MedicaidReimbursementMedium impact
BT2023113: Hospice providers to be reimbursed for resident specific add-ons in addition to the daily per diem
Indiana Medicaid (IHCP)·IN · Palliative Care·Specialty Services
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will reimburse hospice providers for resident-specific add-ons ($12/day for SCU residents with Alzheimer's/dementia, $80/day for ventilator-dependent residents) when billing room-and-board charges at qualifying nursing facilities. Hospice providers must use revenue codes 193 and 199 respectively to trigger these additional payments.
Action Required
Before CMS approval (pending): Hospice billing teams must update institutional claim (UB-04) procedures to include revenue code 193 for SCU residents with Alzheimer's/dementia and revenue code 199 for ventilator-dependent residents as additional detail lines alongside room-and-board revenue codes. Contact Customer Assistance at 800-457-4584 for questions and monitor for future IHCP bulletins announcing CMS approval.