MedicaidAdministrativeMedium impact
[Indiana] Policy Updates February 2025
CareSource·IN·Medical Policy
Effective date
Apr 1, 2025
We identified it
May 9, 2026
Summary
CareSource Indiana Medicaid released a consolidated network notification for February 2025 announcing four policy updates effective April 1, 2025: changes to Influenza Testing reimbursement, Infant Formula medical policy, Claims Editing and Review procedures, and Retrospective Authorization Review processes. The document provides policy titles, numbers, and effective dates but does not include detailed content changes—full policy text must be reviewed via hyperlinks on CareSource.com.
Action Required
By March 15, 2025: Billing and clinical teams must access the full policy documents for each of the four updated policies (PY-1548, MM-1357, AD-1183, AD-1335) via CareSource.com > Providers > Tools & Resources > Provider Policies, select Indiana Medicaid, and review detailed changes. Determine which policies require workflow updates (particularly AD-1335 regarding retrospective authorization review and AD-1183 regarding claims editing). Update billing system rules, prior authorization protocols, and staff training materials as needed before April 1, 2025 effective date. Document all changes made and communicate updates to all billing, clinical, and administrative staff. Failure to implement required changes may result in claim denials or processing delays.