MedicaidReimbursementMedium impact
BT2024192: IHCP updates reimbursement of MRO services by APRNs
Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy·Claims & Billing
Effective date
Nov 26, 2024
We identified it
Jun 19, 2026
Summary
Indiana Medicaid corrected a claim-processing error where Advanced Practice Registered Nurses (APRNs) providing Medicaid Rehabilitation Option (MRO) services were being overpaid. Effective November 26, 2024, APRNs will now be reimbursed at the correct 100% of the IHCP Professional Fee Schedule amount for MRO services.
Action Required
Immediately: Billing team should verify that claims for MRO services provided by APRNs are being reimbursed at 100% of the IHCP Professional Fee Schedule amount. Review recent APRN MRO claims to ensure proper reimbursement rates are being applied. No system changes are required as the correction has been made on the payer side.