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Indiana Medicaid (IHCP)Medicaid · Coverage · Medical Policy · IN · Family Medicine, Pediatrics, Internal Medicine +1 moreLow impact

BT2024149: IHCP adds coverage for tick-borne encephalitis vaccines

Act
immediately
Effective date
Oct 1, 2023
Identified
Jun 19, 2026

Summary

IHCP (Indiana Medicaid) now covers tick-borne encephalitis vaccines under the medical benefit, retroactive to October 1, 2023. Two new CPT codes (90626 and 90627) are covered without prior authorization, with automatic claim reprocessing starting October 30, 2024.

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What to do

immediately · 4 steps
01Billing team should verify system accepts CPT codes 90626 and 90627 for Indiana Medicaid claims.
02For institutional outpatient claims, ensure codes are billed with revenue code 636.
03Monitor remittance advices starting October 30, 2024 for automatic reprocessed claims with ICNs beginning with 52 or 80.
04For members under 19, bill only administration fee due to VFC program coverage.

Codes mentioned

9062690627

Original notice

BT2024149: IHCP adds coverage for tick-borne encephalitis vaccines
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202156: Coverage and billing information for the July 2021 HCPCS code updateMediumEffective Jul 1, 2021 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesFamily MedicinePediatricsInternal MedicineInfectious DiseaseCode 90626Code 90627

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

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