Dear HCAOA-IN Members,
The Indiana Health Coverage Programs (IHCP) has issued Bulletin BT202595, which states that beginning July 1, 2026, all Indiana-based home health agencies (provider type 05) enrolled with IHCP will also be required to enroll as Medicare providers to remain eligible for Medicaid reimbursement.

Dear HCAOA-Indiana Members,
 
The Indiana Health Coverage Programs (IHCP) has issued Bulletin BT2025105, outlining new reimbursement requirements for Attendant Care (ATTC) and Structured Family Caregiving (SFC) services, effective July 1, 2025. These changes include passthrough standards and new compliance attestations.

​Last year, a bill (H.B. 1120) was passed and signed into law in Indiana that included a passthrough mandate requiring 70% of Medicaid reimbursement rates to be allocated to caregiver wages. Exactly what is included in that 70% has not yet been determined by the Family and Social Services Administration (FSSA) and will be crucial to the bill’s ultimate impact on home care providers in Indiana. HCAOA, the Indiana Association for Home & Hospice Care (IAHHC) and other industry partners worked diligently this session to find a legislative avenue to repeal and address the impact of this proposed passthrough. Despite strong support from key lawmakers to include this language in the budget, it was ultimately not adopted in the final version of the budget. We have now turned our attention to FSSA and the executive branch to urge them to adopt language that will minimize the impact on providers. 

​Yesterday's HCAOA Indiana Chapter meeting was very informative. Evan Reinhardt, Executive Director of the Indiana Association for Home & Hospice Care, provided background on the 70/30 Medicaid Wage Passthrough and outlined what advocacy has been done to combat the passthrough with the FSSA. While a full repeal is the ultimate goal, advocacy to date includes speaking with the Braun administration, meeting with members of the House Ways & Means Committee, and negotiating with Rep. Ed Clere (R-IN-72). HCAOA will provide updates as meetings continue with Rep. Clere in hope of repealing the passthrough.