MedicaidReimbursementHigh impact
BT202106: IHCP to update rates for certain DME and medical supply items effective February 1, 2021
Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Pulmonology, Wound Care·Provider Bulletin
Effective date
Feb 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) is updating reimbursement rates and rental periods for specific DME and medical supply HCPCS codes effective February 1, 2021, implementing 21st Century Cures Act requirements. The changes include new capped rental periods (6 months for power wheelchairs, 10 months for other DME), maximum fee pricing for previously manual-priced items, and rental-only reimbursement for home ventilator E0467.
Action Required
By February 1, 2021: Billing team must update DME billing system with new reimbursement rates for all listed HCPCS codes and implement new capped rental periods (6 months for power wheelchairs, 10 months for other DME items). Stop billing E0467 home ventilator as purchase - rental payments only. Remove pricing attachment requirements for codes in Table 5. Update fee schedules from IHCP website and modify billing software to reflect new maximum fees and rental periods.