Indiana Medicaid Dental Fee Schedule

Date:

Processing Your Enrollment Transaction

Childrens Dental Health Cherokee

Please allow at least 15 business days for processing before checking the status of your submission. After your transaction is processed, the IHCP Provider Enrollment Unit will notify you of the results.

Note: Letters from the IHCP Provider Enrollment Unit are sent in envelopes that display the Indiana Family and Social Services logo and the words Office of Medicaid Policy & Planning above the return address.

Indiana Medicaid Extends Covid

On January 5, 2022, the Indiana Department of Health and the Office of Medicaid Policy and Planning announced that the temporary 6% increase in Medicaid reimbursement rates for Indiana nursing facilities that attest to being COVID-19 Ready has been extended through January 31st, 2022.

Medicaid

Indianas Case Mix reimbursement system is complex and frequently changing. We track and provide guidance on a range of matters from Quality Assessment Fee to Payment Add-ons to Value based Purchasing to Cost Reports and Audits.

We also engage in policy development and expansion of Medicaid Long Term Services and Supports, Medicaid Waiver and Home and Community Based Services.

Indiana Has Accepted Federal Medicaid Expansion

  • 1,939,436 Number of Indianans covered by Medicaid/CHIP as of October 2021
  • 818,762 Increase in the number of Indianans covered by Medicaid/CHIP fall 2013 to October 2021
  • 41% Reduction in the uninsured rate from 2010 to 2019
  • 65% Increase in total Medicaid/CHIP enrollment in Indiana since late 2013

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Get Important News & Updates

Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.

Cosmetic Dental Care Services

Fort Wayne, IN Denture Care Center

At Simply Smile in Indianapolis, we offer a wide range of cosmetic dental services including, crowns, veneers, teeth whitening, and porcelain fixed bridges. We believe that every person in our community should feel confident and happy with their smile. For more information about cosmetic dental services, contact us today!

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Family Practice Medicaid Coverage

Simply Smile in Indianapolis offers comprehensive dental care benefits for children as well as adult members of the family. The dentists on our team are passionate about maintaining lasting smiles for our patients through regular cleaning and periodic screening for things like gum disease, malocculsions, and other developing issues that affect teeth. We accept various insurance options and are happy to provide cost effective strategies for the whole family.

Patients With Medicaid Insurance

Simply Smile offers everything from emergency services to orthodontia. We understand that choosing to seek dental care can be overwhelming, and we want to make this a low risk, comfortable process for new patients.

Patients with Medicaid should call to see if we are the right fit for you. Let us put a smile on your face!

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Specializing In Preventative Care

At Simply Smile, we believe that preventative care is an attainable, efficient, and cost effective approach to maintaining great smiles. Our doctors provide a wide range of treatment options. However, we are dedicated to empowering members of our community to take a proactive approach with education, regular cleanings, and frequent brushing and flossing.

For more information on preventative care, call us to schedule an appointment today.

See Immunization Fee Schedule And Louisiana Medicaid Epsdt Program Fee Schedule

Indianas Medicaid Model Could SpreadBut Its Not Working For Everyone

Indiana medicaid fee schedule. Ambulatory Surgical Center Services Fee Schedule. To request older copies of fee schedules please submit an open records request by mail or fax directly with the open records custodian at the address is below. Indiana MDwise HIP Member Services.

CLTC Fee Schedulexls. Anthem will continue to update quarterly the reimbursement tied to the Indiana Medicare Fee Schedules drugs durable medical equipment orthotics and prosthetics for example in conjunction with Indiana Medicares Fee Schedule changes. Private Mental Health Fee Schedule.

2021 Medicare Physician Fee Schedule for Indiana Effective January 1 2021 All Current Procedural Terminology CPT codes and descriptors are copyrighted 2020 by the. The Indiana Health Coverage Programs IHCP Professional Fee Schedule is updated weekly. In the past Medicaid only paid for long-term care services in an institutional setting such as nursing facilities and group homes.

Covered services rendered to the HIP members will be reimbursed at 130 of the current Hoosier Healthwise fee schedule while Hoosier Care Connect and Hoosier Healthwise members will be reimbursed at 100 of the current Hoosier Healthwise fee schedule. Fee Schedule Rates. Medicaid Healthy Michigan Plan Childrens Special Health Care Services CSHCS MIChild Maternity Outpatient Medical Services MOMS and other health care programs administered by MDHHS.

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Dentists That Accept Medicaid In Indiana

Contents

Simply Smile believes that attainable dental care is important for everyone, regardless of income level. Seeking the right dentist can often be an overwhelming task. Although dentistry is a complicated subject, the team at Simply Smile provides empathetic, safe, and affordable service.

If you are seeking a Medicaid Dentist in the Indianapolis area, contact us to learn more about scheduling appointments.

Initiating Your Enrollment Transaction

The following steps outline the basic enrollment process for this provider type. More detailed information is available in the provider reference module.

