MedicaidReimbursementHigh impact
BT2024180: IHCP announces changes to the Professional Fee Schedule and anesthesia conversion factor for 2025
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) is updating their Professional Fee Schedule rates to 100% of 2024 Medicare rates and changing the anesthesia conversion factor to $19.50, effective January 1, 2025. This affects physician services, DME, medical supplies, and transportation services reimbursement rates.
Action Required
By January 1, 2025: Billing team must review the four preview fee schedules available at in.gov/medicaid/providers to understand new reimbursement rates for physician services, DME, medical supplies, NEMT, and ambulance services. Update billing system expectations for Indiana Medicaid claims with new rates. Monitor for updated DME 21st Century Cures Act codes list when released by CMS.