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Indiana Medicaid (IHCP)Medicaid · Coverage · Specialty Services · IN · DentistryLow impact

BT202269: IHCP to update age range for dental COVID-19 vaccine

Act
immediately
Effective date
Aug 30, 2022
Identified
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.

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What to do

immediately · 3 steps
01Dental billing team must update billing systems to allow code D1712 for all patients age 18 and older (removing any previous age restrictions).
02Verify system allows retroactive billing for dates of service back to August 30, 2022.
03Code remains restricted to dentist providers only (provider type 27) with 90% reimbursement rate.

Codes mentioned

D1712

Original notice

BT202269: IHCP to update age range for dental COVID-19 vaccine
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT202251: Coverage and billing information for the July 2022 quarterly HCPCS codes updateMediumEffective Jul 1, 2022 · Claims & BillingBT2023170: IHCP removes coverage for Janssen dental COVID-19 codesLowEffective May 22, 2023 · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesDentistryCode D1712

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