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Mental Health
HP Provider Relations
October 2010
Agenda
– Session Objectives
– Outpatient Mental health
– Medicaid Rehabilitation Option (MRO) Transformation
– Psychiatric Residential Treatment Facilities (PRTF)
– Partial Hospitalization
– Package C
– Risk-based managed Care (RBMC)
– Common Denials for Mental Health
– Health Insurance Portability and Accountability Act (HIPAA) 5010
– Helpful Tools
– Questions
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Mental Health
October 2010
Objectives
At the end of this presentation providers will:
– Understand outpatient coverage requirements
– Understand the changes with MRO services
– Understand the meaning of rolling 12-month period
– Understand the role of the health service provider in psychology
(HSPP)
– Understand managed care carve in
– Understand services covered under:
•
Psychiatric Residential Treatment Facilities
•
Partial Hospitalization
•
Package C
– Understand the upcoming HIPAA 5010 implementation
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Mental Health
October 2010
Understand
Outpatient Mental Health
Outpatient Mental Health
– The Indiana Health Coverage Program (IHCP) under the direction of
the Indiana Administrative Code (IAC) 405 IAC 5-20-8 reimburses for
outpatient mental health services when provided by:
• Licensed physicians
• Psychiatric hospitals
• Psychiatric wings of acute care hospitals
• Outpatient mental health facilities
• Licensed psychologists with the HSPP designation
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Mental Health
October 2010
Outpatient Mental Health
– The IHCP also reimburses under 405 IAC 5-20-8 for psychiatrist or
HSPP-directed outpatient mental health services when provided by
mid-level practitioners:
•
Academy of Certified Social Workers (ACSW), certified clinical social worker (CCSW),
licensed clinical social worker (LCSW), master of social work (MSW)
•
Advanced practice nurses (APN), credentialed in psychiatric or mental health nursing
•
Licensed psychologist (without HSPP designation)
•
Licensed independent practice school psychologist
•
Licensed marriage and family therapist (LMFT)
•
Licensed mental health counselor (LMHC)
•
Psychologist
•
Registered nurse (RN) with a master’s degree in nursing with a major in psychiatric
and mental health nursing
– Mid-level practitioners are not enrolled by the IHCP
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Mental Health
October 2010
Outpatient Mental Health
Psychiatrist or HSPP responsibilities
– Must certify the diagnosis and supervise the plan of treatment as
stated in 405 IAC 5-20-8 (3) (a) (b)
– Must see the patient or review information obtained by a mid-level
practitioner within seven days of intake
– Must see the patient or review documentation to certify treatment plan
and specific modalities at intervals not to exceed 90 days
– Must document and personally sign all reviews
•
No co-signatures on documentation
– Must be available for emergencies
•
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An emergency is a sudden onset of a psychiatric condition manifesting itself by acute
symptoms of such severity that the absence of immediate medical attention could
reasonably be expected to result in (1) danger to the individual, (2) danger to others, or
(3) death of the individual
Mental Health
October 2010
Outpatient Mental Health
PA Requirements
– Prior authorization (PA) is required for units in excess of 20 per
member, per rendering provider, per rolling 12-month period:
• Codes
below in combination are subject to 20 units per member, per
provider, per rolling 12-month period:
− 90804 through 90815
− 90845 through 90857
− 96151 through 96153
– Requests for PA should include a current plan of treatment and
progress notes to support the effectiveness of therapy
– Reference BT200901 for prior authorization instructions
• Managed
care organizations may have different PA requirements; providers
are encouraged to contact each managed care entity (MCE) for PA
processes
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American
Medical Association.
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Mental Health
October 2010
Outpatient Mental Health
What is a rolling 12-month period?
