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BT202383: IHCP removes coverage for Janssen COVID-19 vaccine and administration codes
Act
immediately
Effective date
May 22, 2023
Identified
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) has removed coverage for Janssen COVID-19 vaccine and administration codes effective May 22, 2023, following FDA revocation of emergency use authorization. Claims for these codes with dates of service on or after May 22, 2023 will not be reimbursed and any previously paid claims will be recouped.
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What to do
immediately · 4 steps
01Billing team must stop submitting claims for Janssen COVID-19 vaccine codes 91303, 0031A, and 0034A for dates of service on or after May 22, 2023.
02Update billing system to flag these codes as non-covered for IHCP.
03Review and appeal any denied claims if services were provided before May 22, 2023.
04Expect recoupment of payments for claims already paid with DOS on or after May 22, 2023.
Codes mentioned
91303
Original notice
BT202383: IHCP removes coverage for Janssen COVID-19 vaccine and administration codes
in.gov · Always check the source before changing claims.
Related changes
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