Indiana
highIN IHCP MAX FEE Schedules
Run Date and Time
Oct 15, 2026
21s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Indiana Health Coverage Programs / IN_IHCP_MAX_FEE_SCHEDULES identified 3 changed documents and 0 newly discovered documents. 1 item(s) are high priority.
High Impact (1)
Outpatient Fee Schedule QandA.pdf
The document update reflects changes in the Indiana Health Coverage Programs outpatient fee schedule FAQ, with a new version effective October 2026. Notable changes include updates to revenue codes, specifically the removal of code 260 and the addition of code 762.
Highlights
- •Version updated to 3.0, effective October 2026.
- •Revenue code 260 removed; code 762 added.
- •Managed-care-only revenue codes mentioned.
- •Document reduced from 2 pages to 1.
Reason
The update includes changes to revenue codes and an effective date in the near future, impacting billing and reimbursement.
Watch items
Medium Impact (2)
Professional Fee Schedule.xlsx
The professional fee schedule was updated on October 13, 2026, reflecting changes completed as of September 30, 2026. However, no specific rate or policy changes are detailed in the evidence provided.
Highlights
- •Fee schedule last updated: October 13, 2026
- •Changes completed as of September 30, 2026
- •No specific rate or policy changes detailed
Reason
The update is recent, but no specific reimbursement-impacting changes are detailed.
refw0401.txt
The document update includes changes to the maximum fee schedule for certain medical services, with new effective dates extending into 2027. Notably, the max fee for a specific service increases from $591.83 in 2026 to $616.10 in 2027.
Highlights
- •Max fee for service 0072t increases to $616.10 on 01/01/2027
- •Max fee for service 0072t is $591.83 for 2026
- •Max fee for service 0072u remains $450.91 for 07/01/2024
Reason
The changes involve future rate adjustments, but the effective dates are not imminent.
Watch items
Low Impact (0)
No documents in this severity group.