Introduction to
Indiana Health
Coverage Programs
HP Provider Relations
May 2012
Agenda
– What is Medicaid?
– Administration of Indiana Medicaid
– Indiana Health Coverage Programs
(IHCP)
•
Traditional Medicaid
•
Care Select
•
Hoosier Healthwise
•
Children’s Health Insurance Program (CHIP)
•
590 Program
•
Healthy Indiana Plan (HIP)
– References
– Questions
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Introduction to Indiana Health Coverage Programs
May 2012
Objectives
– Provide a general overview of the Medicaid Program
– Discuss the general responsibilities of the State agencies and State
contractors in regard to the administration of the IHCP
– Describe the major highlights of the IHCP including Traditional
Medicaid, Care Select, Hoosier Healthwise, CHIP, 590 Program,
and HIP
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Introduction to Indiana Health Coverage Programs
May 2012
Learn
What is Medicaid?
What Is Medicaid?
– Medicaid is a federal and state funded
program, enacted in 1965 under Title
XIX of the Social Security Act, which
pays for the medical care of people who
meet specific categorical nonfinancial,
income, and resource requirements.
– Medicaid is an entitlement program,
which means that any person who
meets his or her state’s Medicaid
eligibility criteria has a federal right to
Medicaid coverage in that state.
•
5
The state cannot limit enrollment in the
program or establish a waiting list.
Introduction to Indiana Health Coverage Programs
May 2012
MEDICAID
Who Pays for Medicaid?
– The federal government matches
state spending on Medicaid.
– Federal law outlines minimum
requirements that all states’ Medicaid
programs must fulfill.
• However, states have broad authority to define
eligibility, benefits, provider payments, and
other aspects of their programs.
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Introduction to Indiana Health Coverage Programs
May 2012
Mandatory Groups
– Federal law requires that states cover certain “mandatory” groups
of people who meet the state’s eligibility requirements to receive
any federal matching funds.
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Introduction to Indiana Health Coverage Programs
May 2012
Mandatory Benefits
– Physician services
– Hospital services (inpatient and outpatient)
– Laboratory and X-ray services
– Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
services for individuals younger than 21 years old
– Federally qualified health center (FQHC) and rural health clinic (RHC)
services
– Family planning services and supplies
– Pediatric and family nurse practitioner services
– Nurse midwife services
– Nursing facility services for individuals 21 years old and older
– Home health care for individuals eligible for nursing facility services
– Necessary transportation services
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Introduction to Indiana Health Coverage Programs
May 2012
Optional Benefits
Federal law also permits states to cover many services designated as
“optional” services, such as the following:
– Prescription drugs
– Hospice services
– Nursing facility services for individuals
younger than 21 years old
– Clinic services
– Dental services and dentures
– Durable medical equipment
– Intermediate care facility for the
mentally retarded (ICF/MR) services
– Vision services and
eyeglasses
– Rehabilitation and other
therapies
– Case management
– Care furnished by other
licensed practitioners
– Transportation (above benefit
limitations)
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Introduction to Indiana Health Coverage Programs
May 2012
– Home and Community-Based
Services (HCBS) Waiver Programs
– Inpatient psychiatric services for
individuals younger than 21 years old
– Respiratory care services for
ventilator-dependent individuals
– Personal care services
Indiana Medicaid
Indiana Health Coverage Programs
– In the state of Indiana, Medicaid services are
offered to eligible Indiana residents through the
IHCP.
– The IHCP is administered by the Office of
Medicaid Policy and Planning (OMPP), which
is under the Indiana Family and Social
Services Administration (FSSA).
– The IHCP covers all the mandatory services
and most of the optional services established
by the federal government.
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Introduction to Indiana Health Coverage Programs
May 2012
Indiana
Medicaid
(IHCP)
Indiana Medicaid
Indiana Health Coverage Programs
IHCP
Traditional
Medicaid
Care
Select
Hoosier
Healthwise
CHIP
Package C
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Introduction to Indiana Health Coverage Program
October 2011
590
Program
HIP
IHCP Payment Delivery System
– Providers are reimbursed for
services rendered to members
enrolled in IHCP based on the
program in which the member is
enrolled.
– The IHCP reimburses enrolled
providers using the following three
payment delivery systems:
12
•
Fee-for-service (FFS)
•
Care Select
•
Risk-based managed care (RBMC)
Introduction to Indiana Health Coverage Programs
May 2012
IHCP Payment Delivery System
Fee for Service
– The FFS delivery system reimburses
providers on a per-service basis.
