Great News for Indiana Suppliers

Published in Government Relations on August 01, 2022

State UpdateIndiana Medicaid Temporarily Suspends MCE PA Requirements for Respiratory Assist Devices

As reported by Great Lakes below,

We have good news to report! The Indiana Family and Social Services Administration (FSSA) published BT202260 yesterday 7/28/2022 which announced a positive change to address an issue that the Great Lakes Indiana Medicaid Workgroup has been raising with FSSA Provider Relations staff.

The IHCP bulletin states “Effective Aug. 1, 2022, through Jan. 31, 2023, the Indiana Health Coverage Programs (IHCP) is temporarily removing managed care entity (MCE) prior authorization (PA) requirements for continued use of respiratory assist devices, including continuous positive airway pressure (CPAP) and bi-level positive airway pressure (BiPAP) devices. The PA suspension is for a continuation of coverage only and not the initiation of services.” Read the bulletin for full details.

We are grateful for the agency’s action to recognize today’s challenges in providing these respiratory devices. According to our contact at FSSA, Indiana Medicaid will reevaluate this policy change at that the end of this suspension period. Thank you to the Great Lakes Medicaid workgroup for their engagement on this issue including Kathy Murzyn at Fairmeadows for her leadership. 

If you have any questions, please contact Kam Yuricich ([email protected]) at Great Lakes or Ronda Buhrmester ([email protected]) at VGM.


TAGS

  1. legislation
  2. respiratory
  3. state association
  4. vgm
  5. vgm government

From Our Experts

Last Chance to Take Our Survey! What Are Your Concerns Going into 2023? thumbnail Last Chance to Take Our Survey! What Are Your Concerns Going into 2023? We want to hear from you! VGM Government Relations wants to ensure that we focus on the issues that mean the most to our VGM members. Our team will review the survey responses and frame our planning for 2023 around the feedback received. The survey will close on Dec. 4, 2022. CMS Releases New CPI-U Adjustments for DMEPOS in 2023 thumbnail CMS Releases New CPI-U Adjustments for DMEPOS in 2023 Today, Dec. 1, 2022, CMS released the quarterly fee schedule update for DMEPOS. It includes the annual inflation factor to be applied to DMEPOS items effective January 1, 2023, with an implantation date of January 3, 2023. The breakdown of the adjustment is below. Act Now For Reimbursement Relief and Tell Us About Your Priorities For 2023 thumbnail Act Now For Reimbursement Relief and Tell Us About Your Priorities For 2023 As we enter the final weeks of the 117th Congress and 2022, the VGM Government Relations team will be working to push Congress to include reimbursement relief into any end of the year packages. Priorities Set for DMEPOS as VGM's State Leader Summit Last Week thumbnail Priorities Set for DMEPOS as VGM's State Leader Summit Last Week VGM's annual State Leader Summit wrapped up last week at the VGM headquarters in Waterloo, IA. Leaders from state associations all over the country attended and discussed priorities for 2023 as well as ways to improve their associations. The House of Representatives Passed the Lymphedema Treatment Act! thumbnail The House of Representatives Passed the Lymphedema Treatment Act! Today, the full House of Representatives passed the Lymphedema Treatment Act, moving us one giant step closer to the bill becoming law! Disaster Preparedness: Speak Up About Expense thumbnail Disaster Preparedness: Speak Up About Expense Are there any efforts to improve processes during a disaster? Reminder: New Contractor Steps in to Handle Suppliers Billing Number Privileges thumbnail Reminder: New Contractor Steps in to Handle Suppliers Billing Number Privileges Reminder: As of Nov. 7, 2022, there is a new contractor coming on board to handle suppliers' billing number privileges (PTAN). We know the common name National Supplier Clearinghouse (NSC) that has been contracted with Palmetto GBA. Great News: Great Lakes Achieves ARPA Relief for Indiana HME Providers thumbnail Great News: Great Lakes Achieves ARPA Relief for Indiana HME Providers Congratulations to Indiana, and the Great Lakes State Association, on achieving ARPA relief for Indiana HME providers. This process started for them back in 2021 and their work paid off. Read below, as reported by Great Lakes: