MedicaidCoverageLow impact
BT2024149: IHCP adds coverage for tick-borne encephalitis vaccines
Indiana Medicaid (IHCP)·IN · Family Medicine, Pediatrics, Internal Medicine +1 more·Medical Policy
Effective date
Oct 1, 2023
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) now covers tick-borne encephalitis vaccines under the medical benefit, retroactive to October 1, 2023. Two new CPT codes (90626 and 90627) are covered without prior authorization, with automatic claim reprocessing starting October 30, 2024.
Action Required
Immediately: Billing team should verify system accepts CPT codes 90626 and 90627 for Indiana Medicaid claims. For institutional outpatient claims, ensure codes are billed with revenue code 636. Monitor remittance advices starting October 30, 2024 for automatic reprocessed claims with ICNs beginning with 52 or 80. For members under 19, bill only administration fee due to VFC program coverage.