MedicaidCoverageMedium impact
BT202563: IHCP clarifies limits on replacements for retainers for comprehensive orthodontic treatment
Indiana Medicaid (IHCP)·IN · Dentistry·Provider Bulletin
We identified it
Jun 18, 2026
Summary
IHCP (Indiana Health Coverage Programs/Medicaid) clarifies that retainer replacements for comprehensive orthodontic treatment are limited to once per arch per lifetime within 24 months of brace removal, and codes D8703 and D8704 are not separately reimbursable as they're included in comprehensive orthodontic treatment.
Action Required
Immediately: Billing team must stop billing codes D8703 and D8704 for retainer replacements for Indiana Medicaid patients who received comprehensive orthodontic treatment. Update billing system to flag these codes as non-reimbursable for IHCP. Educate providers that only one retainer replacement per arch per lifetime is covered within 24 months of brace removal, and this is included in comprehensive treatment reimbursement.