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BT202415: IHCP corrects error for VFC vaccine administration code rates
Act
by Mar 27, 2024
Effective date
Jan 1, 2024
Identified
Jun 19, 2026
Summary
IHCP corrected an error where VFC vaccine administration codes (90471, 90472, 90473, 90474 with SL modifier) were incorrectly paid at higher rates starting January 1, 2024. The correct rate is $15 across all Indiana Medicaid programs, and claims will be automatically reprocessed with adjustments appearing on remittance advices starting March 27, 2024.
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What to do
by Mar 27, 2024 · 4 steps
01Monitor remittance advices for mass adjustments on VFC vaccine administration claims with ICNs/Claim IDs beginning with 52.
02For underpaid claims, expect additional payments.
03For overpaid claims, expect 100% recoupment from future claim payments as accounts receivable.
04No billing changes needed as system corrections are automatic.
Codes mentioned
90471904729047390474
Original notice
BT202415: IHCP corrects error for VFC vaccine administration code rates
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2020118: IHCP will reimburse EMS provider agencies for administration of vaccinesLowEffective Oct 7, 2020 · Provider BulletinBT202466: IHCP corrects error for VFC vaccine administration codesMediumEffective Mar 28, 2024 · Provider BulletinBT202476: IHCP updates HIP preventive care services exempt from copaymentHighEffective Jul 1, 2024 · Managed CareBT202697: VFC vaccine administration claims denied in errorMediumEffective Jun 17, 2026 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list