Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Indiana Medicaid (IHCP)Medicaid · Billing Codes · Claims & Billing · IN · DentistryHigh impact

BT202187: FQHC/RHC wraparound supplemental dental claim processing change

Effective date
Sep 29, 2021
Identified
Jun 19, 2026

Summary

Starting September 29, 2021, FQHC and RHC dental wraparound payments will be processed automatically by Gainwell Technologies on a claim-by-claim basis instead of through monthly settlements with Myers and Stauffer. Providers must bill code D9999 (limited to one unit per day) for dental encounters and can now use additional place of service codes including telehealth (02), school (03), and homeless shelter (04).

Get alerts when payers change rules like this one

We check Indiana Medicaid (IHCP) and other payers every day and email you when a change matches your specialty and state.

Get Indiana Medicaid (IHCP) alertsPolicy Monitoring is free. No card required.

What to do

Action · 4 steps
01Immediately for DOS on or after July 1, 2021: FQHC/RHC billing teams must update procedures to bill exactly one unit of code D9999 for dental encounters (system will automatically reduce multiple units to one with EOB 9916).
02Stop submitting dental wraparound claims to Myers and Stauffer - these will now be processed automatically by Gainwell.
03Update billing system to accept new place of service codes 02 (telehealth), 03 (school), and 04 (homeless shelter) for FQHC/RHC encounters.
04Monitor remittance advice for new EOB codes 3370, 3372, 4121, 4124, 4173, 6096, and 9916 to identify claim issues.

Codes mentioned

D9999T1015

Original notice

BT202187: FQHC/RHC wraparound supplemental dental claim processing change
in.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Indiana Medicaid (IHCP) changes →
BT2026172: IHCP clarifies guidance for submitting FQHC/RHC claims with third-party liabilityHighNo effective date · Provider BulletinBT2026171: IHCP corrects claim processing for FQHC and RHC encounter billing of codes T1015 and D9999HighEffective Jan 1, 2027 · ReimbursementBT202239: IHCP announces final 2022 telehealth and virtual services code setMediumEffective Jul 21, 2022 · TelehealthBT202253: IHCP allows new POS code for FQHCs and RHCs July 21HighEffective Jul 21, 2022 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list

Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesDentistryCode D9999Code T1015

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account