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Indiana Medicaid (IHCP)Medicaid · Reimbursement · Claims & Billing · IN · OB-GYN, EndocrinologyMedium impact

BT202418: IHCP corrects errors on the Professional Fee Schedule

Effective date
Jan 1, 2024
Identified
Jun 19, 2026

Summary

IHCP corrected pricing errors on the Professional Fee Schedule for maternity codes and diabetic management training codes, with rates decreasing significantly for most affected procedures. Claims for dates of service January 1, 2024 and after will be mass adjusted automatically, with adjusted claims appearing on remittance advices starting March 20, 2024.

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What to do

Action · 3 steps
01Monitor remittance advices starting March 20, 2024 for mass adjustments identified by ICNs/Claim IDs beginning with 52.
02For managed care claims, contact the MCE representative if affected claims have not been reprocessed.
03Direct any questions to IHCP Reimbursement at FSSA.IHCPReimbursement@fssa.in.gov.

Codes mentioned

594095942559426595145961259620G0108G0109

Original notice

BT202418: IHCP corrects errors on the Professional Fee Schedule
in.gov · Always check the source before changing claims.
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