– A rolling 12-month period is:
• Based
on the first date that services are rendered by a particular provider
• Renewable
one unit at a time beginning 365 days after the date that services
are rendered by a particular provider
– It is not:
• Based
on a 12-month calendar year
• Based
on a fiscal year
• Renewable
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Mental Health
on January 1 of each year
October 2010
Outpatient Mental Health
Psychiatric Diagnostic Interview (90801)
– One unit of psychiatric diagnostic interview (90801) is allowed per
member, per provider, per rolling 12-month period per IAC 405 IAC 520-8 (14)
– Additional units require PA
– Exception: Two units are allowed without PA if separate evaluations
are performed by a psychiatrist or HSPP and a mid-level practitioner
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Mental Health
October 2010
Outpatient Mental Health Prior Authorization
– Mail or Fax PA requests to:
ADVANTAGE Health Solutions-FFS
P.O. Box 40789
Indianapolis, IN 46240
– Fax number 1-800-689-2759
– For questions or inquiries call 1-800-269-5720
– For RBMC members, contact the appropriate MCE
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Mental Health
October 2010
Care Select Organizations – Prior
Authorization
– ADVANTAGE Health Solution
•
www.advantageplan.com
P.O. Box 80068
Indianapolis, IN 46280
Phone 1-800-784-3981
Fax request -1-800-689-2759
– MDwise
•
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www.mdwise.org
P.O. Box 44214
Indianapolis, IN 46244-0214
Phone 1-866-440-2449
Fax request 1-877-822-7186
Mental Health
October 2010
Physician, HSPP covered services
– Medical services provided by mid-level practitioners are not
reimbursable i.e. clinical social workers, clinical psychologists, or any
mid-level practitioners (excluding nurse practitioners and clinical nurse
specialists) for the codes listed below
• 90805
• 90807
• 90809
• 90811
• 90813
• 90815
• 90862
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Mental Health
October 2010
Physician, HSPP covered services
– PA is always required for neuropsychological and psychological testing
• 96101
– Psychological Testing
• 96110
– Developmental Testing
• 96111
– Developmental Testing Extended
• 96118
– Neuropsychological Testing Battery
− According to 405 IAC 5-2-8(7), a physician or HSPP must provide these services
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Mental Health
October 2010
Outpatient Mental Health
Noncovered Services
– Biofeedback
– Broken or missed appointments
– Day care
– Hypnosis
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Mental Health
October 2010
Outpatient Mental Health
Billing overview
– Services are billed on the CMS-1500 claim form
– Services are billed using the National Provider Identifier (NPI) of the
facility or clinic, and the rendering NPI of the supervising psychiatrist
or HSPP
– Medical records must document the services and the length of time of
each therapy session
– Psychiatrists and HSPPs are reimbursed at 100 percent of the allowed
amount
– Mid-level practitioners are reimbursed at 75 percent of the allowed
amount
•
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Services rendered by mid-level practitioners are billed using the rendering NPI of the
HSPP
Mental Health
October 2010
Outpatient Mental Health
Billing Overview
– Appropriate modifiers must be used for mid-level practitioners
• AH
– Clinical Psychologist
• AJ
– Clinical Social Worker
• HE
and SA – Nurse Practitioner or Nurse Specialist
• HE
– Any other mid-level practitioner as addressed in the 405 IAC 5-20-8
• HO
– Masters degree level
• SA –
Nurse practitioner or clinical nursing specialist (CNS) in a non-mental
health arena
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Mental Health
October 2010
Learn
MRO Transformation
MRO Transformation
Effective July 1, 2010
– The Office of Medicaid Policy and Planning (OMPP), in conjunction
with the Division of Mental Health and Addiction (DMHA), developed a
benefit plan structure for Medicaid members receiving MRO services.
– Prior to July 1, 2010 there were no prior authorization (PA)
requirements and no benefit limitations imposed for members
receiving MRO services during the benefit period.
– While members can continue to access MRO providers based on a
self-referral, members who have a qualifying MRO diagnosis will be
assigned a service package based on their individual level of need
(LON).
