Wednesday, May 25, 2011

Changes to therapy services under Indiana Health Coverage Programs

Family Voices shares the following information with its members so they can be better informed about changes to Indiana Health Coverage Programs (IHCP). The following bulletin was posted today:

Removal of physical, speech, and occupational therapy services limitations
As previously published in Indiana Health Coverage Programs (IHCP) provider bulletin BT201058, dated December 7, 2010, the IHCP announced a service limit to physical, speech, and occupational therapy to 25 visits for each type of therapy, per rolling 12-month period, for members age 21 or older, for dates of service on or after January 1, 2011.
These service limitations that were previously announced will be eliminated effective June 30, 2011, but will be applied to any claims submitted with dates of service for January 1, 2011, through June 29, 2011. In addition, prior authorization will be required for all members age 21 or older for physical, speech, and occupational therapy, effective for dates of service
on or after June 30, 2011.
Therapy services for members less than 21 years of age remains unchanged, and current prior authorization requirements remain in effect.

You can read all current and past bulletins here: http://www.indianamedicaid.com/ihcp/Publications/bulletin_results.asp

If you have questions about this information, please contact Customer Assistance at (317) 655-3240 in the Indianapolis local area or toll-free at 1-800-577-1278.

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