October 12, 2017

IHCP Says Medicaid Provider Enrollment Is Back On Track: Here’s What You Should Know

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

August 28, 2017

IHCP Unbundles Conscious Sedation from CPT Codes

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

May 18, 2017

New Concerns Arise Over Application of Prudent Layperson Standard in the ED

Emergency physicians in Kansas and Missouri are raising new concerns about insurers refusing to pay or paying only a screening fee for patients being treated for conditions which they claim are non-urgent. Is Indiana next? Read more

May 11, 2017

IHCP Offers Grace Period to Providers Not Linked to Group’s Service Locations

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

February 23, 2017

IHCP’s CoreMMIS and Provider Portal Implementation Update

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

November 3, 2016

Indiana’s New CoreMMIS Billing Guidelines

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

October 20, 2016

Indiana Health Coverage Programs Unveils New CoreMMIS

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

September 8, 2016

Billing for CPR to Indiana Medicaid? Make Sure You See These Changes

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

July 20, 2016

FSSA Announces Managed Care Contractors for Healthy Indiana Plan and Hoosier Healthwise

The Indiana Family and Social Services Administration (FSSA) recently announced the 2017 managed care contractors that will administer health care coverage for Hoosiers enrolled in the Healthy Indiana Plan and Hoosier Healthwise programs. Read more

May 5, 2016

Prudent Layperson Standard Reinforced in Recent Medicaid Managed Care Rule

When the Centers for Medicare and Medicaid Services released the Medicaid and CHIP Managed Care Final Rule back in late April, one provision will continue to protect payment for emergency physicians treating Medicaid managed care patients. Read more

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