MedicaidCoverageMedium impact
BT202018: IHCP clarifies billing for HIP chiropractic services
Indiana Medicaid (IHCP)·IN · Chiropractic, Physical Therapy·Claims & Billing
Effective date
Mar 10, 2020
We identified it
Jun 19, 2026
Summary
IHCP has clarified billing limits and coverage for chiropractic services across HIP plans. HIP Basic excludes chiropractic manipulations but covers 60 units of therapy services; HIP Plus allows 6 manipulations plus 75 therapy units; HIP State Plan provides 50 total chiropractic units including up to 5 office visits.
Action Required
Immediately: Billing team must update system to apply correct annual limits for HIP members: HIP Basic (60 therapy units, no manipulations), HIP Plus (6 manipulations + 75 therapy units), HIP State Plan (50 total chiropractic units, max 5 office visits). Configure billing software to track units separately by plan type and exclude radiology, lab, diabetic education, and community health worker services from limits.