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MedicaidAdministrativeMedium impact

BT2024108: IHCP identifies Sandata EVV system issue and fix

Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Jul 16, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP fixed a Sandata EVV system issue that was rejecting electronic visit verification records for specific HCBS waiver services with multiple modifiers from June 19-July 8, 2024. Providers must resubmit rejected EVV records, and affected FFS claims will be mass reprocessed on August 9, 2024.

Action Required

Action needed
Before August 9, 2024: Providers must resubmit client visit data to Sandata for services S5125, S5130, and S5150 with U7/UA modifiers if they received rejection errors between June 19-July 8, 2024. Contact MCEs for managed care claim reprocessing information. Monitor remittance advices starting August 14 for reprocessed FFS claims with ICNs beginning with 80.

Affected Billing Codes

S5125
S5130
S5150