• Assisting Patients with Tobacco Cessation

    Providers are encouraged to discuss tobacco cessation with all patients, advising and imploring smokers to quit. Effective for dates of service on or after November 1, 2011, MHS covers tobacco cessation counseling when billed with CPT code 99407 and modifier U6 with a primary diagnosis code of 305.1. Modifier U6 denotes each 15 minutes of…

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  • Important Ventolin HFA (Albuterol sulfate) Recall Notice

    On December 3rd, 2015, the US Food and Drug Administration (FDA) announced a drug recall from GlaxoSmithKline1. The recall is voluntary. The FDA issued the recall due to the product’s canister being defective in their delivery of the medication which may result in a decreased number of available doses. The recall affects two lots of…

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  • Presumptively Eligible HIP Members – Billing and Prior Authorization Requirements

    Presumptive Eligibility (PE) allows individuals who appear to be eligible for the Healthy Indiana Plan (HIP) to receive temporary coverage prior to becoming fully eligible. Please refer to the following claims and prior authorization instructions for MHS PE members. Claims If the member’s PE HIP eligibility can be verified through the IHCP Eligibility Verification System…

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