– Providers bill services rendered to IHCP
members directly to Hewlett-Packard
(HP), the IHCP fiscal agent.
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Introduction to Indiana Health Coverage Programs
May 2012
IHCP Payment Delivery System
Care Select
– Care Select is similar to Traditional Medicaid in that payments for care
are made on an FFS basis.
– In addition, a per-member, per-month administration fee is paid to
primary medical providers (PMPs).
– Care Select operates as an FFS delivery system with a gatekeeper
approach.
– Claims are submitted to HP for processing.
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Introduction to Indiana Health Coverage Programs
May 2012
IHCP Payment Delivery System
Risk-based Managed Care
– In the RBMC delivery system, the State pays each managed care
entity (MCE) a monthly capitation fee based on the member’s category
of service.
– This capitation fee covers the costs of care for most of the covered
services incurred by Hoosier Healthwise members enrolled in the
MCE network.
– Claims are processed and paid by the MCE in which the member is
enrolled.
•
Exception: Claims for carved-out services, including but not limited to pharmacy and
dental services, are processed by HP and paid on an FFS basis.
– Providers should contact the MCE for specific claim payment and prior
authorization (PA) policies and guidelines.
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Introduction to Indiana Health Coverage Programs
May 2012
Describe
Administration of Indiana Medicaid
Indiana Medicaid Administration
OMPP
Division of
Family
Resources
(DFR )
Division of
Mental
Health &
Addictions
( DMHA )
Division of
Disability and
Rehabilitative
Services
(DDRS )
Indiana
State
Department
of Health
(ISDH)
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Introduction to Indiana Health Coverage Programs
May 2012
Division of
Aging
(DA )
Family and Social Services Administration
– The FSSA is the State agency responsible
for social service and financial assistance
programs.
– The FSSA includes the following five major
service divisions:
• OMPP
• DFR
• DA
• DDRS
• DMHA
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Introduction to Indiana Health Coverage Programs
May 2012
Office of Medicaid Policy and Planning
The OMPP is responsible for the
following:
– Administering the IHCP at the State
level, including the following functions:
19
•
Medical policy development
•
Program and contract compliance
•
Contracting with MCEs
•
Addressing cost containment issues
•
Establishing IHCP policies
•
Program reimbursement
•
Program integrity, including claims analysis and
recovery
Introduction to Indiana Health Coverage Programs
May 2012
Division of Family Resources
– The DFR, formerly known as the
Division of Family and Children,
is the division of FSSA
responsible for processing
applications and making
eligibility decisions.
– The County Offices of the
Division of Family Resources
administer the IHCP at the local
level.
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Introduction to Indiana Health Coverage Programs
May 2012
Division of Aging
– The DA is the division of FSSA that operates the
following programs:
•
Two of the HCBS Waiver Programs
– Aged and Disabled (A&D) Waiver
– Traumatic Brain Injury Waiver
•
Residential Care Assistance Program
•
Nursing home Pre-Admission Screening
Resident Review program
– Local Area Agency on Aging
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•
Handles the initial requests for waiver services
•
Conducts nursing home pre-admission screenings
Introduction to Indiana Health Coverage Programs
May 2012
Indiana Medicaid State Contractors
State Contractors
Involved in the
Administration of the
Indiana Health
Coverage Programs
(Indiana Medicaid)
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Introduction to Indiana Health Coverage Programs
May 2012
State Contractor
HP Enterprise Services
– Serves as the State fiscal agent and as a liaison
between the provider and member communities
and the IHCP
– Manages the processing of claims (FFS)
– Processes a variety of financial transactions,
including claim payments, voids, refunds, and
accounts receivable
– Processes provider enrollment applications and
updates existing provider records
– Provides training to the provider community
through on-site visits, conferences, and workshops
– Provides member and provider customer
assistance
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Introduction to Indiana Health Coverage Programs
May 2012
State Contractor
ADVANTAGE Health SolutionsSM
– Traditional Medicaid or Care Select
(FFS):
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•
Processes PA requests
•
Reviews claims that suspend for medical policy
audits
•
Administers the Right Choices Program (RCP)
for Traditional Medicaid and Care Select
members
Introduction to Indiana Health Coverage Programs
May 2012
ADVANTAGE Health Solutions
Right Choices Program
– The RCP is designed to safeguard against the
unnecessary or inappropriate use of Medicaid
services.
