Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Indiana Medicaid (IHCP)Medicaid · Administrative · Managed Care · IN · Neurology, Hematology, OncologyMedium impact

BT202658: IHCP to adjust or reprocess claims for Hoosier Healthwise members that denied incorrectly

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 18, 2026

Summary

IHCP discovered a system error that incorrectly denied certain fee-for-service claims for Hoosier Healthwise members between September 2023 and August 2025. The system has been corrected and affected claims will be automatically reprocessed or adjusted, with payments appearing on remittance advices with ICNs beginning with 52 or 80.

Get alerts when payers change rules like this one

We check Indiana Medicaid (IHCP) and other payers every day and email you when a change matches your specialty and state.

Get Indiana Medicaid (IHCP) alertsPolicy Monitoring is free. No card required.

What to do

immediately · 2 steps
01Monitor remittance advices for adjusted or reprocessed claims with ICNs beginning with 52 (mass replacements) or 80 (reprocessed denied claims) for the affected procedure codes.
02No provider action is required as IHCP will automatically reprocess claims from September 18, 2023 through August 25, 2025.

Codes mentioned

95913J7198J7200J7201J7205J9999

Original notice

BT202658: IHCP to adjust or reprocess claims for Hoosier Healthwise members that denied incorrectly
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT2024184: Fee-for-service claims denied incorrectly Oct. 8-31MediumNo effective date · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesNeurologyHematologyOncologyCode 95913Code J7198Code J7200Code J7201Code J7205Code J9999

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account