![]() MCE Provider Credentialingīased on guidance from the National Committee on Quality Assurance (NCQA), Indiana has waived the requirement that managed care health plans must fully credential providers before permitting those providers to bill claims for services to Indiana Medicaid members. The new notification will include the updated revalidation date. #Medicaid timely filing limit plusEach provider’s revalidation date will be set based upon the number of days between the provider’s original revalidation date and the final date of the emergency declaration plus 90 days. In fact, all revalidation functionality through the IHCP Provider Healthcare Portal, including the ability to start or complete the revalidation process, will be disabled through the duration of the emergency declaration.Īll providers due for revalidation during the emergency declaration (who had not already submitted their revalidation to the IHCP) will be given at least 90 days to complete revalidation after the conclusion of the emergency declaration. ![]() However, no outstanding revalidations can be submitted now until after the emergency declaration has ended. Providers who have already submitted their revalidation to the IHCP will be processed based upon normal revalidation requirements. Any enrollments that were terminated during March 2020 because of failure to revalidate will be reactivated, and those providers also will be required to revalidate after the emergency declaration has ended. All providers due for revalidation between March 1, 2020, and the end of the State emergency declaration will now be required to revalidate after the emergency declaration has ended. Indiana Medicaid provider revalidations have been temporarily halted. During their revalidation process, providers with provisional enrollment will be required to complete all screening requirements that were temporarily waived during the emergency declaration. Each newly enrolled provider’s revalidation date will be set based upon the number of days between the provider’s original date of enrollment and the final date of the emergency declaration plus 90 days. These providers with provisional enrollment will then be required to revalidate at the conclusion of the emergency declaration. Provider enrollment applications received on or after April 1, 2020, through the end of the State emergency declaration, will be enrolled on a provisional basis with an assigned risk level associated with their provider type and specialty without the additional screening measures. Indiana Medicaid provider enrollment applications received prior to April 1, 2020, will be processed according to standard enrollment requirements. Here is a brief overview of several of those changes. Changes affect many areas of IHCP, including telemedicine, timely filing limits, provider enrollment, and more. When billing for services provided to patients who are covered by Indiana Medicaid or one of Indiana Medicaid’s Managed Care Plans, consult the latest IHCP banners for the most up-to-date guidance.ĭuring Indiana’s COVID-19 emergency declaration, the Indiana Health Coverage Programs (IHCP) is implementing temporary changes to provide flexibility for Indiana Medicaid providers and patients. NOTE: When a claim is past 12 months from the date of service statute, documentation “MUST” be attached.UPDATE ON APRIL 23, 2020: Indiana Health Coverage Programs continues to release new guidance and make temporary policy changes for providers during the COVID-19 pandemic. Claim must be received within 120 days from the date of Medicare EOMB Be sure to place recipient and provider numbers in the required Medicaid fields. SOLUTION: Submit the claim with a copy of the Medicare EOMB through normal claims processing channels.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |