- REMINDER! The Revised CMS-1500 Claim Form Will Be Accepted Effective January 6, 2014
Effective January 6, 2014, the Indiana Health Coverage Programs (IHCP) will begin accepting the revised CMS-1500 claim forms. Both current and revised CMS-1500 claim forms will be accepted during a transition period from January 6, 2014, through March 31, 2014.
- REMINDER! ICD Indicators Will Be Required On The UB-04 Claim Form Effective January 6, 2014
Effective January 6, 2014, the Indiana Health Coverage Programs (IHCP) will require ICD indicators on all paper claims submitted on the Uniform Billing (UB-04) claim form.
- 2014 Provider Enrollment Application Fee
CMS Announces new enrollment application fee for 2014. On December 2, 2013, the Centers for Medicare & Medicaid Services (CMS) announced that the provider enrollment application fee will change for 2014.
- Hospital Presumptive Eligibility Qualified Provider Webinar Scheduled
Acute care hospitals interested in becoming qualified providers for Hospital Presumptive Eligibility (HPE) are invited to attend a one-time webinar on December 19, 2013, at 2 p.m. Eastern Time. This webinar will not be the only training session offered on HPE, but is an opportunity for those interested to receive the training before preregistering as an HPE qualified provider. Eligible hospitals can register on the Provider Education page at indianamedicaid.com no later than December 17, 2013.
- Eligible Hospitals Approaching EHR Program Year 2013 Deadline of November 30, 2013
The last day of the Electronic Health Records (EHR) Incentive Payment Program Year 2013 for Eligible Hospitals (EHs) was the end of the federal fiscal year, September 30, 2013. EHs are allowed a 60-day grace period to submit attestations for the 2013 program year. Thus, the last day to attest for Program Year 2013 is November 30, 2013. Please contact the Indiana EHR helpdesk at 1-855-856-9563, or send your inquiries to MedicaidHealthIT@fssa.in.gov for additional information.
- Nursing Facility Satisfaction Survey Webinars Scheduled in November
The Family and Social Services Administration (FSSA) cordially invites you to participate in an informational webinar regarding the reports generated from the Nursing Facility Satisfaction Surveys conducted earlier this summer. The webinar will be hosted by Press Ganey, the vendor that performed the resident, family member/friend, and employee satisfaction surveys. For webinar dates and times click on the title above to see the full news article.
- 2013 Annual Provider Seminar - Walk-Ins Welcome
The 2013 Indiana Health Coverage Programs (IHCP) Annual Provider Seminar is October 22-24, 2013, in Indianapolis. Although online registration is closed, walk-in registration is available and encouraged. The IHCP will accommodate walk-in requests on a first-come first-serve basis. See IHCP Provider bulletin BT201342 for more information.
- RSV Season Modified to Begin October 16, 2013
The Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP) monitors statewide virology data. Based upon recent analysis, the OMPP is modifying the definition of the Respiratory Syncytial Virus (RSV) season to begin October 16, 2013. Members, meeting the established criteria, may seek prior authorization (PA) for administration of Synagis for dates of services on or after October 16, 2013.
- 2013 IHCP Annual Provider Seminar Scheduled for October 22-24 in Indianapolis
The Indiana Family and Social Services Administration (FSSA) and Hewlett Packard (HP) Enterprise Services invite Indiana Health Coverage Programs (IHCP) providers to attend the 2013 IHCP Annual Provider Seminar October 22-24, 2013, in Indianapolis. There is no cost for the seminar.
- ACA PCP Supplemental Payment for Services Provided to Managed Care and HIP Members
The Office of Medicaid Policy and Planning (OMPP) has been working with the Centers for Medicare and Medicaid Services (CMS) to reach an agreed upon methodology for calculating the ACA Primary Care Physician (ACA PCP) payments for services provided to members in managed care plans and the Healthy Indiana Plan (HIP) program. This week, OMPP received approval from CMS for a supplemental payment methodology.
- The IHCP Plans ICD-10 Interim Implementation September 21, 2013
Reminder: On September 21, 2013, changes to the format, field length, and qualifiers and indicators for Indiana Health Coverage Programs (IHCP) claims transactions and processes will be updated to accommodate ICD-10 information. These preliminary changes are being made in anticipation of the future ICD-10 implementation on October 1, 2014.
- Indiana interChange MMIS
On July 1, 2015, Indiana Medicaid and HP will replace its current 20+ year-old Medicaid Management Information System (MMIS), IndianaAIM, with an enhanced system. Progress has begun on the design and development phase of this new system, which will include state-of-the-art technology and business processes.
- 1st Quarter 2013 ACA Primary Care Physician Supplemental Payment
The Indiana Health Coverage Programs (IHCP) has completed the first quarter 2013 ACA Primary Care Physician supplemental payment for qualifying services provided to fee-for-service members. Providers will see the payment in their remittance advice dated August 6, 2013.
- Register Now for July 31 IHCP Waiver Workshop
The Indiana Health Coverage Programs (IHCP) is offering an online workshop July 31, 2013, specifically designed for prospective and current Home and Community-Based Services (HCBS) Waiver providers. Please note the time of the workshop is from 9-10:30 a.m. (Eastern Time).
- Register Now for July 31 IHCP Waiver Workshop
The Indiana Health Coverage Programs (IHCP) is offering a 90-minute online workshop July 31, 2013, specifically designed for prospective and current Home and Community-Based Services (HCBS) Waiver providers.
- Register Now for Third-Quarter IHCP Workshops
The Indiana Health Coverage Programs (IHCP) is offering one-day educational workshops to providers during third-quarter 2013. Sign up today!
