MedicaidCoverageLow impact
BT202269: IHCP to update age range for dental COVID-19 vaccine
Indiana Medicaid (IHCP)·IN · Dentistry·Specialty Services
Effective date
Aug 30, 2022
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) has updated the age restriction for dental procedure code D1712 (Janssen COVID-19 vaccine administration - booster dose) to cover members age 18 and older, removing previous age restrictions. This change applies retroactively to dates of service on or after August 30, 2022.
Action Required
Immediately: Dental billing team must update billing systems to allow code D1712 for all patients age 18 and older (removing any previous age restrictions). Verify system allows retroactive billing for dates of service back to August 30, 2022. Code remains restricted to dentist providers only (provider type 27) with 90% reimbursement rate.