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The IHCP is again offering quarterly provider workshops free of charge see Table 1 for topics, times,
and descriptions. Sessions on IHCP Updates, the Pharmacy Benefit Consolidation, and Medical Review Team (MRT)
are scheduled for the morning; afternoon sessions include the IHCP Family Tree, Outpatient Behavioral Health
Services, Care Select Services, and Medicaid Rehabilitation Option. The schedule allows for lunch; however,
lunch is not provided. Registrations are processed in the order received, and registration does not guarantee
a spot at the workshop seating is limited in all locations, and only two registrants are allowed per provider
number. Confirmation letters are sent upon receipt of registrations. If you do not receive a confirmation letter,
the workshop is full.
Register online at www.indianamedicaid.com under Provider Education and
assistance. A quick reference guide is provided under this link to assist you with the registration tool. If you do
not have internet access you will need to complete the registration form from your monthly newsletter and fax it to
(317) 488-5376.
There will be someone at all of the afternoon sessions to sign for the hearing impaired at the Quarterly workshop held
at Wishard Hospital on February 25, 2010 in Meyers Auditorium.
If you have questions about a workshop, please contact a field consultant at (317) 488-5072.
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Table 1 First-Quarter Provider Workshops Topics, Times, and Descriptions
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Time |
Topic |
Description |
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8 9 a.m.
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IHCP Updates, presented by HP
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The new year brings updates to the IHCP. During this session, providers learn
about a highly anticipated enhancement to the spend-down information available
on the eligibility verification systems. Also covered is the Right Choices
Program, which replaces the Restricted Card Program. In addition, providers
will learn more about the 5 percent reimbursement reduction affecting hospital
providers, the determination of new rates for manually priced services, and a
change to the medical education payment applicable to managed care claims.
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9:15 9:45 a.m.
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Pharmacy Benefit Consolidation, presented by HP
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Effective December 31, 2009, the pharmacy benefit has been carved out of the
risk-based managed care delivery system. HP is now the processor for all
pharmacy claims. Prescribers and pharmacy providers learn about the impact of
this change.
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10 10:45 a.m.
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Medical Review Team, presented by HP
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This session provides an overview of the billing requirements for Medical Review
Team (MRT) claims. The discussion reviews how the member eligibility process works,
the types of exams and services performed, and obtaining authorization for
additional services. The top reasons for MRT claim denials is also discussed, along
with methods of resolution.
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11 Noon
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Lunch
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12:10 12:30 p.m.
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IHCP Family Tree
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The afternoon sessions are specifically designed for clinical and nonclinical
staff with a mental health specialty. The IHCP Family Tree presentation provides
an overview of the structure of the IHCP and a foundation for the afternoon
workshop sessions. Behavioral health providers learn the main functions performed
by each IHCP contractor.
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12:30 2 p.m.
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Transition from Inpatient Behavioral Health Services to Outpatient Services,
presented by Hoosier Healthwise and Care Select health plans
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This session focuses on actions that behavioral health providers (inpatient and outpatient)
can take to ensure that patients transition from inpatient care to home, school, or workplace
setting after discharge. The discussion is framed by the National Committee for Quality Assurance
(NCQA) Health Plan Employer Data and Information Set (HEDISฎ) measure for follow-up care within
seven days of discharge from an inpatient behavioral health facility. Statewide and regional
performance data is also provided.
After this session, providers will understand the importance of follow-up visits and be aware of
available solutions for ensuring follow-up during the seven days following discharge. The session
includes pertinent clinical information and billing instructions for both inpatient and outpatient
behavioral health providers.
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2:15 3:15 p.m.
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Care Select Services, presented by ADVANTAGE Health Solutions(TM) and MDwise
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This session provides education for providers with patients enrolled in Care Select. The discussion
includes a description of Care Select goals, behavioral health integration into Care Select, current
clinical quality improvement projects, and care management services provided by Care Select.
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3:30 4:30 p.m.
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Medicaid Rehabilitation Option Transformation, presented by the Office of Medicaid Policy and Planning
and the Division of Mental Health and Addiction
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This session welcomes representatives from the Office of Medicaid Policy and Planning and the Division
of Mental Health and Addiction. The session provides an overview of changes to MRO services that will
be implemented in 2010.
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Table 2 Workshop Dates, Registration Deadlines, and Locations
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Workshop Date |
Registration Deadline |
Location |
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February 16, 2010
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February 2, 2010
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Parkview Hospital Corporate Office
10501 Corporate Drive
Fort Wayne, IN 46845
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February 22, 2010
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February 8, 2010
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Ball Memorial Hospital, Auditorium
2401 W. University Blvd.
Muncie, IN 47303
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February 25, 2010
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February 11, 2010
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Wishard Hospital, Myers Auditorium
1001 W. 10th Street
Indianapolis, IN 46237
There will be someone at all of the afternoon sessions to sign for the hearing impaired at this location.
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March 4, 2010
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February 18, 2010
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Columbus Regional Hospital, Kroot Auditorium
2400 E. 17th Street
Columbus, IN 47201
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March 9, 2010
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February 23, 2010
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Bloomington Hospital, Wagmiller Auditorium
601 W. 2nd Street
Bloomington, IN 47402
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March 11, 2010
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February 25, 2010
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St. Catherines Professional Office Building
4321 Fir Street
East Chicago, IN 46312
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March 18, 2010
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March 4, 2010
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Unity Hospital, Unity Medical Pavilion
1345 Unity Place
Lafayette, IN 47905
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March 25, 2010
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March 11, 2010
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St. Marys Medical Center
3700 Washington Ave
Evansville, IN 47750
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Regional Specialty Provider Workshops
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Regional Specialty Workshops for Dental, Home Health and Hospice Providers
HP Enterprise Services Provider Relations will present regional workshops for home
health/hospice providers and dental providers. The morning sessions cover the home
health/hospice education, and the afternoons are for the dental provider community.
Date: January 20, 2010
Location: Indiana University School of Dentistry
1121 W. Michigan St.
Room DS 114
Indianapolis, IN 46202
Date: January 28, 2010
Location: Bloomington Hospital Auditorium
601 West 2nd Street
Bloomington, IN 47403
Date: February 2, 2010
Location: Union Hospital
Landsbaum Center
1433 6 ฝ Street
Terre Haute, IN 47804
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Home Health/Hospice Providers
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Home Health: 9 10 a.m.
Hospice: 10:10 11:30 a.m.
This is an excellent opportunity to become more familiar with Medicaid home
health and hospice policies, procedures, and billing tools and methodology.
The agenda includes the following:
Benefit coverage
Prior authorization requirements
Billing procedures
Eligibility requirements
Reimbursement methodology
Hospice process
Common denials
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1:00 3:30 p.m.
This is an excellent opportunity to become more familiar with Medicaid
dental policies, procedures, and billing tools and methodology.
The agenda includes a live demonstration and discussion of all facets of Web interChange, including:
Spend-down
Managed care
Third-party liability and qualified Medicare beneficiary eligibility
Dental cap
Benefit limitations
Providers may enroll in the workshop
on www.indianamedicaid.com under
Provider Services > Education Opportunities > Workshop Registration.
If you have questions, please call Provider Relations at (317) 488-5072.
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