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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 Bulletin Number Title Audience (Provider Type) Publication Date BT202491 Anesthesia claim payments to be mass adjusted Anesthesiologist 6/20/2024 BT202490 OMPP requests participation in an MCE and hospital engagement survey by July 31 Hospital 6/20/2024 BT202489 Fee-for-service hospice providers must use new dedicated disenrollment fax line All, Hospice 6/20/2024 BT202488 OMPP clarifies background check requirements for HCBS provider certification Waiver 6/20/2024 BT202487 IHCP updates FQHC and RHC encounter codes FQHC/RHC 6/20/2024 BT202480 IHCP adds Career Exploration and Planning service to FSW and CIH Waiver Note: This bulletin has been corrected. Procedure code has been corrected from 97535 to 97537. Waiver 6/20/2024 BT2023149 HIP Rate Equalization Project to align rates across all programs, effective Jan. 1, 2024 Note: This bulletin has been corrected. The information about the additional room-and-board portion of the hospice payment being paid based on the “state nursing facility rate” was changed to “nursing facility’s case-mix rate.” Dentist, DME/HME, Physician/Practitioner, Transportation 6/20/2024 Code Tables The following code table updates are accessible from the Code Sets page: Preventive Care Services Excluded From Copayment for Healthy Indiana Plan (posted June 18, 2024) Removed end-dated codes See BT202476 for details Companion Guides 820 MCE Capitation Payment Information Transaction, Version 3.9 (posted June 20, 2024) Added capitation category codes T5, T6 and T7 (for nonemergency medical transportation [NEMT]) Updated Trading Partner email address 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).
Bulletin Number
Title
Audience
(Provider Type)
Publication Date
BT202491
Anesthesia claim payments to be mass adjusted
Anesthesiologist
6/20/2024
BT202490
OMPP requests participation in an MCE and hospital engagement survey by July 31
Hospital
BT202489
Fee-for-service hospice providers must use new dedicated disenrollment fax line
All, Hospice
BT202488
OMPP clarifies background check requirements for HCBS provider certification
Waiver
BT202487
IHCP updates FQHC and RHC encounter codes
FQHC/RHC
BT202480
IHCP adds Career Exploration and Planning service to FSW and CIH Waiver
Note: This bulletin has been corrected. Procedure code has been corrected from 97535 to 97537.
BT2023149
HIP Rate Equalization Project to align rates across all programs, effective Jan. 1, 2024
Note: This bulletin has been corrected. The information about the additional room-and-board portion of the hospice payment being paid based on the “state nursing facility rate” was changed to “nursing facility’s case-mix rate.”
Dentist, DME/HME, Physician/Practitioner, Transportation
The following code table updates are accessible from the Code Sets page:
Preventive Care Services Excluded From Copayment for Healthy Indiana Plan (posted June 18, 2024)
820 MCE Capitation Payment Information Transaction, Version 3.9 (posted June 20, 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