MedicaidAdministrativeHigh impact
BT2023175: IHCP clarifies 340B provider billing process
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Dec 14, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid clarifies 340B drug pricing program billing requirements, requiring providers to properly register, use modifiers on all claims, and complete new participation forms for managed care by December 14, 2023. Claims without proper modifiers will be considered non-340B and may result in duplicate discount issues.
Action Required
By December 14, 2023: 340B covered entities must complete the Notice of 340B Program Participation Form for managed care and email to OMPP340B@fssa.in.gov. Billing team must ensure all physician-administered drug claims include required modifiers per Banner Page BR201831, verify NPI/Provider ID is on Medicaid Exclusion File for fee-for-service claims, and bill using 340B actual acquisition cost. Claims without modifiers will be considered non-340B and may cause compliance issues.