MedicaidCoverageMedium impact
BT202052: IHCP COVID-19 Response: Ambulance providers to be reimbursed for response and treatment, no transport
Indiana Medicaid (IHCP)·IN · Emergency Medicine·Provider Bulletin
Effective date
Mar 1, 2020
We identified it
Jun 19, 2026
Summary
Indiana Medicaid will now reimburse ambulance providers for emergency responses where treatment is provided but no transport occurs, using HCPCS code A0998. This applies retroactively to March 1, 2020 and pays $76.71 per response during the COVID-19 public health emergency.
Action Required
By October 20, 2020: Billing team must update systems to bill HCPCS code A0998 ($76.71) for ambulance responses with treatment but no transport for Indiana Medicaid members. Ensure claims include documentation that all 5 criteria are met: member consent, no medical emergency determined, member refuses transport, member is stable for referral, and member can obtain follow-up. Resubmit eligible claims from March 1, 2020 forward within 180 days with bulletin attached.