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BT202359: IHCP announces new rates for DA and DDRS waivers, effective July 1, 2023

Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) announced new reimbursement rates for home- and community-based services waivers including Division of Aging (A&D), Traumatic Brain Injury (TBI), Community Integration and Habilitation (CIH), and Family Supports Waiver (FSW) services. Most rates are increasing significantly, with providers required to bill using the new rates for all services provided on or after July 1, 2023.

Action Required

Action needed
Immediately: Billing team must update system with new rates for all listed HCBS waiver services effective July 1, 2023. Use new rates for all claims with dates of service on or after July 1, 2023. Submit corrected claims for any previously submitted claims with old rates for services provided after July 1, 2023. Monitor for CMS approval and Gainwell Technologies mass adjustment of claims. Note that this bulletin was corrected by BT202378.

Affected Billing Codes

97535
B4150
H0004
H2023
S5100
S5125
S5130
S5140
S5141
S5150
S5160
S5161
S5165
S5170
T1005
T1028
T2003
T2021
T2022
T2025
T2029
T2031
T2038
T2039
90846
90853
92507
A9279
G0151
G0152
H2020
H2032
S5101
S5111
S5116
S5151
T1020