What is the IHCP outpatient fee schedule?
The IHCP publishes the rates for outpatient hospitals and ambulatory surgical centers (ASCs) on the Outpatient Fee Schedule. This fee schedule reflects current IHCP coverage and reimbursement policy for procedure codes and revenue codes billed for IHCP outpatient services under the FFS delivery system.
How often is the outpatient fee schedule updated?
The Outpatient Fee Schedule is updated monthly to reflect any change in policies. Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information.
What are the different types of fee schedules in healthcare?
Fee Index Ambulance and Physician Directed ... Anesthesia Fee Schedules Applied Behavior Analysis Fee Schedule COVID-19 Fee Schedules Dental Fee Schedules Durable Medical Equipment (DME) Fee Sche ... EPSDT Fee Schedule Home Health Services Fee Schedule Hospice Fee Schedules Immunization Fee Schedules 8 more rows ...
What is the Indiana health coverage programs professional fee schedule?
The Indiana Health Coverage Programs (IHCP) Professional Fee Schedule includes reimbursement information for providers that bill services using professional claims or dental claims reimbursed under the fee-for-service (FFS) delivery system.
Professional Fee Schedule
The Indiana Health Coverage Programs (IHCP) Professional Fee Schedule includes reimbursement information for providers that bill services using professional claims or dental claims reimbursed under the fee-for-service (FFS) delivery system.
Outpatient Fee Schedule
The IHCP publishes the rates for outpatient hospitals and ambulatory surgical centers (ASCs) on the Outpatient Fee Schedule. This fee schedule reflects current IHCP coverage and reimbursement policy for procedure codes and revenue codes billed for IHCP outpatient services under the FFS delivery system.
Fee Schedule for COVID-19 related codes
SCDHHS has published fee schedules for codes that have been created during the COVID-19 public health emergency on the agency’s COVID-19 website.
ADVANCE PRACTICE PROVIDERS
Fee Schedule Below Includes Nurse Midwives, Licensed Midwives FEE_MIDWIF.xlsx
Physician Fee Schedules
Fee Schedule Below Includes Base Physician Rates for all Physicians except Anesthesiologists, Neonatologists and Pediatric Subspecialists. Fee Schedule also includes Podiatry Rates.
On this page
Stay up-to-date with rate and billing changes, and ProviderOne system changes.
Prior authorization (PA)
Before you provide certain services, you will need to submit authorization request forms. Use the ProviderOne portal to see if a client is eligible for the service and the billing guides and fee schedules to determine if a PA is required.
Claims
After you complete a service, you file claims through the ProviderOne portal. Use the billing guides and fee schedules to find rate information and the ProviderOne Billing and Resource Guide to walk through the claims process.
Billing guides and fee schedules
Use our billing guides and fee schedules to determine if a PA is required and assist in filing claims.
