MedicaidBilling CodesMedium impact
BT202067: IHCP COVID-19 Response: IHCP publishes CMS revisions to transportation modifiers
Indiana Medicaid (IHCP)·IN · Emergency Medicine·Provider Bulletin
Effective date
May 28, 2020
We identified it
Jun 19, 2026
Summary
IHCP has adopted CMS revisions to ambulance transportation modifiers in response to COVID-19, expanding where ambulances can transport patients. Key changes include allowing transport to alternative care sites for hospitals and SNFs, and clarifying that 'residence' means the member's actual home.
Action Required
Immediately: Billing team must update ambulance billing procedures to use revised transportation modifier definitions. Update modifier D for community mental health centers/FQHCs/urgent care, modifier H to include alternative hospital care sites, modifier N to include alternative SNF care sites, and ensure modifiers E and R specifically reference member's home. Train staff on expanded destination options during COVID-19 emergency period.