MedicaidAdministrativeMedium impact
[Indiana] Policy Updates April 2025
CareSource·IN · Cardiology·Medical Policy
Effective date
Jun 1, 2025
We identified it
May 9, 2026
Summary
CareSource Indiana Medicaid released three policy updates effective June 1, 2025: Interest Payments (PY-1325) reimbursement policy, Non-Emergency Facility to Facility Transfers (MM-1446) medical policy, and Electrocardiogram Interpretation and Imaging Interpretation (AD-1092) administrative policy. The document provides notice of these changes but does not detail specific billing code impacts, coverage changes, or prior authorization requirements in the summary provided.
Action Required
By May 31, 2025: Billing team must review the full policy details for all three policies (PY-1325, MM-1446, and AD-1092) on CareSource.com under Providers > Tools & Resources > Provider Policies. Select Indiana Medicaid plan to access complete policy text and identify specific billing code changes, prior authorization requirements, or documentation updates. Update billing software, encounter forms, and provider alerts accordingly based on detailed policy content. Compare revised policies against previous versions (archived on CareSource website) to identify specific workflow changes needed. Communicate any new prior authorization requirements or billing code restrictions to clinical and front desk staff before the June 1 effective date. Failure to implement required changes may result in claim denials or compliance issues.