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Mental Health
October 2010
Service Package Process
An MROapproved
provider
completes a
Child and
Adolescent
Needs and
Strengths
Assessment
(CANS) or
Adult Needs
and Strengths
Assessment
(ANSA)
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Mental Health
October 2010
The level of
need (LON)
and diagnosis
are submitted
into the Data
Assessment
Registry
Mental Health
and Addiction
(DARMHA)
system by the
provider
The
information is
sent to HP
Enterprise
Services to
systematically
load the MRO
service
package
Outpatient Mental Health
TPL Exception
– Mental health services may bypass being billed to Medicare for dually
eligible members
•
Applies to members who have Medicare and Medicaid
•
Applies to services billed with modifiers HE or HO
– Utilize the Notes feature of Web interChange (or the 837P equivalent)
to indicate, “Provider not approved to bill services to Medicare”
– This TPL exception applies when Medicare does not recognize the
educational level of the mid-level practitioner
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Mental Health
October 2010
Importance of Verifying Eligibility
– It is important that providers verify member eligibility on the date of
service
– Viewing a Hoosier Healthwise card alone does not ensure member
eligibility
– If a provider fails to verify eligibility on the date of service, the provider
risks claim denial
– Claim denial could result if the member was not eligible on the date of
service
– If the member is not eligible on the date of service, the member can be
billed for services
•
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If retroactive eligibility is later established, the provider must bill the IHCP and refund
any payment made to the provider by the member
Mental Health
October 2010
MRO Inquiry
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Mental Health
October 2010
MRO Inquiry
– Providers can view past and present MRO service packages on the
MRO Inquiry window
– MRO service packages are not assigned to the provider that
requested the package. The services belong to the member which
allows a member to seek treatment from more then one Community
Mental Health Center (CMHC) at any time
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Mental Health
October 2010
MRO Denied Service Explanation
– If search results in no MRO service package, a message populates
"No MRO Service Packages"
– If a member does not have an approved diagnosis, level of need
(LON), or a current service package, the MRO inquiry displays the
Status column with reason descriptions:
• Denied:
Diagnosis code does not meet the MRO program criteria
• Denied:
LON does not meet the MRO program criteria
• Denied:
Member has an active MRO service package
• Denied: Assessment
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Mental Health
October 2010
date does not meet MRO program criteria
When to Submit a Prior Authorization
– If a member requires additional medically necessary services, a prior
authorization (PA) request is required
– Please note that submitting a PA request for a full service package is not
permitted
– Under the following four scenarios, an MRO service provider is required to
submit a PA request to the PA vendor to be reimbursed:
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•
Scenario 1: A member depletes units within his or her MRO service package and requires
additional units of a medically necessary MRO service.
•
Scenario 2: A member requires a medically necessary MRO service not authorized in his or
her MRO service package.
•
Scenario 3: A member does not have one or more qualifying MRO diagnoses and/or LON
for the assignment of an MRO service package, and has a significant behavioral health need
that requires a medically necessary MRO service.
•
Scenario 4: A member is newly eligible to the Medicaid program or had a lapse in his or her
Medicaid eligibility, and was determined Medicaid eligible for a retroactive period. In this
case, a retroactive PA request is appropriate for MRO services provided during the
retroactive period.
Mental Health
October 2010
Prior Authorization
Prior Authorization by Telephone, Fax, or Mail
– ADVANTAGE Health Solutions
Prior Authorization Department
P.O. Box 40789
Indianapolis, IN 46240
– Phone: 1-800-269-5720
Fax: 1-866-541-3977
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Mental Health
October 2010
PA Requests Via Web interChange
– To submit PA via Web interChange, the requesting provider must be
an MD or HSPP enrolled with the IHCP as a billing or dual provider
only
– A provider enrolled with the IHCP as a rendering provider does not
have access to submit PA via Web interChange
– Community Mental Health Centers (CMHCs) enrolled as provider type
11 (Mental Health) and provider specialty 111 (CMHC) do not have
access to submit PA requests via Web interChange
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Mental Health
October 2010
Medicaid Rehabilitation Option
– Medicaid Rehabilitation Option (MRO) services remain carved out of
the risk-based managed care (RBMC) delivery system
– MRO services remain reimbursable only to providers enrolled as type
11 (mental health) with a specialty of 111 (community mental health
center)
– Clinical mental health services are provided for individuals, families, or
groups living in the community who need aid intermittently for
emotional disturbances or mental illness
– Services must be reported with an HW modifier
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Mental Health
October 2010
MRO Covered Services
– The following services are covered:
•
Behavioral Health Counseling and Therapy (Individual and Group setting)
•
Behavioral Health Level of Need Redetermination
•
Case Management
•
Psychiatric Assessment and Intervention
•
Adult Intensive Rehabilitative Services (AIRS)
•
Child and Adolescent Intensive Resiliency Service (CAIRS)
•
Intensive Outpatient Treatment (IOT)
•
Addiction Counseling (Individual and Group setting)
•
Peer Recovery Services
•
Skills Training and Development (Individual and Group setting)
•
Medication Training and Support (Individual and Group setting)
•
Crisis Intervention
– Reminder: Do not use mid level modifiers when billing for MRO
services
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Mental Health
October 2010
MRO Provider Qualifications
– Three categories of provider types can render MRO services:
•
Licensed Professional
•
Qualified Behavioral Health Professional (QBHP)
•
Other Behavioral Health Professional (OBHP)
– For a detailed list of qualified providers, please see the following
resources:
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•
MRO Provider Manual located on the www.indianamedicaid.com website under
manuals
•
The Family Social Services Administration (FSSA) public Web site at
https://myshare.in.gov/FSSA/ompp/MRO/default.aspx
Mental Health
October 2010
Describe
Psychiatric Residential Treatment Facilities
(PRTF)
Psychiatric Residential Treatment Facilities
What is a psychiatric residential treatment facility (PRTF)?
