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MedicaidAdministrativeMedium impact

BT2025181: Paper claim processing fee to begin Jan. 29, 2026

Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Jan 29, 2026
We identified it
Jun 18, 2026
Days to comply

Summary

Starting January 29, 2026, the Indiana Health Coverage Programs (IHCP/Medicaid) will charge a $5 processing fee for each paper claim submission. Providers can avoid this fee by submitting claims electronically through the IHCP Provider Portal or EDI transactions (837I, 837P, 837D).

Action Required

Action needed
Before January 29, 2026: Billing team must transition from paper claim submissions to electronic submission methods for all Indiana Medicaid claims. Set up electronic claim submission through IHCP Provider Portal or implement EDI transactions (837I for institutional, 837P for professional, 837D for dental). Update billing workflows to eliminate paper submissions to avoid $5 per claim processing fees that will be deducted from future payments.