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MedicaidAdministrativeMedium impact

BT202121: COVID-19 vaccine administration billing for FQHC and RHC providers clarified

Indiana Medicaid (IHCP)·IN · Family Medicine, Internal Medicine, General Practice +1 more·Claims & Billing
Effective date
Apr 1, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

FQHC and RHC providers can now choose between two billing options for COVID-19 vaccine administration claims with dates of service April 1, 2021 or later: submit directly to Indiana Medicaid (IHCP) or continue using the Zotec billing platform. Previously, Zotec was only allowed through March 31, 2021.

Action Required

Action needed
By April 1, 2021: FQHC and RHC billing teams must decide whether to submit COVID-19 vaccine administration claims directly to IHCP or through Zotec platform. If using Zotec, allow additional 3-4 weeks for reimbursement and do not resubmit claims to IHCP. All claims for HIP, Hoosier Healthwise, or Hoosier Care Connect members must be submitted as fee-for-service claims to IHCP regardless of billing platform choice.