The Program Integrity unit of Indiana’s Office of Medicaid Policy and Planning has implemented a new program to reduce costs related to improper payments. The Targeted Probe Education, or TPE, program, designed by CMS, began August 20, 2021. READ MORE
Indiana physician practices should prepare to send due diligence notifications on any unclaimed property during the upcoming 60-day period between July 3 and September 1, 2021. The deadline to report and relinquish unclaimed property will be later this year on November 1, 2021. READ MORE
Indiana’s Third-Party Liability Disallowance Project supplies Indiana Medicaid providers with Medicare and third-party commercial insurance information to properly bill claims to the primary carrier. Managed by the Indiana FSSA Office of Medicaid Policy and Planning, the TPL Disallowance Project identifies paid Indiana Medicaid claims for which there is third-party coverage and notifies providers of the third-party coverage information. READ MORE
On Friday, the Centers for Medicare and Medicaid Services put states with Medicaid work requirements on notice for a likely partial withdrawal of their section 1115 demonstration project waivers. READ MORE
Indiana physician practices have just two days to report and relinquish unclaimed property to meet the November 1, 2020, deadline. READ MORE
IHCP has changed the telemedicine billing guidelines for Indiana Medicaid fee-for-service and managed care benefit plans through the end of the COVID-19 public health emergency. READ MORE
New regulations intended to reduce out-of-network balance billing, or so-called “surprise billing,” by Indiana physicians are set to take effect July 1, 2020. H.B. 1004 ensures that patients who go to an in-network hospital will not receive surprise bills from out-of-network physicians. As well, the new law requires hospitals and physicians to provide good faith estimates to patients when requested. READ MORE
During Indiana’s COVID-19 emergency declaration, IHCP is implementing temporary changes to provide flexibility for Indiana Medicaid providers and patients. Changes affect many areas of IHCP, including telemedicine, timely filing limits, provider enrollment, and more. Here is a brief overview of several of those changes. READ MORE
All Indiana Medicaid MCEs who choose to use a list of diagnosis codes to determine whether to cover emergency department claims must use a state-compiled standardized list beginning April 1, 2020. READ MORE
While the U.S. House and Senate continue to debate possible solutions to surprise billing on the federal level, here in the Hoosier state the Indiana General Assembly has taken matters into their own hands with a new House bill recently approved by a 99-0 vote. READ MORE
