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BT202129: DDRS waiver providers to provide COVID-19 vaccines to eligible FSW and CIH waiver members
Act
by Oct 5, 2021
Effective date
Apr 8, 2021
Identified
Jun 19, 2026
Summary
Indiana Medicaid now allows DDRS waiver providers (FSW and CIH) to bill for COVID-19 vaccines and administration using specific codes with modifier U7. Claims can be submitted retroactively to January 1, 2021, with vaccines reimbursed at zero dollars.
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What to do
by Oct 5, 2021 · 3 steps
01DDRS waiver providers must update billing systems to append modifier U7 to COVID-19 vaccine codes 0001A, 0002A, 0011A, 0012A, 0031A, 91300, 91301, and 91303 when billing FSW and CIH waiver members.
02Submit any retroactive claims for services performed January 1-April 8, 2021 within 180 days.
03For claims beyond normal filing limits, attach copy of bulletin BT202129 to bypass timely filing requirements.
Codes mentioned
913009130191303
Original notice
BT202129: DDRS waiver providers to provide COVID-19 vaccines to eligible FSW and CIH waiver members
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2020129: IHCP receives COVID-19 vaccine HCPCS update from CMS and AMAMediumEffective Dec 11, 2020 · Claims & BillingBT202361: IHCP removes coverage for Pfizer and Moderna monovalent COVID-19 vaccine codesMediumEffective Apr 18, 2023 · Medical PolicyBT202126: Additional codes covered for COVID-19 vaccine and treatmentMediumEffective Feb 9, 2021 · Provider BulletinBT202287: IHCP updates age ranges for Moderna COVID vaccine and administration codesMediumEffective Jun 17, 2022 · Provider BulletinBrowse every Indiana Medicaid (IHCP) change in the policy list