MedicaidAdministrativeHigh impact
BT2023118: Long-term care changes being implemented
Indiana Medicaid (IHCP)·IN · Geriatrics·Specialty Services
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid has implemented significant changes to nursing facility reimbursement calculations and billing requirements, effective July 1, 2023. Key billing impacts include mandatory monthly census reporting, new cost report year-end requirements (must end Dec 31), revised reconsideration timelines (15 calendar days), and addition of a $1.21 NEMT add-on to per diem rates.
Action Required
By Dec 31, 2023: All nursing facilities must change cost report year-end to December 31 for any cost reports ending after March 31, 2023. Billing team must submit monthly census data via Indiana LTC Cost Reporting Web Portal. Update billing systems to include $1.21 NEMT add-on to all Medicaid nursing facility per diem rates. Respond to reconsideration requests within 15 calendar days of notification. Facilities developing SCU/ventilator programs must submit Schedule Z by Dec 31, 2023 to qualify for enrollment.