MedicaidReimbursementMedium impact
BT202503: IHCP updates Outpatient Fee Schedule effective Jan. 1, 2025
Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Psychiatry, Nephrology +1 more·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has updated their Outpatient Fee Schedule with new reimbursement rate factors effective January 1, 2025. The changes affect specific provider types including rehabilitation hospitals, ambulatory surgical centers, rehabilitation facilities, outpatient mental health clinics, and ESRD clinics across all IHCP programs.
Action Required
Immediately: Billing team must access the updated Outpatient Fee Schedule from in.gov/medicaid/providers to review new reimbursement rate factors in Tab 3 (Fee Schedule), Tab 4 (ASC Codes & Rates), and Tab 5 (Revenue Codes). Update billing system with new rates for rehabilitation services, ASC procedures, mental health services, and ESRD treatments. Contact FSSA.IHCPReimbursement@fssa.in.gov with questions about rate adjustments.