MedicaidCoverageMedium impact
BT202576: IHCP clarifies guidance for hospital-to-hospital transfers using EMS
Indiana Medicaid (IHCP)·IN · Emergency Medicine, Critical Care·Provider Bulletin
Effective date
Jun 3, 2025
We identified it
Jun 18, 2026
Summary
IHCP (Indiana Medicaid) clarifies that hospital-to-hospital EMS transfers are eligible for reimbursement when they meet emergency dispatch requirements, including direct hospital-to-EMS calls with formal dispatch protocols. Providers must bill appropriate ALS or BLS codes based on actual services provided during transport.
Action Required
Immediately: EMS providers conducting hospital-to-hospital transfers in Indiana must ensure hospitals have formal dispatch protocols meeting local 9-1-1 standards and document emergency response justification. Billing team must verify ALS/BLS code selection matches actual services provided during transport, not vehicle type or response level.