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BT202353: Nonemergency ALS and BLS ambulance transports for FFS members will not be brokered through Verida

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

Summary

Effective July 1, 2023, Indiana Medicaid (IHCP) fee-for-service members needing non-emergency ALS and BLS ambulance transports will no longer be scheduled through the Verida broker. Instead, these services must be scheduled directly with ambulance providers and billed to Gainwell Technologies using specific procedure codes.

Action Required

Action needed
For dates of service July 1, 2023 and after: Ambulance providers must schedule non-emergency ALS and BLS transports directly with patients, not through Verida broker. Bill claims using codes A0420, A0424, A0425, A0426, A0428 directly to Gainwell Technologies. Update scheduling workflows to bypass Verida for these specific transport types while continuing to use Verida for wheelchair van transports.

Affected Billing Codes

A0420
A0424
A0425
A0426
A0428