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MedicaidAdministrativeMedium impact

BT2025190: IHCP revises previously announced changes to HCBS assisted living billing policy

Indiana Medicaid (IHCP)·IN · Geriatrics·Claims & Billing
Effective date
Dec 31, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Indiana Health Coverage Programs is pausing previously announced changes to HCBS assisted living billing requirements from bulletin BT2025173. Providers can continue using either monthly or daily billing methods until new policy is implemented in 2026.

Action Required

Action needed
Immediately: Assisted living providers billing HCBS waiver services should continue current billing practices using either monthly or daily methods. Ensure documentation exists for each day member is present in facility. For monthly billing, submit claims only after resident has been present minimum 15 days per month. Stop any preparations for BT2025173 implementation until further notice in 2026.