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MedicaidReimbursementMedium impact

BT2020103: IHCP COVID-19 Response: NF temporary reimbursement rate extended and temporary resident add-on clarified

Indiana Medicaid (IHCP)·IN · Geriatrics·Claims & Billing
Effective date
Sep 17, 2020
We identified it
Jun 19, 2026
Days to comply

Summary

Indiana Medicaid extended the 4.2% nursing facility reimbursement rate increase through September 30, 2020, and clarified that COVID-19 Ready facilities receive a $115 per resident daily add-on for 21 days for COVID-19 positive members with specific billing requirements using ICD-10 code U07.1.

Action Required

Action needed
For nursing facilities only: Review any COVID-19 related claims submitted between May 1-August 31, 2020. Void and resubmit claims according to bulletin guidance if you are a COVID-19 Ready facility treating COVID-positive residents. Ensure primary diagnosis code U07.1 was used for all COVID-positive resident claims during the eligible period.

Affected Billing Codes

U07.1