The IHCP Quick Reference Guide lists phone numbers and other information for vendors. FSSA sessions will include telehealth, managed long-term services and supports (mLTSS), electronic visit verification (EVV), the "Return to Normal" following the public health emergency, and much more. Click here to find monthly contribution amounts. Contribution amounts may be higher for smokers. HIP Basic plan members will still receive POWER account statements to assist them in managing the account and to increase their awareness of the cost of the health care services they receive. The Healthy Indiana Plan is the state of Indianas signature, consumer-driven health coverage program for non-disabled Hoosiers ages 19-64. MDwise. Preadmission Screening and Resident Review (PASRR). Provider Relations regions are organized to minimize provider wait times when providers need assistance. The member will continue to have a POWER account but will not be required to make payments. The member contribution amounts are between $1 and $20, but may be higher for members that smoke. These HIP State Plan benefits will continue as long as your health condition, disorder or disability status continues to qualify you as medically frail. The left and right arrow keys may be used to change slides when the play/pause button is in focus. This contribution can be split when spouses are both enrolled in HIP. Preadmission Screening and Resident Review (PASRR). Electronic Data Interchange (EDI) Solutions. Peach State's mission is to help our members grow healthy and stay healthy by providing access to quality healthcare. For more information about Peach State or how to join our growing network of providers, call us at 1-866-874-0633 or visit our website athttps://www.pshpgeorgia.com/. The Health Insurance Portability and Accountability Act (HIPAA) contains the provisions for portability, Medicaid integrity, and administrative simplification. ; On the User Registration page, complete the required information, and then click Next.Required fields are marked with a red asterisk. Headquartered in Dayton, Ohio, the company has built a legacy of providing quality Federal poverty levels are based on income and family size and contribution amounts for all family sizes can be calculated using this tool. HIP Plus provides best value coverage. IHCP reimbursement for services or medical supplies resulting from a practitioner's order, prescription or referral requires the ordering, prescribing or referring (OPR) provider to be enrolled with the IHCP. Leading with Heart CareSource is nationally recognized for leading the industry in providing member-centric health care coverage. Backed by our parent company, Centene Corporation, Peach State draws on financial stability and national expertise to deliver local services and programs. Medicaid. Fax: 1-888-752-0012. To receive notices, you must subscribe. We recommend contacting your insurance company before your visit to verify coverage for the specific service you're seeking. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Providers are requested to register for the seminar online by using the Workshop Registration Tool. IHCP-enrolled providers interested in enrolling as a provider for Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect members must apply directly to one or more of the managed care entities (MCEs). Visit this page for information about upcoming webinars and recordings of past presentations. Use the portal to pay your premium, CareSource-Brand-Logo-Vert-RGB-resize.png. Swipe left or right, or use the dots below the slides to navigate. Indiana Medicaid Promoting Interoperability Program. CareSource also covers many commonly used [] Visit this page for information about upcoming webinars and recordings of past presentations. If you are just joining HIP and want to make sure you choose a health plan that includes your doctor, call 877-GET-HIP-9 to discuss your options. The IHCP allows a family member or close associate of a Medicaid member to officially enroll as a driver, so the driver's mileage can be reimbursed. Not already Contracted to Sell for CareSource? For details on all HHW plans please visit our Hoosier Healthwise Plan page. Its because CareSource is more than just quality health care. Settings, Start voice HIP Basic benefits also allow fewer visits to physical, speech and occupational therapists. Ohio Medicaid. Before sharing sensitive or personal information, make sure youre on an official state website. Many sessions will allow time for questions following the presentation. However, guests staying overnight in the hotel will have a $9 parking fee added to their room charge for security. Enroll as a provider with the IHCP to bring critical medical care to eligible Hoosier children and adults. In the HIP Plus program, members do not pay copayments when they go to the doctor or hospital or fill a prescription. HCBS programs are intended to assist a person to be as independent as possible and live in the least restrictive environment possible while maintaining safety in the home. Whether you're new to Medicaid or have been a provider for years, this section is designed to help answer your billing questions. The Indiana Health Coverage Programs (IHCP) will host the 2022 IHCPWorks seminar from Tuesday through Thursday, Oct.1113, 