MedicaidAdministrativeHigh impact
BT2024181: IHCP reminds providers not to bill Medicaid members, with some exceptions
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Nov 14, 2024
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) reinforces that providers cannot bill Medicaid members for covered services after reimbursement determination, with specific exceptions for non-covered services, missed appointments, and medical records. This bulletin clarifies billing restrictions and documentation requirements for when member billing is permitted.
Action Required
Immediately: Review all current billing practices for Indiana Medicaid members to ensure compliance. Stop charging Medicaid members for missed appointments and medical record copies/transfers. Update billing workflows to require proper documentation before billing members for non-covered services, including signed waivers that identify specific procedures without conditional language. Train staff on exceptions that allow member billing and maintain required documentation in member files. Violation can result in provider agreement termination.