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MedicaidReimbursementMedium impact

BT202338: IHCP issues reimbursement updates for COVID-19 vaccine administration

Indiana Medicaid (IHCP)·IN·Claims & Billing
Effective date
Jan 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) has updated reimbursement rates for all COVID-19 vaccine administration codes to $38.95, effective January 1, 2023. Mass adjustments for existing claims will appear on Remittance Advices starting June 7, 2023.

Action Required

Action needed
By June 7, 2023: Billing team should monitor Remittance Advices for automatic mass adjustments to COVID-19 vaccine administration claims with Internal Control Numbers beginning with 52. Update fee schedules when next regular update is published. Continue submitting all COVID-19 vaccination claims to FFS processors (Gainwell Technologies for professional/outpatient, Optum Rx for pharmacy) regardless of managed care vs fee-for-service status.