– RCP case managers provide intensive member
education, care coordination, and utilization
management for members enrolled in the RCP.
– The member remains eligible to receive all
medically necessary, covered services allowed
by the IHCP when one of the following occurs:
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•
The service is rendered by one of the providers to whom
the member is locked-in or restricted.
•
The service is rendered by a specialist who has received a
valid, written referral from the primary lock-in physician.
Introduction to Indiana Health Coverage Programs
May 2012
Right Choices Program
– Effective January 1, 2010, any IHCP member participating in the IHCP (including
HIP) may be placed in the RCP.
– The RCP is administered by the health plan in which the member is enrolled.
Program
Administered By
Contact Information
Traditional
Medicaid
ADVANTAGE Health
Solutions
1-800-784-3981
Care Select
ADVANTAGE Health
Solutions
1-800-784-3981
MDwise
1-800-356-1204
Hoosier Healthwise Managed Health Services
(MHS)
HIP
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Introduction to Indiana Health Coverage Programs
1-877-647-4848
Anthem
1-866-902-1690, Option 3
MDwise
1-800-356-1204
MHS
1-877-647-4848
MDwise
1-800-356-1204
Anthem
1-866-902-1690, Option 3
May 2012
State Contractor
Xerox
– Serves as the pharmacy benefit
manager
• Responsible for the Drug Rebate Program
• Processes pharmacy-related PA requests
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Introduction to Indiana Health Coverage Programs
May 2012
State Contractor
Myers and Stauffer LC
– Myers and Stauffer is responsible for
the following:
• Setting rates that affect claim pricing on
certain types of claims (for instance, capital
cost for inpatient claims)
• Setting flat fee rates for per diem services
• Auditing IHCP claim processing activities
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Introduction to Indiana Health Coverage Programs
May 2012
State Contractor
Managed Care Entities
– Entities authorized by the state of
Indiana to operate a prepaid health
care delivery plan (such as an HMO)
on a capitated basis
• These
entities arrange, administer,
and process claims for the delivery of
health care services to members who
are enrolled in the Hoosier
Healthwise Program.
– Administer the RCP for their
members
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Introduction to Indiana Health Coverage Programs
May 2012
Managed Health Services
MDwise
State Contractor
Care Management Organizations
– Provide a myriad of health services
for members who are enrolled in
Care Select
– Process PA requests
ADVANTAGE Health Solutions
– Review claims that suspend for
medical policy audits
– Administer the RCP
MDwise
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Introduction to Indiana Health Coverage Programs
May 2012
State Contractor
MAXIMUS Administrative Services
– Serves as an enrollment broker for
the following:
• Care Select
• Hoosier Healthwise
• HIP
• Presumptive Eligibility for Pregnant Women
– Provides choice counseling for
eligible members to assist them with
choosing a health plan that best
meets their needs
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Introduction to Indiana Health Coverage Programs
May 2012
Explain
Traditional Medicaid
Traditional Medicaid
– IHCP members enrolled in
Traditional Medicaid are not
assigned a PMP and do not
need to enroll in any MCE to
receive health-related services
– Services rendered to members
enrolled in Traditional Medicaid
are paid on an FFS basis
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Spend-down
– Spend-down is a provision that allows a person
whose income is more than the standard to
receive assistance with medical bills under
Medicaid.
– Spend-down works like an insurance deductible.
Once the monthly spend-down amount is satisfied,
Medicaid will pay for all other covered services for
that month.
– The spend-down amount is determined by the
DFR and is based on the member’s income and
medical expenses.
– The member must pay the spend-down amount
deducted from claims directly to the provider.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Dually Eligible for Medicare and Medicaid
– Dually eligible members are
individuals who are entitled to
Medicare Part A and/or Part B and
are eligible for Medicaid benefits.
