MedicaidReimbursementMedium impact
BT2023150: IHCP to revise rates for select DME and medical supply items based on 2024 Medicare rates
Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Orthopedics, Wound Care·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) will update reimbursement rates for select DME and medical supply HCPCS codes to match 2024 Medicare DMEPOS fee schedule rates, using the lowest non-zero Indiana Medicare rate as the Medicaid allowed amount. The specific affected codes and updated rates will be published after CMS releases the list in January 2024.
Action Required
By January 2024: Monitor IHCP website for publication of affected HCPCS codes and updated rates once CMS releases the list. Billing team must then update fee schedules in billing system with new Medicaid allowed amounts for DME and medical supplies. Reference 2024 DMEPOS Fee Schedule on CMS website at cms.gov for rate verification.