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MedicaidCoverageMedium impact

BT202343: IHCP establishes rates for coordinating benefits for global maternity codes

Indiana Medicaid (IHCP)·IN · OB-GYN·Provider Bulletin
Effective date
Dec 31, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) now allows billing of 8 global maternity codes when IHCP is the secondary/tertiary payer for coordinating benefits. Previously these codes were not covered by IHCP at all, but now they can be billed with primary payer EOB attached when other insurance has paid first.

Action Required

Action needed
By August 9, 2023 (90 days for managed care) or November 7, 2023 (180 days for FFS): Billing team can now submit or resubmit claims for global maternity codes 59400, 59410, 59510, 59515, 59610, 59614, 59618, 59622 when IHCP is secondary/tertiary payer. Must attach primary payer EOB and copy of bulletin BT202343 for claims beyond original filing limit. Update billing workflows to identify IHCP members with other maternity coverage.

Affected Billing Codes

59400
59410
59510
59515
59610
59614
59618
59622