Traditional MedicareBilling CodesMedium impact
BT202412: IHCP changes FQHC/RHC billing guidance for crossover claims
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice·Claims & Billing
Effective date
Feb 6, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has eliminated the requirement for FQHCs and RHCs to include T1015 encounter codes on Medicare crossover claims with dates of service on or after July 1, 2021. This change is effective immediately and also affects HIP Medicare coinsurance claims through May 2024.
Action Required
Immediately: FQHC and RHC billing teams must stop including T1015 encounter codes on Medicare crossover claims with dates of service July 1, 2021 or later. Update billing system rules to exclude T1015 from Medicare crossover claims. Contact member's MCE to request adjustments for any HIP Medicare coinsurance claims that were previously denied for missing T1015.