Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Indiana Medicaid (IHCP)Medicaid · Prior Auth · Prior Authorization · IN · Chiropractic, Physical TherapyMedium impact

BT2023174: IHCP updates prior authorization requirements for select chiropractic services

Act
by Jan 15, 2024
Effective date
Jan 15, 2024
Identified
Jun 19, 2026

Summary

Starting January 15, 2024, Indiana Medicaid (IHCP) will require prior authorization for 16 specific chiropractic therapy procedure codes including electrical stimulation, ultrasound, massage, and manual therapy techniques. This is in addition to existing limits of 50 total chiropractic units per member per calendar year.

Get alerts when payers change rules like this one

We check Indiana Medicaid (IHCP) and other payers every day and email you when a change matches your specialty and state.

Get Indiana Medicaid (IHCP) alertsPolicy Monitoring is free. No card required.

What to do

by Jan 15, 2024 · 3 steps
01Billing team must update system to require prior authorization for CPT codes 97012, 97014, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97036, 97039, 97110, 97113, 97124, 97139, and 97140 for Indiana Medicaid chiropractic patients.
02Contact Kepro Customer Service at 866-725-9991 for fee-for-service PA requirements or the specific MCE for managed care patients.
03Claims without required prior authorization will be denied.

Codes mentioned

9701297014970169701897022970249702697028970329703397034970359703697039971109711397124971399714098940989419894298943

Original notice

BT2023174: IHCP updates prior authorization requirements for select chiropractic services
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202018: IHCP clarifies billing for HIP chiropractic servicesMediumEffective Mar 10, 2020 · Claims & BillingBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesChiropracticPhysical TherapyCode 97012Code 97014Code 97016Code 97018Code 97022Code 97024Code 97026Code 97028Code 97032Code 97033Code 97034Code 97035Code 97036Code 97039Code 97110Code 97113Code 97124Code 97139Code 97140Code 98940Code 98941Code 98942Code 98943

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account