– A facility licensed as a private, secure facility under 465 IAC 2-11
•
Private secure facility – a locked living unit of an institution for gravely disabled children
with chronic behavior that harms themselves or others
– A facility accredited by one of the following:
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•
The Joint Commission on Accreditation of Healthcare Organizations
•
The Council on Accreditation of Services for Families and Children
Mental Health
October 2010
Psychiatric Residential Treatment Facilities
Covered Services
– The IHCP reimburses for services provided to children younger than
21 years of age
– The IHCP requires PA for admission to a PRTF
•
Patient must show need for long-term treatment modalities
•
See Chapter 6 of the IHCP Provider Manual for details
– Medical leave days ordered by a physician are reimbursed at 50
percent for as many as four days per admission, unless the occupancy
rate is less than 90 percent
– Therapeutic leave days ordered by a physician are reimbursed at 50
percent, for as many as 14 days per calendar year, unless the
occupancy rate is less than 90 percent
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Mental Health
October 2010
Psychiatric Residential Treatment Facilities
Billing
– PRTF services are billed on the CMS-1500 claim form using the
following procedure codes:
• T2048
– Per Diem
• T2048
U1 – Medical Leave
• T2048
U2 – Therapeutic Leave
– One unit equals a 24-hour day of care (midnight to midnight)
– PRTF services are reimbursed on a per diem, which includes:
• All
IHCP-covered psychiatric services performed in a PRTF
• All
IHCP-covered services not related to the psychiatric condition that are
performed at the PRTF
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Mental Health
October 2010
Psychiatric Residential Treatment Facilities
Non-covered Services
– PRTF services remain carved out of RBMC
• The
MCE retains responsibility for services outside the PRTF including
transportation, pharmacy, and other related healthcare services
– The PRTF per diem does not include:
• Pharmaceutical
• Non-psychiatric
supplies
physician services not available at the PRTF and performed
at another location
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Mental Health
October 2010
Psychiatric Residential Treatment Facilities
Patient Liability
– Some residents of PRTF and State hospitals are assigned a patient
liability
• The
patient liability must be paid to the facility by the member each month
– IndianaAIM systematically deducts the patient liability during claims
processing
• Providers
• EOB
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Mental Health
can identify the patient liability deduction on the remittance advice
2014 Claim adjusted by the monthly Medicaid patient liability amount
October 2010
Edit 2017
Recipient ineligible on the date(s) of service due to enrollment in a
managed care organization
– Providers billing psychiatric services for members residing in a PRTF
that are receiving Edit 2017 are instructed to send their claims for inhouse processing to:
HP Provider Written Correspondence Unit
P. O. Box 7263
Indianapolis, IN 46207-7263
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Mental Health
October 2010
Describe
Partial Hospitalization
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Mental Health
October 2010
Adult Partial Hospitalization
– Adult partial hospital programs are highly intensive, time limited
medical services intended to either provide a transition from inpatient
psychiatric hospitalization to community based care or, in some cases,
substitute for an inpatient admission, per 405 IAC 5-20-8(4).
– Admission criteria for a PH program are essentially the same as for
the inpatient level of care, with the exception that the patient does not
require 24 hour nursing supervision. Patients must have the ability to
reliably control themselves for safety. Patients with clear intent to
seriously harm self or others are not candidates for Partial
Hospitalization.
– The program is highly individualized with treatment goals that are
measureable, functional, time framed, medically necessary and
directly related to the reason for admission.
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Mental Health
October 2010
Adult Partial Hospitalization (continued)
– Providers must contact the health plan at
the time of admission to a partial hospital
program to provide notification of
admission. Services will be authorized
for up to 5 days, depending on the
patient’s condition . Re-authorization
criteria will be applied to stays that
exceed 5 days
– HCPCS code S0201, Partial
Hospitalization Services, less than 24
hours, per diem . The current
reimbursement rate is $219.86 for foursix hours of active treatment
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Mental Health
October 2010
Adult Partial Hospitalization (continued)
– Limitations and Restrictions
Prior authorization is required for S0201
Providers will be audited to ensure they are providing an average of 6
hours per day for S0201
One unit allowed per date of service
Inpatient services are not reimbursable on the same date as S0201
Physician services and prescription drugs are reimbursed separately
from S0201
Medicaid Rehab Option (MRO) services are not reimbursable on the
same date as S0201
Service must be provided at least 4 days per week
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Mental Health
October 2010
Children Partial Hospitalization
– Partial hospital programs are highly intensive, time limited medical
services intended to either provide a transition from inpatient
psychiatric hospitalization to community based care or, in some cases,
substitute for an inpatient admission per 405 IAC 5-20-8(4)
– Admission criteria for a PH program are essentially the same as for
the inpatient level of care, with the exception that the patient does not
require 24 hour nursing supervision. Patients must have the ability to
reliably control themselves for safety. Patients with clear intent to
seriously harm self or others are not candidates for Partial
Hospitalization.
