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Indiana Medicaid (IHCP)Medicaid · Coverage · Provider Bulletin · IN · Physical TherapyMedium impact

BT2024167: IHCP publishes code set for speech/hearing therapists

Act
immediately
Effective date
Oct 15, 2024
Identified
Jun 19, 2026

Summary

IHCP (Indiana Medicaid) has published the official code set for speech/hearing therapists (specialty 173), restricting reimbursement to only 18 specific procedure codes. Five codes require prior authorization, and the PA system has been updated to accept requests from specialty 173 providers.

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What to do

immediately · 3 steps
01Billing teams working with speech/hearing therapists must verify only the 18 listed CPT codes (92507-96113) are billed for Indiana Medicaid specialty 173 providers.
02Ensure prior authorization is obtained through Acentra Health for codes 92526, 92597, 92607, 92608, and 92609.
03Update billing system rules to restrict code usage and flag PA requirements for these five codes to prevent claim denials.

Codes mentioned

9250792508925219252292523925249252692555925569255792571925979260792608926099261096105961109611296113

Original notice

BT2024167: IHCP publishes code set for speech/hearing therapists
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT2024127: Billing clarified for communication disorder evaluations by speech-language pathologistsMediumEffective Aug 13, 2024 · Claims & BillingBT202276: IHCP announces EVV home health policy detailsHighEffective Nov 5, 2022 · Medical PolicyBT2025175: IHCP to remove prior authorization requirements from audiology procedure codes 92607 and 92608LowEffective Jan 10, 2026 · Prior AuthorizationBT2026176: IHCP announces updates and corrections to physical and occupational therapy codesHighEffective Dec 1, 2026 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesPhysical TherapyCode 92507Code 92508Code 92521Code 92522Code 92523Code 92524Code 92526Code 92555Code 92556Code 92557Code 92571Code 92597Code 92607Code 92608Code 92609Code 92610Code 96105Code 96110Code 96112Code 96113

Summaries are AI-assisted. Always confirm against the original payer notice.

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