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Indiana Medicaid (IHCP)Medicaid · Coverage · Medical Policy · IN · Family Medicine, Internal Medicine, Pediatrics +1 moreMedium impact

BT2024197: IHCP announces additional COVID-19 coverage changes due to American Rescue Plan expiration

Act
immediately
Effective date
Oct 1, 2024
Identified
Jun 19, 2026

Summary

Indiana Medicaid (IHCP) has reduced COVID-19 coverage due to American Rescue Plan expiration. COVID-19 vaccines, testing, and treatments are no longer covered for limited-benefit members (Emergency Services Only and Family Planning programs), and cost-sharing requirements return for COVID-19 treatments for all members.

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What to do

immediately · 3 steps
01Update billing system to deny COVID-19 vaccine, testing, and treatment codes (see Table 1) for IHCP members in Emergency Services Only and Family Planning programs for dates of service October 1, 2024 and after.
02Implement cost-sharing for COVID-19 treatments for all IHCP members.
03Train staff to verify member benefit category before billing these services to avoid claim denials.

Codes mentioned

863288640886409867698742687428876358763687637878118791390480913049131891319913209132191322Q0240Q0245U0001U0002

Original notice

BT2024197: IHCP announces additional COVID-19 coverage changes due to American Rescue Plan expiration
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202476: IHCP updates HIP preventive care services exempt from copaymentHighEffective Jul 1, 2024 · Managed CareBT2026182: COVID-19 vaccine administration to no longer be carved out of managed careHighEffective Jan 1, 2027 · Provider BulletinBT2023123: Coverage and billing information for the 2023 October HCPCS codes updateMediumEffective Oct 1, 2023 · Claims & BillingBT2023165: Updated coverage and billing information for the 2023 October HCPCS codesMediumEffective Oct 1, 2023 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesFamily MedicineInternal MedicinePediatricsEmergency MedicineCode 86328Code 86408Code 86409Code 86769Code 87426Code 87428Code 87635Code 87636Code 87637Code 87811Code 87913Code 90480Code 91304Code 91318Code 91319Code 91320Code 91321Code 91322Code Q0240Code Q0245Code U0001Code U0002

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