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MedicaidReimbursementMedium impact

BT202617: Update made to the prevailing conversion factor for medical clinics rendering services in Allen County

Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) increased the conversion factor for medical clinics in Allen County from $10.00 to $19.50, with the system automatically mass adjusting previously paid claims at the incorrect rate.

Action Required

Action needed
Immediately: Billing team should monitor remittance advices for mass adjusted claims with ICNs/Claim IDs beginning with 52. No system updates required as IHCP has already updated their claim-processing system. Verify that reprocessed claims for Allen County services show the correct $19.50 rate.