MedicaidReimbursementMedium impact
BT202133: Rates corrected for certain DME codes
Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Pulmonology, Wound Care·Provider Bulletin
Effective date
Feb 1, 2021
We identified it
Jun 19, 2026
Summary
Indiana Medicaid corrected reimbursement rates for 100 DME procedure codes effective February 1, 2021, due to errors in the original CMS fee schedule. Claims will be mass adjusted automatically, with adjusted remittance advices appearing beginning May 12, 2021.
Action Required
Beginning May 12, 2021: Monitor remittance advices for mass adjusted claims with ICNs/Claim IDs beginning with 52 for the affected DME codes. Update billing system with corrected fee schedule rates from the updated Professional Fee Schedule at in.gov/medicaid/providers. No immediate action required as claims will be automatically adjusted.