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MedicaidAdministrativeMedium impact

BT202119: Case/care manager information is available in eligibility information for waiver and MRO benefits

Indiana Medicaid (IHCP)·IN · Psychiatry, Physical Therapy, Occupational Therapy +1 more·Specialty Services
Effective date
Apr 28, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

Effective April 28, 2021, Indiana Health Coverage Programs (IHCP) will include case/care manager contact information in eligibility verification for waiver and MRO benefits. This information will be accessible through the Provider Portal, IVR system, and 270/271 eligibility transactions to improve care coordination.

Action Required

Action needed
By April 28, 2021: Billing and authorization staff should familiarize themselves with the new case/care manager information available in eligibility verification systems (Portal, IVR, and 270/271 transactions) for waiver and MRO members. Update workflows to utilize this contact information for care coordination when serving members with Aged and Disabled HCBS Waiver, Traumatic Brain Injury HCBS Waiver, Money Follows the Person grants, Adult Mental Health Habilitation, Child Mental Health Wraparound, and Behavioral & Primary Healthcare Coordination benefits.