MedicaidAdministrativeMedium impact
BT202521: School-based and First Steps claims with ordering and referring provider NPIs missing to be mass adjusted
Indiana Medicaid (IHCP)·IN · Pediatrics·Provider Bulletin
Effective date
Nov 1, 2024
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will mass adjust school-based and First Steps claims from Nov 1-Dec 23, 2024 that were missing required ordering/referring provider NPIs. Providers will see these adjustments on remittance advices starting March 26, 2025.
Action Required
By March 26, 2025: Billing team should monitor remittance advices for mass adjustments with ICN/Claim IDs beginning with '52' for school-based and First Steps services from Nov 1-Dec 23, 2024. Ensure all future school-based and First Steps claims include ordering/referring provider NPIs to prevent denials.