MedicaidAdministrativeHigh impact
BT202566: IHCP requires provider participation with independent audit before June 27
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Jun 27, 2025
We identified it
Jun 18, 2026
Summary
IHCP (Indiana Health Coverage Programs) is conducting a mandatory independent audit of all Medicaid managed care and Traditional Medicaid providers through Health Management Associates. Selected providers must submit medical records and documentation to support previously paid claims by June 27, 2025.
Action Required
By June 27, 2025: If selected for audit, billing team and medical records staff must compile and submit ALL medical records and documentation supporting paid claims as requested by MCEs or Gainwell Technologies. Monitor for formal audit letters from managed care entities. Ensure compliance with provider agreement requirements for full cooperation with auditors. Failure to comply may result in provider agreement violations.