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Indiana Medicaid (IHCP)Medicaid · Billing Codes · Telehealth · IN · Physical Therapy, PsychiatryMedium impact

BT202037: IHCP COVID-19 Response: Facility fees, modifier GT usage, and HCBS clarified for telemedicine billing

Effective date
Mar 1, 2020
Identified
Jun 19, 2026

Summary

Indiana Health Coverage Programs (IHCP) now allows facility fees to be billed for telemedicine services during COVID-19 emergency, with modifier GT encouraged but not required for most services. HCBS providers can deliver telemedicine services but cannot use GT modifier and must document telemedicine delivery in patient records.

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What to do

Action · 4 steps
01Immediately for Indiana Medicaid providers: Update billing workflows to allow facility fees on institutional claims (UB-04/837I) for telemedicine visits when appropriate (e.g., speech therapy 44X, behavioral health 90X).
02Add modifier GT to telemedicine claims when using valid revenue/procedure code combinations.
03For HCBS services, ensure staff document telemedicine delivery method in patient records since GT modifier cannot be billed.
04Update billing system to exclude inappropriate facility fees like MRI (61X) or EKG (73X) from telemedicine billing.

Original notice

BT202037: IHCP COVID-19 Response: Facility fees, modifier GT usage, and HCBS clarified for telemedicine billing
in.gov · Always check the source before changing claims.
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Related changes

See all Indiana Medicaid (IHCP) changes →
BT202022: IHCP issues telemedicine billing guidance for providers during COVID-19 outbreakHighEffective Mar 1, 2020 · TelehealthBT202034: IHCP COVID-19 Response: IHCP responds to telemedicine FAQs as of April 1, 2020MediumNo effective date · TelehealthBT202049: IHCP COVID-19 Response: Telemedicine FAQs as of April 21MediumEffective Apr 21, 2020 · TelehealthBT202071: IHCP COVID-19 Response: COVID-19 policy FAQs as of June 11, 2020MediumNo effective date · Medical PolicyBrowse every Indiana Medicaid (IHCP) change in the policy list

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Indiana Medicaid (IHCP) policiesIN policy changesPhysical TherapyPsychiatry

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