MedicaidBilling CodesMedium impact
BT202482: IHCP to add Structured Family Caregiving service to TBI Waiver
Indiana Medicaid (IHCP)·IN · Neurology, PM&R (Physical Medicine & Rehab)·Specialty Services
Effective date
Jul 1, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs is adding Structured Family Caregiving (SFC) service to the TBI Waiver effective July 1, 2024. Three new billing code combinations using S5140 with specific modifiers are introduced with daily rates ranging from $77.54 to $133.44.
Action Required
By July 1, 2024: Billing team must add new procedure code S5140 with modifier combinations (U7+U1, U7+U2, U7+U3) to billing system for TBI Waiver participants. Set daily rates at $77.54 (Level 1), $99.71 (Level 2), and $133.44 (Level 3). Update encounter forms to include Structured Family Caregiving service options.