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Indiana Medicaid (IHCP)Medicaid · Coverage · Medical Policy · IN · Oncology, HematologyMedium impact

BT202406: IHCP adds coverage for four injectable drugs

Act
by Apr 22, 2024
Effective date
Jan 23, 2024
Identified
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.

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What to do

by Apr 22, 2024 · 4 steps
01Billing team should review remittance advices for automatically reprocessed claims with ICNs beginning with 52 or 80.
02Submit any missed retroactive claims for codes C9145, Q5127, Q5129, Q5130 within 90 days (managed care) or 180 days (FFS) of January 23, 2024.
03Include copy of bulletin first page when submitting claims beyond standard filing limits.
04Ensure NDC codes are included when billing these injection codes.

Codes mentioned

C9145Q5127Q5129Q5130

Original notice

BT202406: IHCP adds coverage for four injectable drugs
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202328: Coverage and billing information for the 2023 April quarterly HCPCS codes updateMediumEffective Apr 1, 2023 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesOncologyHematologyCode C9145Code Q5127Code Q5129Code Q5130

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