MedicaidReimbursementMedium impact
BT2023176: IHCP will reprocess or mass adjust claims for school nursing services
Indiana Medicaid (IHCP)·IN · Pediatrics·Specialty Services
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) will automatically mass adjust or reprocess school nursing service claims that paid incorrectly between July 1 and October 17, 2023, due to incorrect rate implementation. The corrected rates are $15.95 per 15-minute unit for modifier TD TM and $12.57 per 15-minute unit for modifier TE TM for CPT code 99600.
Action Required
By January 24, 2024: Billing teams should monitor remittance advices for adjusted claims with ICN/Claim IDs beginning with 52 (mass replacements) or 80 (reprocessed denied claims). No action required from providers as IHCP will automatically reprocess affected claims. Contact Customer Assistance at 800-457-4584 if questions arise about adjustments.