MedicaidCoverageMedium impact
BT202299: IHCP to add coverage for monkeypox testing and vaccine
Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, Pediatrics +1 more·Medical Policy
Effective date
Jul 26, 2022
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) now covers monkeypox testing and vaccines effective July 26, 2022. New CPT codes 87593, 90460, 90461, 90611, and 90622 are covered with specific age restrictions and no prior authorization required.
Action Required
Immediately: Billing team must add new monkeypox CPT codes 87593, 90460, 90461, 90611, and 90622 to billing system with age restrictions and $0 copay settings for IHCP members. Update system to use modifier SL when billing codes 90471 and 90472 for members 18 and younger. For dual Medicare/Medicaid members, bill Medicare first.