MedicaidReimbursementMedium impact
BT202418: IHCP corrects errors on the Professional Fee Schedule
Indiana Medicaid (IHCP)·IN · OB-GYN, Endocrinology·Claims & Billing
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
IHCP corrected pricing errors on the Professional Fee Schedule for maternity codes and diabetic management training codes, with rates decreasing significantly for most affected procedures. Claims for dates of service January 1, 2024 and after will be mass adjusted automatically, with adjusted claims appearing on remittance advices starting March 20, 2024.
Action Required
Monitor remittance advices starting March 20, 2024 for mass adjustments identified by ICNs/Claim IDs beginning with 52. For managed care claims, contact the MCE representative if affected claims have not been reprocessed. Direct any questions to IHCP Reimbursement at FSSA.IHCPReimbursement@fssa.in.gov.