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MedicaidAdministrativeMedium impact

[Indiana] Policy Updates June 2025

CareSource·IN·Medical Policy
Effective date
Aug 1, 2025
We identified it
May 9, 2026
Days to comply

Summary

CareSource Indiana Medicaid is releasing four policy updates effective August 1, 2025, affecting administrative, medical, and reimbursement policies. This is a consolidated network notification announcing revisions to Against Medical Advice (AD-0792), Court Mandated Health Services (AD-0797), Influenza Testing (PY-1548), Inhaled Nitric Oxide (MM-1186), and Policy Development Process (AD-0915) policies. The specific policy changes are not detailed in this notification document; providers must review individual policy pages on CareSource.com for detailed content changes.

Action Required

Action needed
By July 31, 2025: Billing team must access CareSource.com > Providers > Tools & Resources > Provider Policies, select Indiana Medicaid, and review the full text of all five revised policies (AD-0792, AD-0797, PY-1548, MM-1186, AD-0915) to identify specific billing, documentation, authorization, or reimbursement changes. Document any required workflow updates to billing software, encounter forms, prior authorization processes, or provider training materials. Update internal policy references and ensure all billing staff are trained on new requirements before August 1, 2025 effective date to prevent claim denials or processing delays.