MedicaidCoverageMedium impact
BT202286: IHCP updates clinical trial policy
Indiana Medicaid (IHCP)·IN · Oncology, Cardiology·Medical Policy
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) now covers routine costs associated with qualifying clinical trials, including standard services that would normally be covered outside the trial context. Coverage determinations must be expedited within 72 hours and require provider attestation forms.
Action Required
Immediately: Billing team must understand that Indiana Medicaid now covers routine clinical trial costs that would normally be covered outside trials. Download and use the Medicaid Attestation Form on the Appropriateness of the Qualified Clinical Trial for coverage determinations. Ensure providers understand 72-hour expedited coverage determination timeframe. Update billing processes to recognize covered routine costs vs. non-covered investigational items.