MedicaidAdministrativeHigh impact
BT2024113: IHCP clarifies Type of Bill code usage for managed care claims submitted by certain providers
Indiana Medicaid (IHCP)·IN · Palliative Care·Managed Care
Effective date
Jul 18, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs clarifies specific Type of Bill (TOB) codes that hospice providers, home health agencies, and nursing facilities must use when submitting institutional claims to managed care entities. Using incorrect TOB codes will result in claim denials.
Action Required
Immediately: Billing teams at hospice providers, home health agencies, and nursing facilities must verify their billing systems use the correct 4-digit TOB codes specified in the bulletin when submitting UB-04 claims to Indiana Medicaid managed care plans. Update billing software to use proper codes: hospice (08X1-08X8), home health (032X), skilled nursing (021X), and intermediate care (065X). Failure to use correct TOB codes will result in claim denials.