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Indiana Medicaid (IHCP)Medicaid · Coverage · Claims & Billing · IN · Chiropractic, Physical TherapyMedium impact

BT202018: IHCP clarifies billing for HIP chiropractic services

Act
immediately
Effective date
Mar 10, 2020
Identified
Jun 19, 2026

Summary

IHCP has clarified billing limits and coverage for chiropractic services across HIP plans. HIP Basic excludes chiropractic manipulations but covers 60 units of therapy services; HIP Plus allows 6 manipulations plus 75 therapy units; HIP State Plan provides 50 total chiropractic units including up to 5 office visits.

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What to do

immediately · 2 steps
01Billing team must update system to apply correct annual limits for HIP members: HIP Basic (60 therapy units, no manipulations), HIP Plus (6 manipulations + 75 therapy units), HIP State Plan (50 total chiropractic units, max 5 office visits).
02Configure billing software to track units separately by plan type and exclude radiology, lab, diabetic education, and community health worker services from limits.

Codes mentioned

958319583297012970149701697018970229702497026970289703297033970349703597036970399711097112971139711697124971399714098940989419894298943992019920299203992119921299213

Original notice

BT202018: IHCP clarifies billing for HIP chiropractic services
in.gov · Always check the source before changing claims.
View original ↗

Related changes

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Related policy hubs

Indiana Medicaid (IHCP) policiesIN policy changesChiropracticPhysical TherapyCode 95831Code 95832Code 97012Code 97014Code 97016Code 97018Code 97022Code 97024Code 97026Code 97028Code 97032Code 97033Code 97034Code 97035Code 97036Code 97039Code 97110Code 97112Code 97113Code 97116Code 97124Code 97139Code 97140Code 98940Code 98941Code 98942Code 98943Code 99201Code 99202Code 99203Code 99211Code 99212Code 99213

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