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Indiana Medicaid (IHCP)Medicaid · Coverage · Provider Bulletin · IN · OB-GYNMedium impact

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

Act
by Aug 9, 2023 (90 days for managed care) or Nov 7, 2023 (180 days for FFS)
Effective date
Dec 31, 2021
Identified
Jun 19, 2026

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.

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What to do

by Aug 9, 2023 (90 days for managed care) or Nov 7, 2023 (180 days for FFS) · 3 steps
01Billing 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.
02Must attach primary payer EOB and copy of bulletin BT202343 for claims beyond original filing limit.
03Update billing workflows to identify IHCP members with other maternity coverage.

Codes mentioned

5940059410595105951559610596145961859622

Original notice

BT202343: IHCP establishes rates for coordinating benefits for global maternity codes
in.gov · Always check the source before changing claims.
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