MedicaidAdministrativeMedium impact
BT202159: OMPP announces Targeted Probe Education program
Indiana Medicaid (IHCP)·IN·Provider Bulletin
Effective date
Aug 20, 2021
We identified it
Jun 19, 2026
Summary
Indiana Medicaid is launching a new Targeted Probe Education (TPE) program starting August 20, 2021, to reduce improper payments by identifying providers with high denial rates and providing education rather than immediate recoupment. Providers selected for TPE must achieve 85% accuracy across up to three review rounds or face audits and administrative sanctions.
Action Required
Immediately: Review current Indiana Medicaid claim accuracy rates and documentation practices. Billing team should monitor for TPE notification letters from Indiana Program Integrity unit. If selected for TPE, respond within required timeframes and submit requested documentation to avoid audits or administrative sanctions. Maintain 85% or higher billing accuracy to avoid multiple review rounds.