IHCP bulletins cover continuous eligibility, blood lead testing, HCPCS code updates
The Indiana Health Coverage Programs (IHCP, or Indiana Medicaid) recently published three bulletins of special interest to many physicians. Topics covered include an end to members’ continuous eligibility, updated blood lead testing guidelines, and coverage and updated billing information for the 2023 annual HCPCS codes. 

BT202304: IHCP announces end to member continuous eligibility

“Member health coverage will not be terminated during the public health emergency. Member coverage will only end if a member voluntarily withdraws or moves out of the state. This applies to all full coverage programs under the IHCP. It does not apply to presumptive eligibility (PE). PE members must still complete a full IHCP application. This decision was implemented after letters were sent to members whose coverage was set to close on March 31, 2020. Those closures will not take place, and new letters will be sent to those members.”

BT202302: IHCP updates blood lead testing policy

“Screening for blood lead toxicity for all children enrolled in Medicaid is a federal requirement. In alignment with new Indiana Department of Health (IDOH) standards, the Family and Social Services Administration (FSSA) has updated the blood lead testing policy.”

BT2022121: Coverage and billing information for the 2023 annual HCPCS codes updated 

“HCP has reviewed the annual HCPCS update to determine coverage and billing guidelines for dates of service on or after Jan. 1, 2023. The IHCP is awaiting the final posting of the CMS fee schedules affecting pricing for select procedure codes,” the bulletin said. The IHCP will issue a publication detailing the additional pricing information after final calculations are completed. Providers have 90 days from the date of this publication for managed care claim submission, or 180 days from the date of publication for fee-for service (FFS) claim submission, to satisfy timely filing requirements. Providers should include a copy of this bulletin (first page only) when submitting claims beyond the standard filing limit.”  
Read details contained in this and all other bulletins from IHCP >>