30, 2024 BT202453 Claims paid incorrectly for CIH Waiver Community Transition service Waiver April 30, 2024 Provider Reference Modules Provider and Member Utilization Review (posted April 30, 2024) (see the module for a full list of changes) Included “waste” with fraud and abuse Added a definition for waste in the Program Integrity section Added a note to the Provider Responsibilities section Updated the Medical and Financial Record Retention section Updated the Recommended Best Practices section Updated the Submitting Self-Disclosure Form and Supporting Documentation section Updated the Remitting Payments section Updated the Prepayment Review section and PPR Process and Prepayment Review Process Requirements subsections Updated the Targeted Probe and Educate section and subsection Added data processing as an area for review in the Payment Error Rate Measurement Audits section Updated the IVR reference to GABBY in the Member Utilization Review section Obstetrical and Gynecological Services (posted April 30, 2024) Updated medical necessity criteria references in the Hysterectomy section Added a note about FQHC/RHC billing in the Billing for Submitted NOPs section Updated the first prenatal visit E/M codes in the Office Visits During Pregnancy for Concurrent Medical Condition section Updated links in the Prenatal Immunizations section Removed the Injections for the Prevention of Preterm Delivery section Added TPL exception for global codes in the Postpartum Care section Updated the Reimbursement for Long-Acting Reversible Contraception Implanted During Delivery Stays section Updated the Medical Abortion by Oral Ingestion of Medication section Radiology Services (posted April 30, 2024) Added the CT Colonography Screening section Added the Interventional Radiology section Added MRA reference in the Magnetic Resonance Exams section Added the Nuclear Medicine section Code Tables The following code table updates are accessible from the Code Sets page: Emergency Department Autopay List (posted April 30, 2024) See BT202373 for details Obstetrical and Gynecological Services Codes (posted April 30, 2024) All codes were reviewed 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
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).
2024 IHCP Provider Communications Survey (posted April 16, 2024)
IHCP Live: May EVV Townhall (posted April 18, 2024)
Bulletin Number
Title
Audience
(Provider Type)
Publication Date
BT202457
IHCP corrects procedure code 0398T for professional claims, effective Jan. 1, 2024
Physician/Practitioner
May 2, 2024
BT202456
IHCP provides instructions for OMPP HCBS Certification Portal
Waiver
BT202455
Gainwell Technologies announces new P.O. Box addresses
Provider type, Provider type
April 30, 2024
BT202454
Pharmacy updates approved by Drug Utilization Review Board April 2024
Ordering, Prescribing or Referring; Pharmacy/Prescribing; Physician/Practitioner
BT202453
Claims paid incorrectly for CIH Waiver Community Transition service
Provider and Member Utilization Review (posted April 30, 2024) (see the module for a full list of changes)
Obstetrical and Gynecological Services (posted April 30, 2024)
Radiology Services (posted April 30, 2024)
The following code table updates are accessible from the Code Sets page:
Emergency Department Autopay List (posted April 30, 2024)
Obstetrical and Gynecological Services Codes (posted April 30, 2024)
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