MedicaidBilling CodesMedium impact
BT202006: FSSA changes rate and methodology for A&D and TBI waiver services
Indiana Medicaid (IHCP)·IN · Geriatrics, Neurology·Claims & Billing
Effective date
Feb 1, 2020
We identified it
Jun 19, 2026
Summary
Indiana FSSA approved rate increases and billing methodology changes for Aged & Disabled (A&D) and Traumatic Brain Injury (TBI) waiver services. Key changes include new billing codes and modifiers for assisted living (monthly vs daily rates), adult day services (Category 1 vs 2), and nonmedical transportation (base trip + mileage billing).
Action Required
Before February 1, 2020: Billing team must update system with new modifier combinations for waiver services - T2031 with UA modifier for monthly assisted living rates, S5100 with UC modifier for Category 1 adult day services, and T2003 with UB modifier for transportation base trips. Stop billing discontinued codes S5101 (adult day care) and certain T2022 combinations for TBI waiver after January 31, 2020. Update fee schedules with new rates for all affected services.