- Correction: The IHCP Delays Change in Medicare Replacement Claim Submissions
The Indiana Health Coverage Programs (IHCP) has delayed implementation of using a claim filing indicator of "16" for claims when providers file Medicare replacement plan claims through an 837 electronic data interchange (EDI) transaction and Web interChange. Please do not begin submitting these claims effective June 27, 2013, as previously announced.
- Correction: The IHCP to Implement Change in Medicare Replacement Claim Submission
As previously announced, for claims received on or after June 27, 2013, the Indiana Health Coverage Programs (IHCP) will require a claim filing indicator of "16" when providers file Medicare replacement plan claims through an 837 electronic data interchange (EDI) transaction and on Web interChange. The provider should use the appropriate Medicare Replacement Plan payer ID when submitting claims. At this time Medicare Replacement Plan payer IDs cannot be validated through CMS.
- Coordination of Benefits Update Implemented For Pharmacy Claims
The Indiana Health Coverage Programs (IHCP) has reviewed and revised the policy for Other Coverage Codes on pharmacy claims and will now accept a value of “1” when the member has no other coverage. The pharmacy must perform due diligence in attempting to obtain third-party liability (TPL) information and direct the member to contact the HP TPL Unit at 1-800-457-4510. Questions regarding pharmacy claims should be directed to the Catamaran Clinical/Technical Help Desk at 1-855-577-6317.
- The IHCP to Implement Change in Medicare Replacement Claim Processing
For claims received on or after June 27, 2013, the Indiana Health Coverage Program (IHCP) will require a claim filing indicator of "16" when providers file Medicare replacement plan claims through an 837 electronic data interchange (EDI) transaction and Web interChange.
- Pharmacy Claims Processing To Be Off-line Temporarily For PBM Transition
At 6 a.m. Eastern Time on May 24, 2013, Catamaran will assume responsibility for Indiana Health Coverage Programs (IHCP) pharmacy benefit management (PBM) services, including pharmacy claims processing and pharmacy-related call center activities. The HP pharmacy claims system will be taken off-line at 6 p.m. Eastern Time on May 23, 2013, to facilitate this transition, The transition down-time will last no longer than 12 consecutive hours.
- IHCP PBM Transition to Catamaran Corporation Affects Web-based Pharmacy Resources
Effective May 24, 2013, Catamaran Corporation will serve as the new Pharmacy Benefit Manager (PBM) and pharmacy claims processor for the Indiana Health Coverage Programs (IHCP). The transition requires changes to where web-based pharmacy information is located. Some pharmacy links and bookmarks to pharmacy reference materials will no longer work. However, new and archived pharmacy information will continue to be available through indianamedicaid.com during and after the transition.
- Sign Up Now for Second-Quarter IHCP Workshops
The Indiana Health Coverage Programs (IHCP) is offering one-day educational workshops to providers in second-quarter 2013. SIgn up today!
- Effective Date of PBM Transition Planned for May 24, 2013
As previously announced, Catamaran Corporation will serve as the new Pharmacy Benefit Manager (PBM) and pharmacy claims processor for the Indiana Health Coverage Programs (IHCP). Plans are for this change to take effect May 24, 2013.
- Meaningful Use Attestations From Eligible Professional Regarding EHR Cannot Be Accepted Until July 1, 2013
Eligible Professionals should not attempt to submit Payment Year 2, Program Year 2013, Meaningful Use applications under the Electronic Health Records Incentive Program at this time! Medical Assistance Provider Incentive Repository (MAPIR) system changes are required before applications can be processed correctly.
- Nursing Facility Satisfaction Survey Webinars Scheduled for May 2013
The Indiana Division of Aging, in collaboration with the Office of Medicaid Policy and Planning, is offering webinars regarding the Nursing Facility Satisfaction Surveys that will be conducted in July, August, and September 2013. The webinars are scheduled for Friday, May 10, 2013, at 9:30 a.m., and Friday, May 17, 2013, at 2 p.m., Eastern Time.
- Claim and Eligibility Processes Will Be Temporarily Unavailable on April 28, May 5, and May 19, 2013
Due to hardware upgrades, claim and eligibility processes will be temporarily unavailable from 5 p.m. through no later than midnight Eastern Time on April 28, May 5, and May 19, 2013.
- Hospital Assessment Fee
For the period May 1, 2013 – June 30, 2013, the Office of Medicaid Policy and Planning (OMPP) will recoup a portion of the increased reimbursement for outpatient hospital claims.
- The IHCP Is Ready to Test ICD-10 Claims with Vendors!
The IHCP is ready to begin testing system changes for ICD-10. Have your trading partners contact the IHCP testing team at INXIXTradingPartner@HP.com before beginning testing.
- New PBM Transition Targeted for Late May 2013
As previously announced, Catamaran Corporation will serve as the new Pharmacy Benefit Manager (PBM) and pharmacy claims processor for the Indiana Health Coverage Programs (IHCP). This change is targeted for an effective date in late May, 2013. The exact implementation date will be published in an IHCP Bulletin at least 30 days prior to the actual transition. Watch for upcoming IHCP publications for more information on this important change.
- Web interChange now allows claims with billed amount of $0.00
Providers may now bill claims with a $0.00 billed amount through Web interChange.
- Updated IHCP Companion Guides Added to Website
Updated versions of several companion guides were recently added to the website. The guides contain structure and transaction specifications for electronic data interchange transactions.
- HP Implements New Provider Customer Assistance Line
On Monday, February 4, HP implemented a new provider customer assistance phone line. The new phone line changed the menu options. Most provider calls will go through the Automated Voice Response (AVR), which should be used as the first line of resolution for questions. Click the title for more information.