– The program is highly individualized with treatment goals that are
measureable, functional, time framed, medically necessary and
directly related to the reason for admission.
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Mental Health
October 2010
Children Partial Hospitalization (continued)
– Providers must contact the health
plan at the time of admission to a
partial hospital program to provide
notification of admission. Services
will be authorized for up to 5 days,
depending on the patient’s condition
Re-authorization criteria will be
applied to stays that exceed 5 days
– HCPCS code S0201, Partial
Hospitalization Services, less than
24 hours, per diem . The current
reimbursement rate is $219.86 for
four-six hours of active treatment
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Mental Health
October 2010
Children Partial Hospitalization (continued)
– Limitations and Restrictions
Prior authorization is required for S0201
Providers will be audited to ensure they are providing an average of 6
hours per day for S0201
One unit allowed per date of service
Inpatient services are not reimbursable on the same date as S0201
Physician services and prescription drugs are reimbursed separately
from S0201
Medicaid Rehab Option (MRO) services are not reimbursable on the
same date as S0201
Service must be provided at least 4 days per week
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Mental Health
October 2010
Understand
Package C - Outpatient, MRO and
PRTF
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Mental Health
October 2010
Changes to Package C coverage
– Effective January 1, 2010 Package C
(CHIPS) members have the same
coverage for mental health, MRO and
PRTF as traditional Package A
members.
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Mental Health
October 2010
Learn
Risk-Based Managed Care (RBMC)
Risk-Based Managed Care
– Effective January 1, 2007, outpatient mental health services were
carved in to the RBMC delivery system
– Services provided to RBMC members by the following specialty types
are the responsibility of the MCEs:
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•
Freestanding Psychiatric Hospital (011)
•
Outpatient Mental Health Clinic (110)
•
Community Mental Health Center (111)
•
Psychologist (112)
•
Certified Psychologist (113)
•
HSPP (114)
•
Certified Clinical Social Worker (115)
•
Certified Social Worker (116)
•
Psychiatric Nurse (117)
•
Psychiatrist (339)
Mental Health
October 2010
Risk-Based Managed Care
– Services that are the responsibility of the MCEs:
50
•
Office visits with a mental health diagnosis
•
Services ordered by a provider enrolled in a mental health specialty, but provided by a
nonmental health specialty, such as a laboratory and radiology
•
Mental health services provided in an acute care hospital
•
Inpatient stays in an acute care hospital or freestanding psychiatric facility for
treatment of substance abuse or chemical dependency
Mental Health
October 2010
Risk-Based Managed Care
– MCEs
•
Anthem www.anthem.com
•
Managed Health Services (MHS) www.managedhealthservices.com
•
MDwise www.mdwise.org
– Behavioral Health Organizations (BHO)
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•
Magellan (Anthem) www.magellanhealth.com
•
Cenpatico (MHS) www.cenpatico.com
•
MDwise www.mdwise.org
Mental Health
October 2010
Risk-Based Managed Care
– The MCE or BHO may have different
rules for PA, timely filing limits, or claims
processing
– The MCE or BHO and HP must honor
PAs approved by the original IHCP
entity for a period of 30 days following a
change from the originating entity to the
receiving entity
– Providers should verify eligibility before
providing service
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Mental Health
October 2010
Deny
Common Denials for Mental Health
Edit 2503
Recipient Covered by Medicare B or D (w/attachment)
– Cause
•
Recipient is covered by Medicare B, claim was submitted with Medicare EOB but it
was not compatible with the information billed
– Resolution
54
•
Verify information on claim matches with Medicare EOB
•
Verify claim was paid by Medicare and not denied. If so, the claim will need to be
submitted as a Medicaid primary with a copy of the Medicare EOB to show the denial.
