MedicaidAdministrativeHigh impact
BT202315: Medicaid member eligibility review actions to resume
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Apr 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will resume normal eligibility reviews starting April 1, 2023, ending the continuous enrollment provisions from the COVID-19 public health emergency. Approximately 25% of current Medicaid members may lose coverage through redetermination processes over the next year. Providers must verify member eligibility before providing services as coverage terminations will resume.
Action Required
Immediately: All staff must verify Medicaid member eligibility before every service starting April 1, 2023. Front desk staff should encourage all Medicaid patients to update contact information at fssabenefits.in.gov. Billing team must implement stricter eligibility verification processes as approximately 25% of current members may lose coverage through redeterminations. Services provided to members after coverage termination will not be covered.