According to recently clarified guidelines by Indiana Medicaid, all physician assistants must now enroll as Indiana Health Coverage Providers and can no longer be billed under a supervising physician’s NPI. This change, which brings billing for PAs into alignment with billing for other Mid-Level, or Non-Physician Providers, also reduces reimbursement for PA services to 75 percent of the Medicaid allowed amount. READ MORE
A new Indiana law passed last April to address the issue of out-of-network surprise billing took effect January 1, 2018. READ MORE
Indiana Medicaid group providers have until the end of January to be sure they’re properly linked to all service locations where they practice. Beginning January 1, 2018, services billed at locations that are not linked to a provider’s enrollment record will be denied. READ MORE
In July 2017, the Indiana Health Coverage Programs announced a delay in provider enrollment for its various Indiana Medicaid programs. On October 10, IHCP reported that they have reduced the backlog and currently are processing normal levels of enrollment “inventory.” As IHCP gets back on track, here are a few tips from CIPROMS Director of Provider Enrollment Denise O’Brien for staying ahead of the game in enrolling providers in Indiana Medicaid. READ MORE
Indiana Health Coverage Plans recently announced they will unbundle conscious sedation from approximately 400 procedure codes and begin reimbursing providers separately for the conscious sedation. READ MORE
Rendering providers who have yet to be linked to one of their group’s service locations in the Indiana Medicaid program will have a few extra months to meet the requirement before the payer begins denying claims. READ MORE
The Indiana Health Coverage Programs is in the second week of implementing their new CoreMMIS and Provider Healthcare Portal. While there have been several performance problems during the implementation, the Indiana Family and Social Services Administration and Hewlett Packard Enterprise are reporting progress in stabilizing the new system and are working to resolve outstanding issues as quickly as possible. READ MORE
As the Indiana Health Coverage Programs (IHCP) replaces its current Medicaid Management Information System (MMIS), IndianaAIM, with the new CoreMMIS beginning December 5, 2016, there are several things providers should know as they prepare to make the change in their own billing procedures. READ MORE
The Indiana Health Coverage Programs will replace its current Medicaid Management Information System, IndianaAIM, with the new CoreMMIS beginning December 5, 2016. Along with CoreMMIS, a new provider interface called the Provider Healthcare Portal will replace Web interChange. READ MORE
Cardiopulmonary resuscitation (CPR) is now considered an “all-inclusive” procedure by the Indiana Health Coverage Programs (IHCP), and separately billed charges for complementary services will be denied according to an August 25, 2016, announcement. READ MORE
