The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Indiana other services schedule has 595 codes.
- Every code on all 51 published schedules
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Published codes
595
Other Services procedures on the 2026 schedule
Median % of Medicare
39.7%
vs national Medicare, GPCI-neutral
PA required
97
codes flagged by the state
Common other services procedures and what Indiana Medicaid pays
A curated sample of recognizable procedures from the 595-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Indiana rate | % of Medicare |
|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $1.00* | -- |
| T2021 | Day habilitation, waiver; per 15 minutes | $2.35* | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Indiana Medicaid fee schedules
- Indiana physician fee schedule · 6,764 codes
- Indiana lab & imaging fee schedule · 2,177 codes
- Indiana dme & supplies fee schedule · 2,074 codes
- Indiana drugs fee schedule · 865 codes
- Indiana vision fee schedule · 149 codes
- Indiana behavioral health fee schedule · 43 codes
Other Services rates in neighboring states
Frequently asked questions
What does Indiana Medicaid pay for other covered services?
Indiana Medicaid publishes 595 other services procedure rates effective 2026, paying a median 39.7% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Indiana's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, Indiana Medicaid pays a median 39.7% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in Indiana?
Indiana publishes prior-authorization flags on its schedule: 97 other services codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from Indiana's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Indiana changes these rates.