MedicaidAdministrativeMedium impact
BT202394: OMPP requests that HIP MCEs reprocess denied crossover claims
Indiana Medicaid (IHCP)·IN·Managed Care
Effective date
Aug 8, 2023
We identified it
Jun 19, 2026
Summary
Indiana HIP MCEs must reprocess Medicare coinsurance claims that were previously denied for members who became Medicare eligible during the PHE. Providers need to resubmit corrected claims with matching procedure codes within 90 days, with timely filing requirements waived.
Action Required
By November 6, 2023: Billing team must identify and resubmit corrected HIP Medicare crossover claims for coinsurance and deductibles where procedure codes didn't match Medicare remittance. Ensure procedure codes on resubmitted claims exactly match codes on Medicare remittance. Attach this bulletin to waive timely filing requirements. Follow each MCE's specific guidelines for corrected claim submissions.