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Indiana Medicaid (IHCP)Medicaid · Coverage · Telehealth · INHigh impact

BT202297: IHCP expands and clarifies telehealth coverage

Act
by Dec 9, 2022
Effective date
Dec 9, 2022
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) is expanding telehealth coverage to allow audio-only delivery for specific E&M visit codes (99202, 99203, 99212, 99213) effective December 9, 2022. The policy also clarifies requirements for skills training and development services delivered via telehealth with specific documentation and review parameters.

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What to do

by Dec 9, 2022 · 3 steps
01Billing team must update system to allow audio-only telehealth billing for CPT codes 99202, 99203, 99212, and 99213 using modifier 93 and appropriate place of service codes (02 or 10).
02For providers offering skills training services (H2014), implement new documentation requirements including 30-day telehealth effectiveness verification, 90-day modality reviews, and mandatory in-person sessions every 90 days.
03Update encounter forms and EMR templates to capture required telehealth parameters.

Codes mentioned

99202992039921299213H2014H0038H2011

Original notice

BT202297: IHCP expands and clarifies telehealth coverage
in.gov · Always check the source before changing claims.
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Related changes

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Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesCode 99202Code 99203Code 99212Code 99213Code H2014Code H0038Code H2011

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