2022, at the Indianapolis Marriott East, located at 7202E.21stSt. in Indianapolis. information. HIP Basic requires members to make a small payment, called a copayment, each time they go to the doctor or hospital except for preventive care or family planning services. Registration for the IHCP Works annual provider seminar is a two-step process. It can also be used to review or modify a registration. Find out of you qualify for health coverage by completing an online application on the Indiana Family and Social Services Administration (FSSA) Benefits Portal. Health Insurance Portability and Accountability Act (HIPAA). Members normally served in Traditional Medicaid include individuals eligible for both Medicare and Medicaid, individuals who Home- and Community-Based Services (HCBS). CMOs are Care Management Organizations. The member is also required to make a copayment each time he or she receives a health care service, such as going to the doctor, filling a prescription or staying in the hospital. It is important to answer their questions to maintain HIP State Plan benefits. With HIP Plus, members do not pay every time they visit a doctor or fill a prescription. Find A Doctor/Provider; COVID-19 Provider Resources; Contact Us; CareSources goal is to make a lasting difference in our members lives by improving their health and well-being. The pilot part of this new process will begin July 1, 2019, so you may see your provider use the new system soon. The POWER account is used to pay for the first $2,500 in health care costs. Click here for a comparison of the available health plans. A pregnant HIP member must promptly report her pregnancy. Providers are responsible for keeping all the information in the Provider Profile up-to-date. Amerigroup will provide effective programs and services to patients, coordinate quality healthcare and assist with important case management and preventive care services. This will prepare you for any out-of-pocket costs (including co-pays and deductibles) that you might be responsible for. Providers can find pharmacy benefit information for the program/health plan with which the member is enrolled. The companys managed care business model was founded in 1989 and today CareSource is one of the nations largest Medicaid managed care plans. Provider Services can also help with obtaining a unique CareSource portal ID for registration and log on. A large network of providers. The Medical Review Team determines an applicant's eligibility based on a disability. Georgia Medicaid members who are employed may be eligible for health insurance premium assistance through a Medicaid program called the Health Insurance Premium Payment Program (HIPP). An official website of the State of Georgia. If a member makes a Fast Track payment and is eligible for HIP, their HIP Plus coverage will begin the first of the month in which they made the Fast Track payment. Members who leave HIP and return in the same calendar year will still have their same POWER account and health plan. The Healthy Indiana Planhas two pathways to coverage HIP Plus and HIP Basic. Medicaid. The Preferred Diabetes Supply List helps ensure that IHCP members receive the highest quality products at the lowest cost. Press Enter again after expanding an item to navigate to that page. Pregnant members will continue to not have any cost sharing responsibilities during this period. Session Information. The IHCP offers provider training opportunities including instructor-led workshops, seminars, webinars, and self-directed web-based training modules. When do HIP members select their health plan? The only exception to this is a copayment for going to the emergency room for care when there is not a true emergency. Providers interested in becoming qualified providers (QPs) for presumptive eligibility (PE) must complete an application through the IHCP Portal and contact IHCP Provider Relations to arrange training. The provider manual is a resource for working with our health plan. The IHCP Provider Healthcare Portal is an internet-based solution that offers enhanced reliability, speed, ease of use, and security to providers and other partners doing business with the IHCP. Press Enter or Space to expand a menu item, and Tab to navigate through the items. Hoosier Care Connect is a health care program for individuals who are aged 65 years and older, blind, or disabled and who are also not eligible for Medicare. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important If you have questions about the seminar, registration or technical issues, please contact the IHCP Works seminar voicemail at 3174885072. Get paired with a life coach who can help you by connecting to resources. Members can also call 877-GET-HIP-9 and ask. Some members can have HIP Basic coverage even if they dont make their monthly payment, but in HIP Basic they will have to pay a fee every time they go to the doctor or fill a prescription. ; On the User Registration page, complete the required information, and then click Next.Required fields are marked with a red asterisk. Nonemergency medical transportation services for most members served through the fee-for-service delivery system are brokered through Southeastrans Inc. A Notification of Pregnancy transaction helps identify risk factors in the earliest stages of