MedicaidAdministrativeMedium impact
BT202642: IHCP updates fee-for-service nonpharmacy claim appeal process
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Mar 24, 2026
We identified it
Jun 18, 2026
Summary
Indiana Medicaid (IHCP) has changed the fee-for-service nonpharmacy claim appeal process effective immediately. Appeals must now be submitted to the Office of Medicaid Policy and Planning (OMPP) instead of directly to the Office of Administrative Law Proceedings (OALP). Appeals can be submitted through the IHCP Portal or mailed to the new address provided.
Action Required
Immediately: Update billing team procedures for Indiana Medicaid claim appeals. Submit all fee-for-service nonpharmacy appeals to OMPP via IHCP Provider Portal (Appeal category) or mail to MS07 Claim Appeals, Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning, 402 W. Washington St., Room W374, Indianapolis, IN 46204-2739. Do not contact OALP directly, Provider Relations, or Customer Assistance Center for appeal status updates. Ensure appeals are submitted within 15 calendar days of administrative review determination.