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

Long-Term Care (posted July 18, 2024) (see the module for a full list of changes)

• Updated the Member Eligibility Considerations section and subsections
• Added heading and updated information in the Verifying Member Eligibility section
• Added heading and introductory text for Section 2: Nursing Facilities
• Added Terminal Illness and Convalescent categorical outcomes in the Level I Outcomes section
• Added Terminal Illness and Convalescent categorical decisions in the Level II PASRR Categorical Decisions section
• Updated the Minimum Data Set Reviews – Processing and Oversight Review Procedures section
• Added the Nursing Facility Policies for Indiana PathWays for Aging section
• Added heading and updated the Nursing Facility Policies for Healthy Indiana Plan, Hoosier Care Connect and Hoosier Healthwise section and subsections
• Added the Transportation for NF Residents section
• Added heading and introductory text for Section 3: Intermediate Care Facilities for Individuals With Intellectual Disabilities
• Updated the ICF/IID Claim Completion and Submission section
• Added Additional Billing and Reimbursement Information for ICF/IID Providers heading and introductory text

Hospice Services (posted July 16, 2024) (see the module for a full list of changes)

• Added references to the new PathWays program where applicable
• Added a note to Table 2 – Allowable Facilities for Respite or General Inpatient Hospice Care
• Updated the Basic Hospice Provider Enrollment Requirements section
• Updated the Managed Care Members section
• Updated the Members Residing in a Nursing Facility section
• Updated the IHCP-Pending Individuals section
• Updated the Revocation by Member section
• Updated the Discharge by Hospice Provider section
• Updated the Short Absences for Hospice Patients section and subsections
• Updated the Submitting Hospice Authorization Requests section
• Updated the Hospice Authorization Process section and subsections (including adding the Hospice Services for Indiana Pathways for Aging Members subsection)
• Added the Hospice Quality Reporting Program Rate Reductions section
• Updated the Service Intensity Add-On Payments section
• Updated the Payment for Nursing Facility Residents section
• Added the Resident-Specific Add-Ons for Special Care Unit and Ventilator Services section

Code Tables

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

Hospice Services Codes (posted July 16, 2024)

• All codes were reviewed.
• See of BT202432 for details about updates.

Long-Term Care Codes (posted July 18, 2024)

• All codes were reviewed.

Procedure Codes That Require Attachments (posted July 18, 2024)

• See of BT2024114 for details about updates.

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