MedicaidReimbursementHigh impact
BT2025156: IHCP announces changes to the Professional Fee Schedule and anesthesia conversion factor for 2026
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Indiana Medicaid (IHCP) is updating their Professional Fee Schedule to 100% of 2025 Medicare rates and changing the anesthesia conversion factor to $19.37, effective January 1, 2026. This affects physician services, DME, medical supplies, and transportation services for all IHCP claims.
Action Required
Before January 1, 2026: Billing team must review the four preview fee schedules available at in.gov/medicaid/providers to understand new reimbursement rates for physician services, DME, medical supplies, NEMT, and ambulance services. Update billing system expectations for Indiana Medicaid reimbursement rates. Monitor for updated 21st Century Cures Act DME codes list from CMS which will be applied retroactively. Managed care entities must also update their fee schedules to mirror IHCP rates by the effective date.