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MedicaidCoverageMedium impact

BT2024151: IHCP adds coverage for lung screening counseling

Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, Pulmonology +1 more·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) now covers lung screening counseling visits using HCPCS code G0296 for members ages 50-80, effective retroactively to January 1, 2024. The service requires no prior authorization and is available via telehealth including audio-only visits.

Action Required

Action needed
Immediately: Billing team should verify G0296 claims for dates of service January 1, 2024 and later are being processed correctly. For Indiana Medicaid patients ages 50-80, bill G0296 for lung cancer screening counseling without prior authorization. Previously denied claims will be automatically reprocessed by October 30, 2024, or can be resubmitted within 90 days (managed care) or 180 days (fee-for-service) with copy of bulletin attached.

Affected Billing Codes

G0296