MedicaidAdministrativeMedium impact
BT2025150: IHCP announces the implementation of a paper claim processing fee
Indiana Medicaid (IHCP)·IN·Claims & Billing
We identified it
Jun 18, 2026
Summary
Indiana Health Coverage Programs (IHCP) will implement a $5 processing fee for each paper fee-for-service claim submitted through Gainwell Technologies. The fee will be automatically deducted from future IHCP claim payments through an accounts receivable procedure.
Action Required
Before effective date (TBD): Billing team should transition to electronic claim submission using the IHCP Provider Healthcare Portal or 837 transactions (837I for institutional, 837P for professional, 837D for dental) to avoid the $5 per-claim fee. Update billing workflows to prioritize electronic submission for all IHCP claims. Monitor future IHCP publications for the announced effective date.