Subject: Provider Workshops for Medicaid and Waiver Programs

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P R O V I D E R B U L L E T I N B T 2 0 0 3 7 3 D E C E M B E R 3 1, 2 0 0 3 To: All Providers Subject: Overview The Office of Medicaid Policy and Planning (OMPP), Children s Health Insurance Program (CHIP), and EDS offer Indiana Health Coverage Programs (IHCP) first quarter workshops free of charge. s will be offered at several locations in Indiana. The following topics will be covered during the two days: Medicaid 101 Medicaid and Managed Care Roundtable Web interchange Waiver Billing and Local Codes for Waiver Providers Note: The waiver audit review session will be held only in the following locations: St. Joseph Regional Hospital, South Bend; Riverview Hospital, Noblesville; and Clark Memorial Hospital, Jeffersonville. Workshops are offered at the following locations in Indiana: Riverview Hospital Noblesville Reid Hospital Richmond Clark Memorial Hospital Jeffersonville ISU School of Nursing Terre Haute St. Mary s Medical Center Evansville Lutheran Hospital Fort Wayne St. Joseph Regional Hospital South Bend St. Catherine s Hospital East Chicago Tables 1 and 2 list the schedules and related times for all sessions. All workshops begin at the local time. EDS Page 1 of 5

Table 1 Workshop Schedule for Day One Time 8:30 a.m. to 11:30 a.m. Medicaid 101 11:30 a.m. to 1 p.m. Lunch (not provided) 1 p.m. to 2:30 p.m. Medicaid and Managed Care Roundtable 2:45 p.m. to 4 p.m. Web interchange Table 2 Workshop Schedule for Day Two Time 8:30 a.m. to 11:30 a.m. Waiver Billing and Waiver Local Codes 11:30 a.m. to 1 p.m. Lunch (not provided) 1 p.m. to 3 p.m. for January 23, February 26, and March 10 only 3:15 p.m. to 4:30 p.m. On January 27, February 12, 13, 18, and March 12 this session begins at 11:30 a.m. Table 3 lists the description for each session. Table 3 Workshop Descriptions Medicaid 101 Web interchange Medicaid and Managed Care Roundtable Waiver Billing and New Local Codes for Waiver Description This session gives an overview of the IHCP, eligibility verification methods, restricted card, managed care programs, and more. This session is good for new IHCP billers or those needing a refresher course. This session provides information about using the new claim submission tool Web interchange. It includes a review of general claim structure and information specific to each claim type UB92, CMS-1500, and ADA 1999 version 2000. This session gives providers the opportunity to ask questions about the IHCP. Where applicable, representatives from the managed care organizations will be present. Representatives from AmeriChoice and EDS field consultants will be present at all roundtable discussions. This session is a review of waiver codes and services. This session is specifically designed for providers that bill waiver services. (Continued) EDS Page 2 of 5

Table 3 Workshop Descriptions Note: This session will be offered only in Noblesville, South Bend, and Jeffersonville Description This session gives providers an overview of the waiver review process, conducted by EDS on behalf of the OMPP, to assist Home and Community-Based Services (HCBS) waiver providers achieve IHCP compliance with documentation and billing standards currently applicable to aged and disabled and developmentally disabled waivers. The EDS waiver review team will lead this session. This session allows waiver providers to ask questions and discuss issues about waiver claim submission. The EDS waiver field consultant will moderate this session. This session is specifically designed for waiver providers. Table 4 lists the specific workshop dates and the locations. Table 4 Workshop Dates and Locations Workshop Date Registration Deadline Location January 22 and 23, 2004 January 19, 2004 Riverview Hospital, Noblesville Conference Rooms A and B 395 Westfield Road January 26 and 27, 2004 January 22, 2004 Reid Hospital, Richmond Wallace Auditorium 1401 Chester Blvd. February 4, 2004 (Day one schedule only) January 30, 2004 Clark Memorial Hospital, Jeffersonville Conference Center lower level 1220 Missouri Avenue February 11 and 12, 2004 February 9, 2004 ISU School of Nursing, Terre Haute Landsbaum Center 1433 North 6 ½ Street February 12 and 13, 2004 February 9, 2004 St. Mary s Medical Center, Evansville Manor Auditorium 3700 Washington Avenue February 17 and 18, 2004 February 13, 2004 Lutheran Hospital, Fort Wayne Kachmann Auditorium 7950 West Jefferson Blvd. February 26, 2004 (Day two schedule only) February 23, 2004 Clark Memorial Hospital, Jeffersonville Conference Center lower level 1220 Missouri Avenue March 9 and 10, 2004 March 5, 2004 St. Joseph Hospital, South Bend Education Center 801 East LaSalle Avenue March 11 and 12, 2004 March 5, 2004 St. Catherine s Hospital, East Chicago Birthing Center 4321 Fir Street EDS Page 3 of 5

All workshops begin promptly at 8: 30 a.m. local time and end by 4:30 p.m. Lunch is not provided. General directions to workshop locations are available on the IHCP Web site at www.indianamedicaid.com. To access directions on the Web site, click Provider Services/Education Opportunities/Provider Workshops. Consult a map or other location tool for specific directions to the exact location. Seating for the workshops is limited to two registrants per provider number. Workshops are presented free of charge to providers. Fax completed registration forms to EDS at (317) 488-5376. EDS processes registrations chronologically based on the date of the workshop. A letter or fax confirming registration will be sent before the workshop. Direct questions about the workshop to a field consultant at (317) 488-5072. For comfort, business casual attire is recommended. Consider bringing a sweater due to the possible room temperature variations. Note: Please print or type the information requested on the registration form. One registrant per form should be listed. Note: Seating for sessions is limited to two registrants per provider number. Registrants will be contacted prior to the workshop to confirm attendance. Workshop registrations are accepted until the workshop deadline or until capacity is reached. EDS receipt of the registration form by fax at (317) 488-5376 does NOT guarantee attendance. If registrants do not receive a confirmation letter, registration is not confirmed due to seating capacity. Workshops are offered each quarter and information about future workshops is forthcoming. Direct any questions about workshops to the EDS provider representatives at (317) 488-5072. CDT-3/2000 (including procedure codes, definitions (descriptions) and other data) is copyrighted by the American Dental Association. 1999 American Dental Association. All rights reserved. Applicable Federal Acquisition Regulation System/Department of Defense Acquisition Regulation System (FARS/DFARS) Apply. CPT codes, descriptions and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply. EDS Page 4 of 5

P R O V I D E R W O R K S H O P R E G I S T R A T I O N Please print or type the information below and fax to (317) 488-5376. Medicaid 101 Medicaid Roundtable Web InterChange Noblesville, January 23, 2004 Jeffersonville, February 26, 2004 South Bend, March 10, 2004 Waiver Billing and Waiver Local Codes Noblesville, January 23, 2004 Richmond, January 27, 2004 Terre Haute, February 12, 2004 Evansville, February 13, 2004 Fort Wayne, February 18, 2004 Jeffersonville, February 26, 2004 South Bend, March 10, 2004 East Chicago, March 12, 2004 Noblesville, January, 23, 2004 Richmond, January 27, 2004 Terre Haute, February 12, 2004 Evansville, February 13, 2004 Fort Wayne, February 18, 2004 Jeffersonville, February 26, 2004 South Bend, March 10, 2004 East Chicago, March 12, 2004 Name of Registrant: Provider Number: Provider Name: Provider Address: Registrant Information City: State: ZIP: Provider Telephone: Provider Fax: Provider E-Mail Address: