MedicaidCoverageMedium impact
BT202406: IHCP adds coverage for four injectable drugs
Indiana Medicaid (IHCP)·IN · Oncology, Hematology·Medical Policy
Effective date
Jan 23, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) is now covering four injectable drugs (C9145, Q5127, Q5129, Q5130) retroactive to April/May 2023. Previously denied claims will be automatically reprocessed, and providers can submit retroactive claims with extended filing deadlines.
Action Required
By April 22, 2024: Billing team should review remittance advices for automatically reprocessed claims with ICNs beginning with 52 or 80. Submit any missed retroactive claims for codes C9145, Q5127, Q5129, Q5130 within 90 days (managed care) or 180 days (FFS) of January 23, 2024. Include copy of bulletin first page when submitting claims beyond standard filing limits. Ensure NDC codes are included when billing these injection codes.