  • Refer to the for a list of the documentation required for IHCP enrollment or revalidation under each applicable provider specialty.
  • See the to determine your risk level and whether you are required to pay an application fee. The enrollment or revalidation screening process is determined by the risk level that applies to your provider type. At its discretion, the State may assign a provider a higher risk level that supersedes the risk level assigned by the Centers for Medicare & Medicaid Services and noted on the matrix.
  • Generally, a dentist enrollment or revalidation is considered “limited” risk and is not subject to additional screening measures.
  • A dentist enrollment, revalidation, added service location, or change of ownership does not require the payment of an application fee.
  • Providers are encouraged to use the IHCPProvider Healthcare Portal to enroll, add a service location, report a change of ownership, revalidate, or update provider profile information. Providers will find the online process much quicker and easier than using paper forms. Online help guides users through the process from start to finish and provides immediate confirmation of enrollment submissions. If you choose to enroll or update by mail, complete the appropriate IHCP provider packet, based on your provider classification :
  • Recommended Reading: General Doctor That Accepts Medicaid

    Medicaid Insurance Coverage Indiana

    The team at Simply Smile in Indianapolis, is passionate about treating patients of all ages, from all walks of life. We offer a comprehensive dental care plan that begins with understanding your medical and dental history. With an emphasis on communication and education, we then proceed with an individualized treatment plan.

    If you are seeking Medicaid dentists in Indiana call Simply Smile for important information.

    Indianas Alternative To Medicaid Expansion

    New Mexico Proof of Dental Examination

    Under the Affordable Care Act, Medicaid expansion is a vital strategy to make health care accessible to more people and to reduce the nations uninsured rate. Through the ACA, the federal government paid 100% of the cost of covering low-income adults, up to 138% of FPL, through the Medicaid program until 2016. The federal portion gradually dropped to 90% by 2020, where it will remain.

    Although Indiana expressed willingness to consider a modified version of Medicaid expansion, both Governor Pence and the head of the Indiana Family and Social Services Administration took the position that Medicaid must be reformed, not just expanded. But there was significant federal money available to states that expand Medicaid. If Indiana had not expanded coverage at all, the state would have missed out on $17.3 billion in federal funding in the decade from 2013 to 2022.

    Indiana did not adopt straight Medicaid expansion as structured under the ACA. However, the state did receive a federal waiver to continue its then seven-year-old Healthy Indiana Plan, a health insurance program for uninsured adults with income at or below the federal poverty level, in which participants helped pay the first $1,100 of care. However, the program didnt cover as much as Medicaid does, and there was a limit on the number of people that could be covered. As of late August 2014, the Healthy Indiana Plan was closed to new enrollment.

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    Does Indiana Have A Medicaid Work Requirement

    No, Indiana does not have a Medicaid work requirement. A work requirement was approved by the Trump administration but never implemented, and the approval was ultimately revoked by the Biden administration.

    In 2019, Indiana began phasing in a work requirement for Medicaid expansion enrollees, and people who werent exempt or in compliance were slated to begin losing Medicaid coverage after the end of 2019. But a lawsuit was filed to block the work requirement, and Indiana paused implementation of the work requirement altogether in November 2019, pending the outcome of the lawsuit.

    The COVID pandemic made Medicaid work requirements essentially unworkable, and as of the spring of 2020, there were no Medicaid work requirements in effect anywhere in the country. The Families First Coronavirus Response Act, enacted in March 2020, provided additional federal Medicaid funding but prevented states from terminating coverage for any Medicaid enrollees during the COVID public health emergency period.

    In June 2021, the Biden administration notified Indiana that approval for the Medicaid work requirement was being withdrawn, so it will not go into effect after the COVID pandemic ends.

    Battles With Cms Over Indiana Medicaid Lock

    HIP 2.0 includes a six-month re-enrollment lock-out for people above the poverty level who fail to pay required premiums. But ever since the original HIP waiver approval in 2007, Indiana had also had a 12-month lock-out for people who fail to complete the eligibility redetermination process.

    There was some confusion in terms of this aspect of the program, as Indiana officials assumed it had been approved by CMS, while CMS indicates that they would not have approved such a provision. In April 2016, Indiana asked CMS to make the lock-out officially part of HIP 2.0, but in August 2016, CMS denied the request. However, the allows Indiana to implement the eligibility lock-out period for Medicaid expansion enrollees who fail to complete their eligibility redeterminations, as long as the state ensures that there are exceptions for certain vulnerable populations and for mitigating circumstances.

    The interim report on the access to care survey indicated that while 52% of HIP Plus enrollees did not struggle to pay their premiums, 16% always worried about the affordability of HIP Plus premiums, while 29% worried about affordability usually or sometimes. Enrollees prefer HIP Plus , but the inclusion of premiums adds an element of economic uncertainty that doesnt exist in states where Medicaid was expanded without deviation from the ACAs original plan.

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    Navigating Payment And Reimbursement Policy For Indianas Senior Living Sector

    Obtaining payment for the important services provided to Indianas elderly and disabled is critical to the success of communities and the hands-on care provided each and every day. IHCA/INCAL has led the way in the development of Medicaid policy and advocacy, while AHCA/NCAL concentrates on policy and advocacy in the Medicare program, to help skilled nursing facilities and assisted living communities to receive compensation for their services.

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