Mental Health
October 2010
Edit 5000
Possible Duplicate
– Cause
•
There is a claim in history that was billed on the same date of service and matches
procedure, group and/or rendering provider
– Resolution
55
•
Verify if the claim was paid on a previous billing cycle
•
Be sure to use appropriate modifiers for all rendering providers and mid-level providers
for services rendered
Mental Health
October 2010
Edit 0512
Claim Past Filing Limit
– Cause
•
Claim was billed more than 365 days after the date of service
– Resolution
56
•
Provider will need to submit proof of filing with each claim submission to show claim
was originally filed within the filing timeline.
•
For a detailed listing of approved filing documentation please refer to the IHCP
Provider Manual, Chapter 10, Section 5 under Past the Filing Limit Documentation.
Mental Health
October 2010
Edit 2504
Recipient Covered by Private Insurance
– Cause
•
No primary payer information identified on the claim
– Resolution
•
Verify TPL payment and indicate the paid amount on claim in the appropriate field:
− CMS-1500 field 29
− UB-04 field 50B-54B
•
57
If zero is paid by the TPL carrier or the TPL carrier denies the claim, be sure to include
the primary EOB
Mental Health
October 2010
Edit 2017
Recipient Ineligible on Date(s) of Service due to Enrollment
in a Manage Care Organization
– Cause
•
Recipient is enrolled in an (MCE)
– Resolution
•
58
Provider must bill claim to the MCE in which the recipient is enrolled.
Mental Health
October 2010
Edit 0346
Payer Prior Payment is Missing
– Cause
•
A payer code appears on the first payer line but no primary payment amount is listed
on the claim
– Resolution
•
59
Complete payer field with corresponding amount listed on the EOB
Mental Health
October 2010
Plan
HIPAA 5010
HIPAA 5010
– The mandatory compliance date for American National Standards
Institute (ANSI) version 5010 and the National Council for Prescription
Drug Programs (NCPDP) version D.0 for all covered entities is
January 1, 2012
– If submitting claims to the IHCP, you need to prepare for these
upgrades to prevent delays in payment
– The IHCP and HP will test transactions on a schedule
– Specific transaction testing dates will be provided in the future
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Mental Health
October 2010
HIPAA 5010
Transactions affected by this upgrade
• Institutional claims (837I)
• Dental claims (837D)
• Medical claims (837P)
• Pharmacy claims (NCPDP)
• Eligibility verifications (270/271)
• Claim status inquiries (276/277)
• Electronic remittance advices (835)
• Prior authorizations (278)
• Managed care enrollments (834)
• Capitation payments (820)
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Mental Health
October 2010
Testing Information
– All trading partners currently approved to submit 4010A1 and NCPDP
5.1 version transactions will be required to be approved for 5010 and
D.0 transaction compliance
•
All software products used to submit 4010 and NCPDP 5.1 versions must be tested
and approved for 5010 and D.0.
– Testing will begin January 2011 and include:
•
Clearinghouses, billing services, software vendors, individual providers, and provider
groups
– Providers that exchange data with the IHCP using an IHCP- approved
software vendor will not need to test
– Each trading partner will be required to submit a new Trading Partner
Agreement
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Mental Health
October 2010
What You Need To Do
– If you bill IHCP directly
•
Begin the process to upgrade to the ANSI 5010 or NCPDP D.0 versions
– If you are using a billing service or clearinghouse
•
Find out if they are preparing for the HIPAA upgrades to ANSI 5010 and NCPDP D.0
•
IHCP Companion Guides will be available during the fourth quarter of 2010
– Questions should be directed to the EDI Solutions Service Desk
•
By email at [email protected]
•
By phone at 1-877-877-5182 or (317) 488-5160
– Watch for additional information on the testing process, revised IHCP
Companion Guides, and the schedule for transaction testing on this
mandated initiative in bulletins, banner pages, and newsletters at
www.indianamedicaid.com
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Mental Health
October 2010
Helpful Tools
– IHCP Web site at www.indianamedicaid.com
– IHCP Provider Manual
– MRO Provider Manual
o405
IAC 5-20 (Mental Health Services)
o405 IAC 5-21 (Community Mental Health Rehabilitation Services)
o405 IAC 5-21.5 (Medicaid Rehabilitation Option Services)
– Customer Assistance
•
1-800-577-1278 toll-free
•
(317) 655-3240 in the Indianapolis local area
– HP Written Correspondence at the following address:
HP Written Correspondence
P.O. Box 7263
Indianapolis, IN 46207-7263
– Provider Relations Field Consultants
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Mental Health
October 2010
Q&A