MedicaidReimbursementMedium impact
BT2023147: IHCP allows reimbursement of cost sharing for dually eligible noncovered IHCP services
Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Oct 31, 2023
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) now allows reimbursement of Medicare cost-sharing (coinsurance and deductibles) for dually eligible QMB members receiving services that are covered by Medicare but not covered by IHCP. Providers will see EOB code 0885 on affected claims.
Action Required
Immediately: Billing team should monitor for EOB code 0885 on claims for dually eligible QMB members to identify when IHCP reimburses Medicare cost-sharing for non-covered services. Update billing workflows to recognize this new reimbursement pattern for Indiana Medicaid dually eligible members.