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MedicaidAdministrativeMedium impact

BT2024187: IHCP changes respite service names for PathWays, H&W, TBI, FSW and CIH waivers

Indiana Medicaid (IHCP)·IN·Managed Care
Effective date
Nov 21, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP has changed respite service names for PathWays, H&W, TBI, FSW and CIH waivers. Unskilled respite is now called 'Respite Care Services, HHA' and skilled respite services for LPNs and RNs were also renamed for consistency across waiver programs.

Action Required

Action needed
Immediately: Update billing system service descriptions for respite services under PathWays, H&W, TBI, FSW and CIH waivers. Change 'unskilled respite' to 'Respite Care Services, HHA' and update LPN/RN skilled respite service names to match new terminology. Billing team must ensure waiver providers (provider type 32) use correct service names with existing HCPCS codes and modifier combinations.

Affected Billing Codes

S5150
T1005
S5151