Back to dashboard
MedicaidAdministrativeMedium impact

BT202428: Providers can resubmit Abrysvo claims to be reprocessed

Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, OB-GYN +1 more·Provider Bulletin
Effective date
Mar 5, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Health Coverage Programs (IHCP) is allowing providers to resubmit previously denied Abrysvo (RSV vaccine) claims for reprocessing. Providers have 90 days for managed care claims or 180 days for fee-for-service claims from March 5, 2024 to resubmit these claims with a copy of this bulletin to satisfy timely filing requirements.

Action Required

Action needed
By June 3, 2024 (managed care) or September 1, 2024 (fee-for-service): Billing team should identify and resubmit any previously denied Abrysvo claims using CPT 90678 for patients 60+ years old or pregnant patients 32-36 weeks gestation with dates of service on/after May 31, 2023. Include a copy of bulletin BT202428 with each resubmission to satisfy timely filing requirements.

Affected Billing Codes

90678