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MedicaidReimbursementMedium impact

BT2020128: IHCP to update rates for certain DME and medical supply items

Indiana Medicaid (IHCP)·IN · PM&R (Physical Medicine & Rehab), Orthopedics, Neurology·Provider Bulletin
Effective date
Feb 1, 2021
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid (IHCP) is updating reimbursement rates for DME and medical supply items effective February 1, 2021, to comply with the 21st Century Cures Act. Rates will be based on Medicare DMEPOS fee schedules, and capped rental periods will change to 6 months for power wheelchairs and 10 months for other DME items subject to the Act.

Action Required

Action needed
By February 1, 2021: Billing team must monitor for the updated HCPCS codes list and new rates to be published by CMS. Update billing system with new capped rental periods (6 months for power wheelchairs, 10 months for other DME) once the specific codes are released. Begin billing supplies separately during capped rental periods for codes subject to the 21st Century Cures Act.