MedicaidReimbursementMedium impact
BT202380: Qualifying NF providers to receive a resident-specific add-on in addition to the daily per diem
Indiana Medicaid (IHCP)·IN · Geriatrics·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will provide additional per-day add-on payments to qualifying nursing facilities for specialized services: $12/day for Alzheimer's/dementia special care units and $80/day for ventilator-dependent services. Facilities must use specific revenue codes (193 for SCU, 199 for ventilator) and obtain qualification status.
Action Required
Nursing facilities must: 1) Submit Schedule Z form to Myers and Stauffer to obtain Special Facility Qualification status for SCU or ventilator programs, 2) Update billing systems to include revenue code 193 for Alzheimer's/dementia SCU residents or revenue code 199 for ventilator-dependent residents as additional detail lines alongside room-and-board charges, 3) Ensure handwritten signatures on certification statements (electronic signatures not acceptable), 4) Wait for CMS approval before implementation - continue using April 4, 2023 rates until notified.