MedicaidAdministrativeHigh impact
BT202515: IHCP clarifies attending provider guidelines announced in BT2024170
Indiana Medicaid (IHCP)·IN·Provider Bulletin
We identified it
Jun 19, 2026
Summary
IHCP now requires all institutional claims (outpatient, inpatient, long-term care, home health, and hospice) to include a valid attending provider NPI who is enrolled as either a rendering provider or OPR provider. The attending provider is defined as the individual with overall responsibility for the patient's medical care, not necessarily the one who rendered the specific service.
Action Required
Immediately: Billing team must update all institutional claim submissions to include a valid attending provider NPI in the attending provider field. Verify all attending providers are enrolled with IHCP as rendering or OPR providers. Update billing system edits to require attending provider on all outpatient, inpatient, long-term care, home health, and hospice claims. Claims without valid attending providers will be rejected.