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BT202320: IHCP to update rates for certain DME and medical supply items effective Jan. 1, 2023

Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +1 more·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) has updated reimbursement rates for 47 specific DME and medical supply HCPCS codes effective January 1, 2023, with automatic claim adjustments beginning April 11, 2023. The new rates apply to mobility equipment, hospital beds, pressure mattresses, and other DME items under the 21st Century Cures Act.

Action Required

Action needed
Billing team should verify that billing system reflects the new IHCP reimbursement rates for the 47 listed DME codes effective January 1, 2023. Update fee schedules in billing software with the new maximum fees listed in Table 1. Monitor Remittance Advices beginning April 11, 2023 for automatic claim adjustments with ICNs beginning with 52.

Affected Billing Codes

A5514
A7007
A7017
E0100
E0105
E0110
E0111
E0112
E0113
E0114
E0116
E0130
E0135
E0140
E0141
E0143
E0144
E0147
E0148
E0149
E0160
E0161
E0163
E0165
E0167
E0168
E0181
E0184
E0185
E0186
E0188
E0189
E0196
E0197
E0199
E0210
E0235
E0250
E0251
E0255
E0256
E0260
E0261
E0265
E0277
E0290
E0291
E0292
E0293
E0294