MedicaidCoverageMedium impact
BT2023101: Changes made to cost-sharing due to COVID-19 PHE and HEA 1513
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
Indiana Medicaid is resuming cost-sharing (copayments) no sooner than January 1, 2024, after suspending them since April 2020 due to COVID-19. However, most Medicaid programs will NOT have copayments reinstated except for HIP and CHIP plans, which will retain their existing copayments.
Action Required
Before January 1, 2024: Billing team must verify patient's specific Indiana Medicaid plan type (HIP, CHIP, or other) to determine if copayments apply. Update billing system to collect copayments only from HIP and CHIP members, while exempting all other Indiana Medicaid programs from cost-sharing. Continue to exempt COVID-19 vaccines, testing, and treatment from all copayments through September 2024.