• A Medicare
beneficiary who is aged,
blind, or disabled according to
Medicaid’s standards and who meets
the Medicaid income and resource
eligibility rules can qualify for
Traditional Medicaid.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Dually Eligible for Medicare and Medicaid
– A Medicare beneficiary who does not qualify for Medicaid
following the established guidelines, may still qualify for
Medicaid under one of the following categories designed for
Medicare beneficiaries:
• Qualified Medicare Beneficiary (QMB)-Only
• QMB-Also
• QMB-Also with spend-down
– An individual must meet the following eligibility criteria to
receive assistance with Medicare-related costs under the
QMB program:
• Be entitled to Medicare Part A
• Be 65 years old or older or be younger than 65 years old and entitled to
Medicare
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Qualified Medicare Beneficiary-Only Coverage
– Medicaid benefits are limited to
payment of the member’s
Medicare premiums,
deductibles, and coinsurance
for Medicare-covered services
only.
• The member is only eligible for the
premiums, deductibles and
coinsurance for Medicare-covered
services.
• Services not covered by Medicare
are also not covered by Medicaid.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Qualified Medicare Beneficiary-Also Coverage
– Medicaid benefits include payment of the member’s Medicare
premiums, deductibles, and coinsurance for Medicare-covered
services.
– In addition, the member receives full Medicaid covered services
(benefits).
– For QMB-Also with spend-down, the member receives full
Medicaid covered services (benefits) after the monthly spenddown liability is met.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Long Term Care
– Long-term care (LTC) services are
available to IHCP members who
meet the threshold of nursing care
needs required for admission to or
continued stay in an IHCP-certified
nursing facility.
– The goal of the LTC program is to
provide services in a setting other
than an acute care wing of a hospital,
enabling individuals whose functional
capacities are chronically impaired to
be maintained at their maximum level
of health and well-being.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Long Term Care – Patient Liability
– Patient liability is the monetary
amount that a Medicaid resident
must contribute toward his or her
monthly care in a facility.
• The amount of patient liability is
determined by the local county office of
the DFR.
• The patient liability is deducted from
LTC claims.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Hospice
– The Hospice program provides
services to IHCP members who are
terminally ill.
• Hospice requires level of care (LOC)
determination and a diagnosis of a terminal
illness.
• A hospice provider must be Medicarecertified as a hospice provider prior to
enrollment in the IHCP as a Medicaid
provider.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Waiver Programs
– Medicaid also offers additional
nonmedical home and communitybased services under waiver
programs.
• Waivers
are designed as an
alternative to institutionalization.
• To
qualify for waiver services, a
person must first meet the LOC to
receive services in an institution
(hospital, nursing home, or ICF/MR)
but choose to receive services in
the community.
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Introduction to Indiana Health Coverage Programs
May 2012
Traditional Medicaid
Package E: Emergency Services Only
– Package E provides coverage of
serious medical emergencies for
undocumented immigrants and certain
visitors to the United States who meet
all other categorical and financial
requirements.
• These members are only eligible for the
following:
 Labor and delivery until the mother is stable
 Medical emergencies
 A maximum of four-days supply of pharmacy
services
• Nonemergency services may be billed to the
member if a signed waiver was obtained prior
to rendering services
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Introduction to Indiana Health Coverage Programs
May 2012
Define
Care Select
Care Select
– Care Select is similar to
Traditional Medicaid in that
payments for care are made on an
FFS basis.
– However, members are assigned
to a PMP.
– An additional per-member, permonth administration fee is paid to
PMPs.
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Introduction to Indiana Health Coverage Programs
May 2012
Care Select
– As of October 1, 2010, Care Select
changed from a care management
program that covered an extensive
group of aid categories to a disease
management program with a focus on
members with certain chronic
conditions
– To participate in Care Select,
members must meet the aid category
criteria and have at least one of the
health conditions covered by the
program.
• Members can opt out of Care Select at any time
and enroll in Traditional Medicaid instead.
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Introduction to Indiana Health Coverage Programs
May 2012
Aid Categories Covered by Care Select
Aged
Aged
Children/A
doptive
Children/A
Services
doptive
Services
Blind
Care Select
CareAid
Select
Aid
Categories
Categories
Foster
Foster
Care
Care
Disabled
Ward of
Ward
of
the
State
the State
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Introduction to Indiana Health Coverage Programs
May 2012
Health Conditions Covered by Care Select
– A member must also have one of
the following conditions to be
eligible for Care Select:
48
•
Asthma
•
Diabetes
•
Congestive heart failure
•
Hypertensive heart disease
•
Hypertensive heart and kidney disease
•
Rheumatic heart illness
•
Severe mental illness
•
Serious emotional disturbance
•
Depression
Introduction to Indiana Health Coverage Programs
May 2012
Care Select
Selecting a Health Plan and a Primary Medical Provider
– Members select a health plan, also
called a care management
organization (CMO), to coordinate
their health care services.
