MedicaidBilling CodesMedium impact
BT202037: IHCP COVID-19 Response: Facility fees, modifier GT usage, and HCBS clarified for telemedicine billing
Indiana Medicaid (IHCP)·IN · Physical Therapy, Psychiatry·Telehealth
Effective date
Mar 1, 2020
We identified it
Jun 19, 2026
Summary
Indiana Health Coverage Programs (IHCP) now allows facility fees to be billed for telemedicine services during COVID-19 emergency, with modifier GT encouraged but not required for most services. HCBS providers can deliver telemedicine services but cannot use GT modifier and must document telemedicine delivery in patient records.
Action Required
Immediately for Indiana Medicaid providers: Update billing workflows to allow facility fees on institutional claims (UB-04/837I) for telemedicine visits when appropriate (e.g., speech therapy 44X, behavioral health 90X). Add modifier GT to telemedicine claims when using valid revenue/procedure code combinations. For HCBS services, ensure staff document telemedicine delivery method in patient records since GT modifier cannot be billed. Update billing system to exclude inappropriate facility fees like MRI (61X) or EKG (73X) from telemedicine billing.