MedicaidCoverageMedium impact
[Indiana] Policy Updates September 2025
CareSource·IN · Pediatrics, Oncology·Medical Policy
Effective date
Nov 1, 2025
We identified it
May 9, 2026
Summary
CareSource Indiana Medicaid released two medical policy updates effective November 1, 2025: revisions to the Infant Formula policy (MM-1357) and Microwave Ablation of Tumors policy (MM-1482). The document provides notice of these changes and directs providers to review full policy details on CareSource.com, but specific clinical or billing impact details are not included in this notification.
Action Required
By October 20, 2025: Billing team must access the full policy text for MM-1357 (Infant Formula) and MM-1482 (Microwave Ablation of Tumors) on CareSource.com under Providers > Tools & Resources > Provider Policies, select Indiana Medicaid plan. Review the revision dates (08/12/2025 and 08/21/2025 respectively) and compare against archived versions to identify specific billing code, prior authorization, or coverage changes. Update billing software, encounter forms, and clinical documentation requirements accordingly before the November 1, 2025 effective date. Communicate changes to all clinical and billing staff. Failure to implement policy changes may result in claim denials for affected services.