•
MAXIMUS (an enrollment broker contracted
by the State) can assist members in making a
CMO selection.
– The CMO will assign a PMP.
– The PMP is responsible for the
following:
49
•
Providing or coordinating the member's care
•
Providing most primary and preventive
services and reviewing necessary specialty
care and hospital admissions
Introduction to Indiana Health Coverage Programs
May 2012
Discuss
Hoosier Healthwise
Hoosier Healthwise (Risk-based Managed
Care Programs)
– The Hoosier Healthwise Program
provides coverage for health care
services rendered to the following aid
category groups:
• Children
• Pregnant women
• Low-income families
– The specific eligibility aid category
determines the benefit package.
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Introduction to Indiana Health Coverage Programs
May 2012
Hoosier Healthwise
Risk-based Managed Care
– Hoosier Healthwise follows an
RBMC payment delivery system.
•
52
As mentioned previously, in the
RBMC delivery system, the State
pays each MCE a monthly
capitation fee based on the
member’s category of service.
Introduction to Indiana Health Coverage Programs
May 2012
Hoosier Healthwise
Selecting a Health Plan and a Primary Medical Provider
– within 30 days of their initial
enrollment in Hoosier Healthwise,
members select a health plan
• MAXIMUS (an enrollment broker
contracted by the State) can assist
members in selecting a health plan.
• After members enroll in a health plan, the
health plan assists them in selecting a
PMP.
• PMPs provide or authorize most primary
and preventive care services.
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Introduction to Indiana Health Coverage Programs
May 2012
Hoosier Healthwise
Managed Care Entities
– MCEs arrange, administer, and pay
(process claims) for the delivery of
health care services to members who
are enrolled in the Hoosier Healthwise
Program.
– Each MCE is responsible for the
following:
Managed Health Services
• Maintaining its own provider and member
services units
• Paying claims for noncarved-out services
• Providing PA
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Introduction to Indiana Health Coverage Programs
May 2012
MDwise
Hoosier Healthwise
Children’s Health Insurance Program
– CHIP, the State’s program created under
Title XXI of the Social Security Act,
provides health care coverage for
children from birth through 18 years old
using a buy-in option.
– Under CHIP, also known as Package C,
the income limit is 250 percent of the
federal poverty guidelines.
– Coverage is provided only to children
who are ineligible for all other categories
of the Hoosier Healthwise Program.
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Introduction to Indiana Health Coverage Programs
May 2012
Hoosier Healthwise
Children’s Health Insurance Program – Cost-sharing Requirements
– Unlike the other Hoosier Healthwise programs, CHIP has costsharing requirements.
• A child determined eligible for Package C is made conditionally eligible pending
a premium payment.
 The child’s family must pay a monthly premium.
 Only after the premium is paid is actual eligibility information transferred to
IndianaAIM.
• Enrollment continues as long as premium payments are received and the child
continues to meet all eligibility requirements.
 Enrollment is terminated for nonpayment of premiums after a 60-day grace
period.
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Introduction to Indiana Health Coverage Programs
May 2012
Early and Periodic Screening, Diagnosis,
and Treatment
57
Early
Identifying problems early,
starting at birth
Periodic
Checking children's health at
periodic, age-appropriate
intervals
Screening
Doing physical, mental,
developmental, dental, hearing,
vision, and other screening tests
to detect potential problems
Diagnosis
Performing diagnostic tests to
follow up when a risk is
identified
Treatment
Treating the problems found
Introduction to Indiana Health Coverage Programs
May 2012
Early and Periodic Screening, Diagnosis,
and Treatment
– The EPSDT program, referred to
as HealthWatch in Indiana, is a
federally mandated preventive
health care program designed to
improve the overall health of
eligible infants, children, and
adolescents.
– The primary goal of the
HealthWatch/EPSDT program is
to ensure that all children in the
IHCP receive age-appropriate,
comprehensive, preventive
services.
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Introduction to Indiana Health Coverage Programs
May 2012
Describe
590 Program
590 Program
– The 590 Program is designed for
residents of State-owned facilities under
the direction of the FSSA, Division of
Mental Health and Addiction, and
Indiana State Department of Health.
– The 590 Program does not include
incarcerated individuals.
