Wednesday, December 3, 2014

Pediatric and neonatal critical care covered by IHCP during interfacility transportation

Effective January 1, 2015, the Indiana Health Coverage Programs (IHCP) will provide coverage for critical care during a pediatric or neonatal interfacility transport. The following restrictions apply:

 Patient must be 24 months of age or younger.
 Patient must be in critical condition, as determined by a physician using the
following guidelines:
 Patient has a critical illness or injury that acutely impairs one or more vital organ
systems.
 Imminent or life-threatening deterioration of the patient’s condition is highly
probable during transport.
 This service must be rendered by a physician or a neonatal nurse practitioner (NNP).

Coverage applies to all IHCP programs, subject to limitations established for certain benefit packages, for dates of service on or after January 1, 2015.

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