MedicaidAdministrativeMedium impact
BT202311: IHCP announces EVV explanation of benefits recoupment codes
Indiana Medicaid (IHCP)·IN · Physical Therapy, Occupational Therapy·Provider Bulletin
We identified it
Jun 19, 2026
Summary
Indiana Medicaid (IHCP) has introduced new EOB recoupment codes 8015 and 8016 for Electronic Visit Verification (EVV) non-compliance, allowing them to recoup payments from personal care and home health providers who fail to properly document services through EVV systems. Providers seeing these codes should review their EVV compliance and resubmit claims once corrected.
Action Required
Immediately: Billing team should monitor EOBs for new recoupment codes 8015 (full recoupment) and 8016 (partial recoupment). When these codes appear, review EVV documentation compliance for those claims and resubmit once EVV requirements are met. This affects personal care services (since Jan 1, 2021) and home health services (starting Jan 1, 2024).