Indiana
highIN IHCP MAX FEE Schedules
Run Date and Time
Sep 01, 2026
34s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Indiana Health Coverage Programs / IN_IHCP_MAX_FEE_SCHEDULES identified 1 changed documents and 4 newly discovered documents. 3 item(s) are high priority. 4 newly discovered item(s) appear current or upcoming.
High Impact (3)
2027-DME-Fee-Schedule-Indiana-Medicaid.xlsx
The document outlines the Indiana Medicaid 2027 fee schedule for durable medical equipment and medical supplies, effective January 1, 2027. It includes specific rates for various procedure codes.
Highlights
- •Effective date: January 1, 2027
- •Covers durable medical equipment and medical supplies
- •Includes specific rates for procedure codes A2001 to A2036
- •All listed rates are 51.7632
Reason
The document contains new reimbursement rates effective soon, impacting billing and reimbursement.
Watch items
2027-Physician-Fee-Schedule-Indiana-Medicaid.xlsx
The document outlines the Indiana Medicaid 2027 fee schedule for physician services, effective January 1, 2027, detailing anesthesia base units for various procedures.
Highlights
- •Effective date: January 1, 2027
- •Covers physician services in Indiana
- •Includes anesthesia base units for procedures
- •Specific procedure codes listed
Reason
The document contains new reimbursement rates effective soon, impacting billing and policy.
Watch items
2027-NEMT-Fee-Schedule-Indiana-Medicaid.xlsx
The document outlines the Indiana Medicaid 2027 fee schedule for nonemergency medical transportation (NEMT), effective January 1, 2027, with specific rates for various procedure codes.
Highlights
- •Effective date: January 1, 2027
- •Procedure code A0090: Rate $0.55
- •Procedure code A0100: Multiple rates based on modifiers
- •Procedure code A0100 with modifier U4: Rate $19.63
Reason
The document includes specific rate changes effective soon, impacting reimbursement.
Watch items
Medium Impact (2)
Outpatient-Fee-Schedule-2026-07.xlsx
The document updates include new codes allowed with revenue codes 274 and 636, and additional columns showing hospital assessment fee and rate factor increases for qualifying out-of-state children's hospitals, effective July 1, 2026.
Highlights
- •New codes allowed with revenue code 274.
- •New codes allowed with revenue code 636.
- •Hospital assessment fee and rate factor increases for out-of-state children's hospitals.
- •Effective date: July 1, 2026.
Reason
Changes are relevant but effective date is not imminent.
Watch items
2027-EMS-Fee-Schedule-Indiana-Medicaid.xlsx
The document outlines the Indiana Medicaid EMS fee schedule effective January 1, 2027, detailing specific rates for various emergency medical services.
Highlights
- •Effective date: January 1, 2027
- •Includes rates for neonatal emergency transport, ambulance waiting, and ground mileage
- •Lists procedure codes and modifiers with corresponding rates
- •Covers both ALS and BLS services
- •Includes air transport rates for fixed and rotary wing
Reason
The changes are relevant but not urgent as they are effective in 2027.
Watch items
Low Impact (0)
No documents in this severity group.