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BT202133: Rates corrected for certain DME codes
Effective date
Feb 1, 2021
Identified
Jun 19, 2026
Summary
The IHCP corrected rates for 100 durable medical equipment and medical supply procedure codes whose rates came from a January 2021 CMS DMEPOS fee schedule that contained calculation errors. The corrected rates apply to dates of service on or after February 1, 2021. Claims processed in that time frame for these codes will be mass adjusted, as appropriate.
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What to do
Action · 4 steps
01Already effective February 1, 2021: Providers should see adjusted claims on Remittance Advices beginning May 12, 2021, with internal control numbers or claim IDs that begin with 52 (mass replacements, non-check related).
02The corrected rates will be reflected in the next regular update to the Professional Fee Schedule, accessible from the IHCP Fee Schedules page at in.gov/medicaid/providers.
03Billing team: direct managed care billing and prior authorization questions to the managed care entity in which the member is enrolled.
04Check current applicability before acting on these dates.
Codes mentioned
A7007A7017E0130E0135E0140E0141E0143E0147E0148E0149E0160E0161E0163E0165E0167E0168E0170E0181E0184E0185E0186E0188E0189E0196E0197E0199E0250E0251E0255E0256E0260E0261E0277E0290E0291E0292E0293E0294E0295E0301E0302E0303E0304E0371E0372E0373E0424E0431E0433E0434E0439E0441E0442E0443E0444E0470E0471E0472E0570E0572E0585E0601E0627E0629E0630E0635E0636E0720E0730E0910E0911E0912E0940E1031E1035E1036E1037E1038E1039E1390E1391E1392E2402K0738K0800K0801K0802K0814K0815K0816K0820K0821K0822K0823K0824K0825K0826K0827K0828K0829
Original notice
BT202133: Rates corrected for certain DME codes
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT202106: IHCP to update rates for certain DME and medical supply items effective February 1, 2021MediumEffective Feb 1, 2021 · Provider BulletinBT202582: IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2025MediumEffective Jan 1, 2025 · Provider BulletinBT2026117: IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2026MediumEffective Jan 1, 2026 · Provider BulletinBT202320: IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2023MediumEffective Jan 1, 2023 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list
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