MedicaidAdministrativeMedium impact
BT202205: IHCP excludes electronic visit verification requirement in 24-hour congregate settings
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Feb 1, 2022
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) no longer requires electronic visit verification (EVV) records for certain waiver services when performed in 24-hour congregate settings. Providers must use the HQ modifier on claims to indicate services are performed in these settings.
Action Required
Immediately for dates of service on or after Feb. 1, 2022: Billing team must add HQ modifier to claims for respite care (S5151), residential habilitation (T2016), and participant assistance and care (T2033) services when performed in 24-hour congregate settings. Update billing system to allow HQ modifier for these codes even though it won't appear on the member's NOA. No EVV documentation required for these specific scenarios.