MedicaidBilling CodesMedium impact
BT202323: FSSA announces CMS approval for LARC device carve-out for FQHC and RHC providers
Indiana Medicaid (IHCP)·IN · OB-GYN, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Nov 1, 2022
We identified it
Jun 19, 2026
Summary
CMS approved Indiana Medicaid's LARC device carve-out for FQHCs and RHCs, allowing separate reimbursement for contraceptive devices outside the PPS rate. Providers must bill specific HCPCS codes with POS 71 separately from T1015 encounters, effective retroactively from November 1, 2022.
Action Required
Within 180 days of March 14, 2023: FQHC and RHC billing teams must separate LARC device billing from encounter billing for dates of service November 1, 2022 and after. Bill HCPCS codes J7296, J7297, J7298, J7300, J7301, J7306, and J7307 with place of service code 71 on separate claims from T1015 encounters. Resubmit previously denied claims for timely filing using this bulletin as waiver documentation.