– Members enrolled in the 590 Program
are eligible for the full array of benefits
covered by the IHCP (with the exception
of transportation services).
• However, members do not receive a Hoosier
Health Card.
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Introduction to Indiana Health Coverage Programs
May 2012
590 Program
– All services provided on-site at the 590 Program facility are the
financial responsibility of the facility.
• The 590 Program facility and all providers performing services must be enrolled in
the 590 Program.
• Services provided to members enrolled in the 590 Program are reimbursed per
claim, following an FFS payment delivery system.
– Billing for services includes the following:
• $150 or less  Billed to the 590 Program facility
• Over $150  Billed to HP
• Over $500  Services require PA
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Introduction to Indiana Health Coverage Programs
May 2012
Inform
Healthy Indiana Plan
Healthy Indiana Plan
– HIP provides health insurance for uninsured
adult Hoosiers between 19-64 years old
whose household income is between 22
and 200 percent of the federal poverty
level, who are not eligible for Medicaid.
• Eligible participants must be uninsured for at least six
months and cannot be eligible for employersponsored health insurance.
• HIP is not an entitlement program; funding is limited.
• Pregnant women are not eligible for HIP services.
– Prescription drugs are limited to seven or
nine fills per month; only four brands are
allowed.
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Introduction to Indiana Health Coverage Programs
May 2012
View
The Indiana Health Coverage Programs Tree
Indiana Health Coverage Programs
FSSA = Family & Social Services
Administration
OMPP = Office of Medicaid Policy
and Planning
MAXIMUS = Enrollment Broker
FSSA
OMPP
MAXIMUS
Traditional
Medicaid
Care Select
HP
590 Program
Hoosier Healthwise
Healthy Indiana Plan
Risk-Based Managed Care
MDwise
MDwise
ADVANTAGE
Anthem Blue Cross
(Care Select)
Blue Shield
(Care Select)
Enhanced Services
Plan (ESP)
MHS
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Introduction to Indiana Health Coverage Program
October 2011
MDwise
MHS
Anthem
Managed
Behavioral Health
Organizations
MDwise
Cenpatico
Behavioral Health
Anthem
Find Help
References
References
– ADVANTAGE Health Solutions
advantageplan.com
– Categories of Assistance (Indiana Client Eligibility System Program Policy
Manual)
in.gov/fssa/files/1600.pdf
– Anthem
anthem.com
– Care Select
provider.indianamedicaid.com/about-indiana-medicaid/member-programs/careselect.aspx
indianamedicaid.com/ihcp/BULLETINS/BT200723.pdf
in.gov/fssa/ompp/2546.htm
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Introduction to Indiana Health Coverage Programs
May 2012
References
– CHIP
in.gov/fssa/ompp/2545.htm
– HealthWatch/EPSDT Provider Manual
provider.indianamedicaid.com/ihcp/manuals/epsdt_healthwatch.pdf
– FSSA/OMPP Glossary of Terms
in.gov/fssa/ompp/3328.htm
– HIP
in.gov/fssa/hip
indianamedicaid.com/ihcp/Bulletins/BT200730.pdf
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Introduction to Indiana Health Coverage Programs
May 2012
References
– 590 Program Provider Manual
provider.indianamedicaid.com/ihcp/manuals/590_program_provider_
manual.pdf
– Hoosier Healthwise
in.gov/fssa/ompp/2544.htm
– Hospice Provider Manual
provider.indianamedicaid.com/ihcp/manuals/hospice_benefit_
manual.pdf
– IHCP
indianamedicaid.com/ihcp/index.asp
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Introduction to Indiana Health Coverage Programs
May 2012
References
– IHCP Glossary
provider.indianamedicaid.com/general-provider-services/ihcpglossary.aspx
– MHS
mhsindiana.com
– MDwise
mdwise.org
– Myers and Stauffer
in.mslc.com
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Introduction to Indiana Health Coverage Programs
May 2012
References
– IHCP Provider Manual
provider.indianamedicaid.com/general-provider-services/manuals.aspx
– Title 405 Office of the Secretary of Family and Social Services
Medicaid Covered Services and Limitations Rule in the Indiana
Administrative Code (IAC) at 405 IAC 5
state.in.us/legislative/iac/title405.html
– Medicaid Waivers
in.gov/fssa/ompp/2549.htm
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Introduction to Indiana Health Coverage Programs
May 2012
Q&A