Products & ProgramsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for AgingJuly 1, 2025

New incentive program — smoking cessation

We offer the Smoking Cessation Provider Incentive Program (SCPIP) to encourage smoking cessation counseling for members who use tobacco. The SCPIP offers an incentive to care providers who:

  • Provide members who use tobacco with intensive smoking/tobacco cessation counseling for more than 10 minutes.
  • Submit code 4004F in addition to CPT® code 99407 — Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes, and a primary ICD‑10 diagnosis code of F17.200‑F17.299.

SCPIP incentive payments

The table below shows the incentive payment amount for each eligible occurrence and the incentive eligibility frequency for each performance indicator:

Performance indicator

Incentive payment

Performance indicator

4004F and appropriate diagnosis code*

$20

This additional incentive can be paid annually per unique member.

* The 4004F is billed in addition to 99407

Payments are made to care providers with payment of the applicable claim.

Program changes

We review program components annually and update them as necessary to ensure industry‑wide, evidence‑based information is used to measure and incentivize care providers. We reserve the right to modify or amend the program at any time.

We may terminate this program at any time. If we terminate this program, we are responsible for payment of eligible SCPIP incentives earned by care providers up to the program’s termination date.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Providers who are contracted with Anthem Blue Cross and Blue Shield to serve Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for Aging through an accountable care organization (ACO), participating medical group (PMG) or Independent Physician Association (IPA) are to follow guidelines and practices of the group. This includes but is not limited to authorization, covered benefits and services, and claims submittal. If you have questions, please contact your group administrator or your Anthem network representative.

INBCBS-CD-081082-25

PUBLICATIONS: July 2025 Provider Newsletter