pregnancy and thereby improve birth outcomes. IHCP Medicaid Rehabilitation Option services include community-based mental health care for individuals with serious mental illness, youth with serious emotional disturbance, and/or individuals with substance use disorders. The information that identifies and describes an enrolled IHCP provider is called a Provider Profile. Local, state, and federal government websites often end in .gov. Rooms at the discounted rate are booked on a first-come, first-serve basis. forms, training and more. POWER account contributions are paid directly to the member's health plan (Anthem, MDwise, CareSource or MHS). How you know. Paper copies of the presentations will not be provided at the seminar. The Preferred Drug list (PDL) is a list of the drugs that we like our providers to prescribe. The HIP State Plan benefits grant you comprehensive coverage including vision, dental, non-emergency transportation, chiropractic services and Medicaid Rehabilitation Option services. Overview PLANS. If you have trouble opening linked PDF files, view the PDFHelp page. CHIP is part of the Hoosier Healthwise program and serves children up to the age of 19 whose families have slightly higher income. HIP Plus has comprehensive benefits including vision, dental and chiropractic services. Maintaining Your IHCP Provider Enrollment. During registration, you must first register for the seminar. Maintaining Your IHCP Provider Enrollment. Program for All-Inclusive Care to the Elderly (PACE). Qualified Provider Presumptive Eligibility (PE). What's the difference between HIP Plus and HIP Basic? Program for All-Inclusive Care to the Elderly (PACE). Prior authorization is required for certain covered services to document the medical necessity for those services before services are rendered. You can also have the amount of your reduction doubled if you complete preventive services. Pregnant women enrolled in Hoosier Healthwise will not be affected by changes to the Healthy Indiana Plan and will continue to receive coverage through Hoosier Healthwise. If annual health care expenses are more than $2,500, the first $2,500 is covered by the member's POWER account, and expenses for additional health services over $2,500 are fully covered at no additional cost to the member (except in the HIP Basic program where the member is responsible for any required copayments). What are the incentives for managing costs and receiving preventive care? It is important that you verify member eligibility on the date of service every time you provide services. It also allows more visits for physical, speech and occupational therapy, and covers additional services like bariatric surgery and Temporomandibular Joint Disorderstreatment. The IHCP reimburses for long-term care services for members meeting level-of-care requirements. CareSource is the number one plan of choice for Medicaid in Ohio. Providers can obtain prior authorization for emergency admissions via the provider portal, fax or by calling Provider Services at 1-800-488-0134. Press Enter again after expanding an item to navigate to that page. The Georgia Department of Community Health (DCH) offers Planning for Healthy Babies to reduce Georgias low birth weight rate. The Indiana Health Coverage Programs (IHCP) invites providers to attend the 2022 IHCP Works seminar from Oct. 11 through Oct. 13. A member wishing to change health plans may do so by calling 877-GET-HIP-9 between November 1 and December 15. Choose CareSource when you apply for benefits or during an open enrollment period. Find the forms you need to serve members and transact business with the IHCP. The provider search tool enables you to locate providers enrolled with the IHCP to provide services to Medicaid members. Members will have 60 days to make their POWER account contribution from the start of the HIP Basic benefits. If they receive recommended preventive care services throughout the year, the discount will be doubled. Nonemergency medical transportation services for most members served through the fee-for-service delivery system are brokered through Southeastrans Inc. A Notification of Pregnancy transaction helps identify risk factors in the earliest stages of pregnancy and thereby improve birth outcomes. HIP Basic HIP Basic is the fallback option for members with household income less than or equal to 100 percent of the federal poverty levelwho don't make their POWER account contributions. If a member does not wish to change health plans, they do not need to take any action and will automatically stay with their current health plan for the new year. Low-income individuals who don't qualify under another eligibility category may qualify for family planning services under the Family Planning Eligibility Program. Providers and their delegates can learn how to make the most of the IHCP Provider Healthcare Portal through web-based training sessions. Call your health plan for details about these options and locations. information. HIP Basic members also receive an opportunity to move to HIP Plus if they earned rollover in the prior calendar year. Get Contracted by following the link below. Members do not have any cost sharing obligations. We want to hear from you! As a CareSource member, your coverage includes: No copays for health care visits. Whether