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MedicaidReimbursementMedium impact

BT202466: IHCP corrects error for VFC vaccine administration codes

Indiana Medicaid (IHCP)·IN · Family Medicine, Pediatrics, Internal Medicine +1 more·Provider Bulletin
Effective date
Mar 28, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP corrected pricing errors for VFC vaccine administration codes that caused inappropriate claim denials from January 1 to March 28, 2024. The system has been updated and affected claims will be automatically reprocessed with payments appearing on remittance advices starting June 26, 2024.

Action Required

Action needed
No immediate action required from billing team. Monitor remittance advices starting June 26, 2024 for automatic adjustments and payments for previously denied VFC vaccine administration claims with ICNs beginning with 52. Contact IHCP Reimbursement at FSSA.IHCPReimbursement@fssa.in.gov if questions arise about adjusted claims.

Affected Billing Codes

90471
90472
90473
90474
90480