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MedicaidReimbursementMedium impact

BT202448: IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2024

Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Orthopedics, Wound Care +1 more·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) updated reimbursement rates for 50+ DME and medical supply HCPCS codes effective January 1, 2024, aligning with Medicare DMEPOS rates per the 21st Century Cures Act. Mass claim adjustments for affected services will appear on remittance advices starting May 22, 2024.

Action Required

Action needed
Monitor remittance advices beginning May 22, 2024 for mass adjustments on claims with ICNs/Claim IDs starting with 52. Update fee schedules in billing system with new Indiana Medicaid rates for listed DME codes. For managed care patients, contact specific MCEs for their updated rates and billing requirements.

Affected Billing Codes

A5514
A7007
A7017
E0100
E0105
E0110
E0111
E0112
E0113
E0114
E0116
E0130
E0135
E0140
E0141
E0143
E0144
E0147
E0148
E0149
E0160
E0163
E0165
E0167
E0168
E0170
E0171
E0181
E0184
E0185
E0186
E0188
E0189
E0196
E0197
E0199
E0210
E0235
E0250
E0251
E0255
E0256
E0260
E0261
E0265
E0266
E0277
E0290
E0291