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ARTICLE

Date ArticleType
6/6/2018 Payment/Reimbursement
Clarification on Transition/Grace Period for New Fee For Service Transportation

The IHCA has heard from members across the state about issues with the new Fee For Service Medicaid transportation broker Southeastrans (SET) since the June 1, 2018 roll-out.  IHCA has been in close contact with Indiana Medicaid and SET and has shared a detailed list of member complaints, emphasizing the negative impact the change is having on patients and facility staff. 

For the immediate future (until June 30), Indiana Medicaid has implemented a transition/grace period, which allows facilities to set up rides directly with their regular providers.  The Indiana Medicaid Bulletin announcing the grace period can be found at this link.

Due to confusion about the Bulletin, Indiana Medicaid has clarified the points below.

  • Page 1, ¶2, reaffirms that the transition/grace period (incorrectly called the “Open Network”) will allow any IHCP-enrolled provider to continue providing services during the month of June (regardless of contract status).  Reimbursement will come from SET once the provider submits appropriate information (contracting is NOT required).
  • Page 1, ¶5 makes clear that members [and implicitly providers/facilities] can make their preferences known to SET who will work to keep those connections.
  • Page 3, ¶2 highlights that rates for the month of June are the FFS rates.  After July 1, SET rates will be based on the FFS fee schedule, but may vary depending on the contract.

IHCA will continue to share your feedback with Indiana Medicaid and SET and press for resolution to the various problems you have encountered with this new process.