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MedicaidAdministrativeLow impact

[Indiana] Policy Updates November 2025

CareSource·IN·Medical Policy
Effective date
Jan 1, 2026
We identified it
May 9, 2026
Days to comply

Summary

CareSource Indiana has issued a November 2025 policy notification announcing consolidated monthly policy updates effective January 1, 2026. This document establishes a predictable policy release cycle for administrative, medical, and reimbursement policies. The specific policy referenced (Overpayment Recovery PY-1111) is listed but the document provided does not contain the full policy details—only a table header indicating it is a reimbursement policy affecting Indiana Medicaid.

Action Required

Action needed
By December 15, 2025: Billing team should access the full Overpayment Recovery policy (PY-1111) via CareSource.com > Providers > Tools & Resources > Provider Policies to review complete details before the January 1, 2026 effective date. Determine if overpayment recovery procedures, timelines, or appeal processes have changed and update internal workflows accordingly. Document any changes to overpayment handling procedures in billing system and staff training materials. Failure to comply with new overpayment recovery requirements may result in claim denials or recoupment issues.