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There have been a number of recent and upcoming changes relating to IHCP that providers should make themselves aware of including expanded telehealth services as well as an upcoming end to continuous full coverage eligibility.

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2022 Telehealth Reimbursement

Telehealth medical services follow the definition listed in Indiana Code IC 25-1-9.5-6: “the delivery of health care services using interactive electronic communications and information technology, in compliance with the federal Health Insurance Portability and Accountability Act (HIPAA).” For a provider to be reimbursed for telehealth services under the IHCP, the provider must be enrolled with the IHCP and be a licensed practitioner listed in IC 25-1-9.5-3.5. Providers rendering services in state are also encouraged to have a telehealth provider certification filed with the Indiana Professional Licensing Agency. Providers rendering services out of state are required to have a telehealth provider certification under IC 25-1-9.5-9.

 

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On April 20, 2021, Indiana's Governor Holcomb, signed into law SEA3 (Senate Enrolled Act), a telehealth bill. The bill cleans up some of the standards in previous Indiana laws. 

Below are just some of the details of Indiana's latest telehealth updates.
 *Changes the term 'telemedicine' to 'telehealth'. 
 *Expands the application of the telehealth statute to additional licensed practitioners instead of applying only to prescribers.
**List of providers: athletic trainer, chiropractor, dental hygienist, dentist, diabetes educator, dietitian, genetic counselor, physician, nurse, occupational therapist, behavioral health and human services professional, optometrist, pharmacist, physical therapist, physician assistant, podiatrist, psychologist, respiratory care practitioner, speech-language pathologist or audiologist.

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