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BT2020118: IHCP will reimburse EMS provider agencies for administration of vaccines
Effective date
Oct 7, 2020
Identified
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) will now reimburse EMS provider agencies for vaccine administration services when provided by paramedics or advanced EMTs. EMS agencies must be enrolled under provider specialty 260 (Ambulance) and use specific billing codes with special requirements for members under age 19.
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What to do
Action · 3 steps
01EMS provider agencies only: If providing vaccine administration services, ensure enrollment under provider specialty 260 (Ambulance) with IHCP.
02Bill using diagnosis code Z23 and procedure codes 90471-90474.
03For members age 18 and younger, add SL modifier and ensure vaccine is from VFC program with VFC provider representative present during administration.
Codes mentioned
90471904729047390474Z23
Original notice
BT2020118: IHCP will reimburse EMS provider agencies for administration of vaccines
in.gov · Always check the source before changing claims.
Related changes
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