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Evaluation and Management Services - in

INDIANA HEALTH COVERAGE PROGRAMS. PROVIDER REFERENCE MODULE. Evaluation and Management Services LIBRARY REFERENCE NUMBER: PROMOD00026. PUBLISHED: JULY 18, 2017. POLICIES AND PROCEDURES AS OF APRIL 1, 2017. VERSION: Copyright 2017 DXC Technology Company. All rights reserved. Revision History Version Date Reason for Revisions Completed By Policies and procedures current New document FSSA and HPE. as of October 1, 2015. Published: February 25, 2016. Policies and procedures current Scheduled update FSSA and HPE. as of April 1, 2016. Published: August 16, 2016. Policies and procedures current Scheduled update: FSSA and DXC. as of April 1, 2017 Reorganized text for clarity Published: July 18, 2017 Added Introduction section Added Portal billing as an option to claim submission method Added the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)/HealthWatch Services section Updated the Consultations section Library Reference Number: PROMOD00026 iii Published: July 18, 2017.

Evaluation and Management Services 2 Library Reference Number: PROMOD00026 Published: July 18, 2017 Policies and procedures as of April 1, 2017

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