MedicaidCoverageHigh impact
BT202570: IHCP announces additional COVID-19 coverage changes due to American Rescue Plan expiration
Indiana Medicaid (IHCP)·IN · Family Medicine, OB-GYN, Emergency Medicine +1 more·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 18, 2026
Summary
IHCP is ending temporary COVID-19 coverage expansions for Family Planning Eligibility Program members due to American Rescue Plan expiration. Emergency department visits, home visits, chest X-rays, and other COVID-related services are no longer covered, and office visits now require the FP modifier to be covered.
Action Required
Immediately: Billing team must update system rules to deny claims for Family Planning Eligibility Program members using the specified procedure and diagnosis codes for dates of service on or after October 1, 2024. Add FP modifier requirement for office visit codes 99202-99215 for these members. Review and reprocess any claims from October 2024 forward that may have been incorrectly paid. Contact Gainwell Technologies at 800-457-4584 with questions.