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MedicaidAdministrativeMedium impact

[Indiana] August 2026 Policy Updates

CareSource·IN·Medical Policy
Effective date
Oct 1, 2026
We identified it
Aug 1, 2026
Days to comply
61 days

Summary

CareSource Indiana Medicaid released three policy updates effective October 1, 2026: a NEW Continuity of Care administrative policy (AD-1637), a REVISED Modifiers reimbursement policy (PY-1347), and a REVISED Medical Record Documentation Standards policy (AD-0754). The billing team must review full policy details online to identify specific workflow, coding, and documentation changes required.

Action Required

Before Oct 1, 2026
By September 15, 2026: Billing team must access the full policy text for all three policies (AD-1637, PY-1347, AD-0754) via CareSource.com > Providers > Tools & Resources > Provider Policies, select Indiana Medicaid plan. Review the Modifiers policy (PY-1347) revision to identify any billing code or modifier changes and update billing software accordingly. Review Medical Record Documentation Standards (AD-0754) revision and update EMR templates and provider documentation checklists. Review new Continuity of Care policy (AD-1637) for administrative requirements. Communicate changes to all clinical and billing staff before October 1, 2026 effective date. Failure to implement may result in claim denials or non-compliance.