Industry Updates: IDOI Final Rule, IHCP Provider Seminar dates, and HIP enrollment process revisions

We reported in April that the Indiana Department of Insurance (IDOI) would hold a public hearing on a proposed rule relating to individuals acting as an Indiana Navigator and entities acting as an Application Organization (AO) in Indiana.  The meeting was held and the final rule has been released.  

Some highlights from the rule include:

  • The requirement of the Navigator certification
  • Specific duties of the Application Organization (AO)
  • Penalties that are now in force

This topic may warrant a brief meeting or call for you to better understand the impact and exposure to your facilities.  If so, please contact J Hopkins directly at jhopkins@claimaid.com or by phone at 317.295.4050 x 126.

Other important news to share:

  • In a recent IHCP bulletin, the FSSA and Hewlett Packard Enterprise announced they will hold a seminar for IHCP providers on October 18-20 in Indianapolis. Topics include program overviews and specific program billing guidelines, as well as a preview of the new Provider Healthcare Portal.

                      Who:          FSSA and Hewlett Packard Enterprise (HPE)
                      What:        Seminar for IHCP providers
                     Where:      Indianapolis Marriott East Hotel, 7202 East 21st Street, Indianapolis, IN
                      When:       October 18-20, 2016   Click here for full session schedule

     

To register, please visit the registration page on the Indiana Medicaid website for providers or click here. Registration for the IHCP Annual Provider Seminar is a two-step process. During registration, you must first register for the seminar. After you have confirmed your registration, you must then register for each session you would like to attend. Those who register online receive immediate registration confirmation. All registration is on a first-come, first-served basis, so sign up early for the best selection.

Read the full bulletin here.

 

  • IHCP issued a bulletin on 8/9/16 which revised the process and time frame for conditional status and full enrollment for a PE member. Effective 8/5/2016 individuals that are enrolled as a PE member will transition from the PE # to a RID # the month following the month that the full HIP application is approved.

The newly approved individual will not stay in a conditional status as they did previously awaiting for their contribution for HIP Plus.  Once FSSA determines they are eligible based on the full application they are considered enrolled and will be issued a traditional RID #. Members will then be given notice that they can enroll in HIP Plus in the 60 day time frame. See the scenarios below:

Read the full bulletin here.