MedicaidCoverageMedium impact
BT202231: IHCP clarifies service limitations for chiropractic services
Indiana Medicaid (IHCP)·IN · Chiropractic·Provider Bulletin
Effective date
Apr 26, 2022
We identified it
Jun 19, 2026
Summary
IHCP (Indiana Medicaid) clarifies chiropractic service limitations: 50 total units per member per year with only 5 office visits allowed, muscle testing requires prior authorization, and Hoosier Healthwise Package C has separate limits of 5 visits plus 14 treatments annually.
Action Required
Immediately: Billing team must update system to track chiropractic unit limits - maximum 50 total units per member per calendar year with only 5 office visits allowed. Configure prior authorization requirements for all muscle testing services (manual and electrical). For Hoosier Healthwise Package C members, set separate limits of 5 visits and 14 therapeutic treatments per year. Update encounter forms to remind providers of visit limits to prevent claim denials.