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BT2023161: IHCP clarifies locum tenens healthcare providers

Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice +5 more·Provider Bulletin
Effective date
Nov 9, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

The Indiana Health Coverage Programs (IHCP) clarified policy for locum tenens healthcare providers, allowing temporary providers to cover for regular providers during absence without IHCP enrollment. Claims must be billed using the regular provider's NPI with modifier Q6, limited to 90 consecutive days.

Action Required

Action needed
Immediately: Billing team must ensure locum tenens claims are submitted using the regular provider's NPI with modifier Q6. Update billing system to track 90-day limit for locum tenens arrangements. Maintain documentation of locum tenens arrangements including care rendered and dates provided. If locum tenens exceeds 90 days, they must enroll as IHCP provider.