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MedicaidAdministrativeMedium impact

BT202654: IHCP identifies National Correct Coding Initiative claim-processing issue

Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Indiana Medicaid has identified and fixed an issue with National Correct Coding Initiative (NCCI) edits that had incorrect end dates in their system. Claims with service dates from October 1, 2025 forward will be automatically reprocessed or adjusted, with providers seeing these corrections on remittance advices starting May 13, 2026.

Action Required

Action needed
Starting May 13, 2026: Billing team should monitor remittance advices for mass adjustments and reprocessed claims with ICNs beginning with 52 (mass replacements) or 80 (reprocessed denied claims). No action required from providers - Indiana Medicaid will automatically adjust affected claims with dates of service October 1, 2025 and after.