MedicaidCoverageMedium impact
BT2024167: IHCP publishes code set for speech/hearing therapists
Indiana Medicaid (IHCP)·IN · Physical Therapy·Provider Bulletin
Effective date
Oct 15, 2024
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) has published the official code set for speech/hearing therapists (specialty 173), restricting reimbursement to only 18 specific procedure codes. Five codes require prior authorization, and the PA system has been updated to accept requests from specialty 173 providers.
Action Required
Immediately: Billing teams working with speech/hearing therapists must verify only the 18 listed CPT codes (92507-96113) are billed for Indiana Medicaid specialty 173 providers. Ensure prior authorization is obtained through Acentra Health for codes 92526, 92597, 92607, 92608, and 92609. Update billing system rules to restrict code usage and flag PA requirements for these five codes to prevent claim denials.