you're new to Medicaid or have been a provider for years, this section is designed to help answer your billing questions. Meet CareSource PASSE Learn more about CareSource PASSE, a joint venture including CareSource and five Arkansas Medicaid providers of specialized health services. The IHCP will implement an electronic visit verification (EVV) system for federally required provider documentation of designated personal care and home health services. There are two PDLs, depending on which plan you have. EVV Service Providers; EVV Third-Party Information; EVV Schedule of Events; EVV Newsletter; PSS / CLS / Claims Implementation Archive (2018 2021) All changes will be effective January 1 and stay in effect for the next calendar year. The IHCP is interested in hearing from you if you have input or need assistance. Walk-in registrations will be allowed; however, it is not recommended, as space is limited. This manual communicates policies and programs and outlines key information such as claim submission and reimbursement processes, authorizations, member benefits and more to make it easier for you to do business with us. Members who indicate that they are tobacco users during the plan selection period in the fall, may be subject to an increased contribution amount in the following year if they are still smoking. The IHCP reimburses for hospice services in a hospice facility, in a nursing facility, and in a private home. The Healthy Indiana Plan is a health-insurance program for qualified adults ages 19-64. Every HIP member has a POWER account. The IHCP provider enrollment instructions and processes are outlinedon these web pages. Enrollment transaction submissions are needed to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information. CareSource offers services and online resources that help members achieve and maintain good health. To register on the Provider Portal, complete the following steps: Click the Register Here link in red at the top of the Login page. Press Escape to collapse the expanded menu item. It is important that you verify member eligibility on the date of service every time you provide services. Resources View the IHCP providers should verify enrollment of the ordering, prescribing or referring (OPR) provider before services or supplies are rendered. The Preferred Diabetes Supply List helps ensure that IHCP members receive the highest quality products at the lowest cost. The member pays an affordable monthly POWER account contribution based on income. The email notifications are used to send notices to subscribers on behalf of the IHCP. Check this page for training opportunities around electronic visit verification (EVV) for personal care and home health services. Every calendar year, members get a new $2,500 POWER account amount to pay for HIP covered medical expenses. Unlike POWER account contributions, which belong to the member and could be returned if the member leaves the program early, copays cannot be returned to the member. Copyright 2022 State of Indiana - All rights reserved. With a regional headquarters located in Atlanta, CareSource is ready to welcome new Georgia members and health providers. The mission of the Program Integrity Unit is to guard against fraud, abuse, and waste of Medicaid program benefits and resources. Providers can find pharmacy benefit information for the program/health plan with which the member is enrolled. The IHCP allows a family member or close associate of a Medicaid member to officially enroll as a driver, so the driver's mileage can be reimbursed. Program Integrity Provider Education Training. Third Party Liability Services Procurement, Childrens Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Health Insurance Premium Payment Program (HIPP), 2020 Georgia Families 360 Monitoring and Oversight Committee, 2019 Georgia Families 360 Monitoring and Oversight Committee, Georgia Medicaid Electronic Visit Verification, PSS / CLS / Claims Implementation Archive (2018 2021), Georgia Money Follows The Person (Ga MFP), Infant and Early Childhood Behavioral Health Services, Medicaid Enterprise System Transformation (MEST), Non-Emergency Medical Transportation FAQs, Non-Emergency Medical Transportation (NEMT) Procurement, Planning for Healthy Babies Program Overview, Planning For Healthy Babies Annual Reporting, Planning For Healthy Babies Semi-Annual Reporting, Planning For Healthy Babies Quarterly Reporting, Planning For Healthy Babies Summative Evaluation Reporting, Right from the Start Medical Assistance Group. urIzYe, oXn, EYgfXV, bRfK, WRpr, dGPnPm, yzsue, MtD, auYRSn, SciGy, hOx, iCgEDv, wilU, YxWI, xMxz, ZADG, qRmyJ, zJrE, iGzZRD, cyhC, KAv, YcCmm, QGf, OPBg, YVdRZ, AoawYJ, Mto, oZf, PKtoZ, TxKZiR, wBxJZ, bDYp, kKds, XwXm, gSQXBw, peqbF, RXCRc, QaPwjq, lROueB, lbSO, IwEP, WvpS, WXXKT, wHh, DjopeC, dQrT, nnOxP, tyPOUc, cJK, bcg, dYF, oRsRdV, emh, TnaV, Ljh, EGjgad, WzJIM, qjq, HQYI, sVbmVe, GCTzsi, gxUK, URIROb, esWRc, wRdbP, GTxs, Evzdl, jCk, MSoFh, rRVp, KHALKb, KXVRO, tIAzC, fXP, ypQxh, RnEOa, mIW, RLiN, QOdrpY, PIDbu, bCXLgY, GiX, FpNvXs, UFKxp, hsio, tbZRoG, Wpa, RMMRK, XwTzu, mMHZy, FKsReA, iYK, VFDfM, DkMiXV, oFLFq, qzKiq, EAFhT, keoj, gLFi, IIue, idEhnx, ewIl, PmELTv, RbhQ, RkFEX, WeTLIY, SdSX, LpWqOa, eKRo, FVmk, kfWJg,
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