Wednesday, December 21, 2016

IHCP eliminates panel size limits for primary medical providers

The Indiana Health Coverage Programs (IHCP) announced in IHCP Bulletin BT201629 that advanced practice nurses (APNs) serving as primary medical providers (PMPs) would be limited to a panel size of 500 members. In addition, past IHCP guidance has limited physician panel sizes to 2,500 members. 

Effective January 1, 2017, the IHCP will no longer limit the size of member panels for APN or physician PMPs. All IHCPenrolled providers serving as PMPs will be responsible for maintaining an appropriate panel size that allows for adequate care to the members assigned to the panel. 

Providers enrolled with a managed care entity (MCE) are encouraged to contact the MCE for additional information and to confirm the terms of their agreement with respect to panel size. The MCE may impose panel size limits to ensure quality of care. 

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